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19 - Cognitive Behavioural Interventions for Addressing Fear of Falling and Fall Risk

from Part II - Strategies for Prevention

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

Fear of falling refers to ongoing concerns about falls which can compromise an individual’s quality of life. ‘Fear of falling’ is often used as an umbrella term to include both cognitive constructs, like balance confidence and fall-related self-efficacy, and affect-based constructs, like concern or worry about falling [1]. Fear of falling can be an adaptive and justified response for people who are frail, preventing them from taking part in risky activities [2]. However, approximately one-third of community-dwelling older people experience high levels of fear of falling, which has been associated with restriction in physical and social activities with consequent negative impacts on quality of life [3]. Fear of falling is multi-dimensional in nature. Physical (poor balance and muscle weakness), psychological (unrealistic appraisals of one’s ability to avoid falls) and behavioural factors (reduced outdoor and social activities) can interact and contribute to a vicious cycle of fear of falling and activity avoidance [2].

Type
Chapter
Information
Falls in Older People
Risk Factors, Strategies for Prevention and Implications for Practice
, pp. 311 - 321
Publisher: Cambridge University Press
Print publication year: 2021

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References

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