Neuroticism predicts fear of falling after hip fracture

Bower, Emily S.; Wetherell, Julie Loebach; Petkus, Andrew J.; Lenze, Eric J.

doi:10.1002/gps.5261

Cited by 10 publications

(21 citation statements)

References 59 publications

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“…In men, poor physical fitness and lower limb relative appendicular lean mass accelerate cortical bone loss and increase the risk of falls, leading to hip fracture ( 75 ). In addition, recent research suggests that people with a fall phobia are more likely to fall in the first 12 weeks after a hip fracture because of their high degree of neuroticism ( 76 ). A cross-sectional study reported that the combination of sarcopenia and osteoporosis potentially increases the risk of hip fracture ( 77 ).…”

Section: Resultsmentioning

confidence: 99%

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Recent advances in the identification of related factors and preventive strategies of hip fracture

Wang

Hou

et al. 2023

Front. Public Health

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Hip fracture is the most devastating type of osteoporosis-related fracture, and is a major worldwide public health problem with a high socioeconomic burden, morbidity rate, and mortality rate. Thus, it is crucial to uncover the risk factors and protective factors to create a hip fracture prevention strategy. In addition to a briefly review of some well accepted risk and protective factors of hip fracture, this review mainly summarized the recent advances in the identification of emerging risk or protective factors for hip fracture, in terms of regional differences in medical services, diseases, drugs, mechanical load, neuromuscular mass, genes, blood types, cultural differences. This review provides a comprehensive review of the associated factors and effective prevention measures for hip fracture, and discusses issues that need further investigation. These issues include the determination of the influencing mechanism of risk factors triggering hip fracture and their interlinked correlation with other factors, as well as the confirmation or correction of emerging factors associated with hip fracture, particularly those that are still controversial. These recent findings will aid in optimizing the strategy for preventing hip fracture.

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Section: Resultsmentioning

confidence: 99%

“…Internal mental health is also an issue that requires attention. Patients with a fall phobia are more likely to fall in the first 12 weeks after hip fracture because of their neuroticism ( 76 ). Therefore, it is essential to provide all-round psychological counseling to people who have fallen.…”

Section: Resultsmentioning

confidence: 99%

Recent advances in the identification of related factors and preventive strategies of hip fracture

Wang

Hou

et al. 2023

Front. Public Health

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“…For clinical practice it seems relevant to monitor the course of FoF. Findings from a cohort study of hip fracture patients show three distinct patterns of FoF evolving from 4 to 12 weeks after fracture; i] patients with consistently low levels of FoF; ii] patients with high levels of FoF at 4 weeks that continue to increase; iii] patients with high levels of FoF at 4 weeks which decrease at 12 weeks post-fracture [38]. It is currently unknown how these distinct trajectories relate to avoidance behavior.…”

Section: Discussionmentioning

confidence: 99%

“…Another factor to consider when screening for FoF, is the (mediating) role of anxiety (traits) in the development of maladaptive or dysfunctional fear of falling [18,39,40]. Findings from Bower et al show that patients with higher scores for neuroticism were more likely to have high levels of FoF [38]. Also, the previously mentioned in-home cognitive behavioral program for FoF that was conducted by physiotherapists and showed positive effects on reducing FoF and activity restriction, was aimed at patients with disproportionate FoF; as defined as high fear and low to moderate objective fall risk and functional impairment because of FoF [29].…”

Section: Discussionmentioning

confidence: 99%

Feasibility of a multicomponent cognitive behavioral intervention for fear of falling after hip fracture: process evaluation of the FIT-HIP intervention

