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首页> 外文期刊>The American journal of geriatric psychiatry: official journal of the American Association for Geriatric Psychiatry >Depression and Outcome of Fear of Falling in a Falls Prevention Program
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Depression and Outcome of Fear of Falling in a Falls Prevention Program

机译：预防跌倒计划的抑郁症和对跌倒的恐惧感的结果

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Objective: To examine whether depression predicts less improvement in fear of falling and falls efficacy in older adults attending a falls prevention program (FPP). Methods: Using a prospective observational design in an academic medical center, the authors studied 69 nondemented adults aged 55 years or older (mean age: 77.8 +/- 8.9 years) who had experienced at least one fall in the previous year and who attended the FPP. The primary outcome variable was change in severity of fear of falling during the FPP. Secondary outcome variables were change in falls efficacy and fear-related restriction of activities during the FPP. Independent variables were baseline depressive disorders and depressive symptom severity. Results: Twenty-one of 69 study participants (30.4%) had a depressive disorder at baseline. Depressive disorder and depressive symptoms were not associated with change in severity of fear of falling or restriction of activity. On the other hand, depressive disorder was associated with improvement in falls efficacy, although this finding was not significant in multivariate analysis. Among participants with a depressive disorder, improvement in falls efficacy was significantly correlated with improvement in depressive symptoms. Conclusion: There was no association between baseline depression and change in fear of falling in this FPP. The correlation between improvement in depressive symptoms and improvement in falls efficacy raises the question as to whether a cognitive-behavioral intervention that simultaneously targets both depression and falls efficacy would be a useful component of a FPP.
机译：目的：检查抑郁症是否预示着参加跌倒预防计划（FPP）的老年人对跌倒的恐惧和跌倒功效的改善较少。方法：作者使用学术医学中心的前瞻性观察设计，研究了69位55岁或以上（平均年龄：77.8 +/- 8.9岁）的非痴呆成年人，他们在上一年经历过至少一次跌倒并参加了该活动。 FPP。主要结果变量是在FPP期间害怕跌倒的严重程度变化。次要结果变量是跌倒功效的变化以及FPP期间与恐惧相关的活动限制。自变量是基线抑郁症和抑郁症状的严重程度。结果：69名研究参与者中有21名（30.4％）在基线时患有抑郁症。抑郁症和抑郁症状与恐惧下降严重程度的变化或活动受限无关。另一方面，抑郁症与跌倒疗效的改善有关，尽管这一发现在多变量分析中并不重要。在患有抑郁症的参与者中，跌倒功效的改善与抑郁症状的改善显着相关。结论：基线抑郁与该FPP恐惧下降的变化之间没有关联。抑郁症状改善与跌倒疗效改善之间的相关性提出了一个问题，即同时针对抑郁和跌倒疗效的认知行为干预是否将是FPP的有用组成部分。

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