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9 - The Psychology of Fall Risk: Fear, Anxiety, Depression, and Balance Confidence

from Part I - Epidemiology and Risk Factors for Falls

Published online by Cambridge University Press:  04 November 2021

Stephen R. Lord
Affiliation:
Neuroscience Research Australia, Sydney
Catherine Sherrington
Affiliation:
Sydney Medical School
Vasi Naganathan
Affiliation:
Concord Hospital
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Summary

Originally discussed in early clinical reports (e.g. [1]), the relationship between psychological factors and falls is now well supported in the literature. Specifically, fear of falling, balance confidence or fall efficacy (i.e. belief in ability to maintain one’s balance),1 and depression are well-established predictors of falls and determinants of fall risk (e.g. [4,5]). Anxiety also appears to play a role in the determination of balance performance and gait parameters [6]. These psychological variables, which can also be the consequence of or be changed by a fall, can lead to activity avoidance in an effort to prevent future injuries [7]. In this chapter, psychological risk and consequences of falls and interventions designed to address them are discussed.

Type
Chapter
Information
Falls in Older People
Risk Factors, Strategies for Prevention and Implications for Practice
, pp. 160 - 171
Publisher: Cambridge University Press
Print publication year: 2021

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