et al. 2021

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Background This study describes the process evaluation of an intervention developed to reduce fear of falling (FoF) after hip fracture, within an inpatient geriatric rehabilitation setting. This ‘FIT-HIP intervention’ is a multicomponent cognitive behavioral intervention, conducted by physiotherapists and embedded in usual care in geriatric rehabilitation in the Netherlands. A previous study (cluster randomized controlled trial) showed no beneficial effects of this intervention when compared to usual care. The aim of this study was to gain insight into factors related to the intervention process that may have influenced the effectiveness of the intervention. Methods This process evaluation was conducted using an observational prospective study design. Based on quantitative and qualitative data derived from session logs, evaluation questionnaires and interviews, we addressed: 1] recruitment and reach; 2] performance according to protocol; 3] patients’ adherence; and 4] opinions of patients and facilitators on the intervention. Participants in this study were: a) patients from 6 geriatric rehabilitation units, who were invited to participate in the intervention (39 adults aged ≥65 years with hip fracture and FoF) and; b) intervention facilitators (14 physiotherapists and 8 psychologists who provide coaching to the physiotherapists). Results Thirty-six patients completed the intervention during inpatient geriatric rehabilitation. Apart from cognitive restructuring and telephonic booster (which was not provided to all patients), the intervention was performed to a fair degree in accordance with protocol. Patients’ adherence to the intervention was very good, and patients rated the intervention positively (average 8.1 on a scale 0–10). Although most facilitators considered the intervention feasible, a limited level of FoF (possibly related to timing of intervention), and physiotherapists’ limited experience with cognitive restructuring were identified as important barriers to performing the intervention according to protocol. Conclusions The FIT-HIP intervention was only partly feasible, which may explain the lack of effectiveness in reducing FoF. To improve the intervention’s feasibility, we recommend selecting patients with maladaptive FoF (i.e. leading to activity restriction), being more flexible in the timing of the intervention, and providing more support to the physiotherapists in conducting cognitive restructuring. Trial registration Netherlands Trial Register: NTR5695 (7 March 2016).

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“…Fear of falling, along with impairment of balance and walking abilities are further factors. Fear of falling is reported by more than half of individuals with previous HF, and can influence functional abilities [256], physical recovery [257,258], and emotional stability [257]. Balance impairment can significantly reduce mobility, also increasing the risk of falls.…”

Section: Risk Of Fall Evaluation and Managementmentioning

confidence: 99%

Orthogeriatric co-management for the care of older subjects with hip fracture: recommendations from an Italian intersociety consensus

Vincentis

Behr²,

Bellelli

et al. 2021

Aging Clin Exp Res

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Background Health outcomes of older subjects with hip fracture (HF) may be negatively influenced by multiple comorbidities and frailty. An integrated multidisciplinary approach (i.e. the orthogeriatric model) is, therefore, highly recommended, but its implementation in clinical practice suffers from the lack of shared management protocols and poor awareness of the problem. The present consensus document has been implemented to address these issues. Aim To develop evidence-based recommendations for the orthogeriatric co-management of older subjects with HF. Methods A 20-member Expert Task Force of geriatricians, orthopaedics, anaesthesiologists, physiatrists, physiotherapists and general practitioners was established to develop evidence-based recommendations for the pre-, peri-, intra-and postoperative care of older in-patients (≥ 65 years) with HF. A modified Delphi approach was used to achieve consensus, and the U.S. Preventive Services Task Force system was used to rate the strength of recommendations and the quality of evidence. Results A total of 120 recommendations were proposed, covering 32 clinical topics and concerning preoperative evaluation (11 topics), perioperative (8 topics) and intraoperative (3 topics) management, and postoperative care (10 topics). Conclusion These recommendations should ease and promote the multidisciplinary management of older subjects with HF by integrating the expertise of different specialists. By providing a convenient list of topics of interest, they might assist in identifying unmet needs and research priorities.

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Neuroticism predicts fear of falling after hip fracture

Cited by 10 publications

References 59 publications

Recent advances in the identification of related factors and preventive strategies of hip fracture

Recent advances in the identification of related factors and preventive strategies of hip fracture

Feasibility of a multicomponent cognitive behavioral intervention for fear of falling after hip fracture: process evaluation of the FIT-HIP intervention

Orthogeriatric co-management for the care of older subjects with hip fracture: recommendations from an Italian intersociety consensus

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