Psychological well-being is an independent predictor of falling in an 8-year follow-up of older adults

被引:56
作者
Anstey, Kaarin J. [1 ]
Burns, Richard [1 ]
von Sanden, Chwee [1 ]
Luszcz, Mary A. [2 ]
机构
[1] Australian Natl Univ, Mental Hlth Res Ctr, Canberra, ACT, Australia
[2] Flinders Univ S Australia, Ctr Ageing Studies, Adelaide, SA, Australia
来源
JOURNALS OF GERONTOLOGY SERIES B-PSYCHOLOGICAL SCIENCES AND SOCIAL SCIENCES | 2008年 / 63卷 / 04期
基金
澳大利亚国家健康与医学研究理事会; 澳大利亚研究理事会;
关键词
falls; well-being; depression; morale;
D O I
10.1093/geronb/63.4.P249
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
population-based sample (N = 787) was followed for 8 years and assessed three times on measures of well-being (depressive symptoms, morale, and control) and fall history. Marginal models assessed the association between baseline well-being measures and falling. Random effects models assessed change in well-being indicators as well as change in fall rate over 8 years. After adjustment for sociodemographics, psychotropic medication, health, and sensorimotor function, our results showed that depressive symptoms, control, and morale were risk factors for subsequent falling, and an increase in depressive symptoms or a reduction in morale was associated with an increasing fall rate. We conclude that the three well-being measures are independently associated with falling and need to be considered in fall-risk assessments and population-based prevention and intervention strategies.
引用
收藏
页码:P249 / P257
页数:9
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