Associations of neuroticism with falls in older adults : do psychological factors mediate the association?
| Autor: | Katja Pynnönen, Katja Kokko, Pia Laukkanen, Katri Turunen, Tuomo Hänninen, Anna Tirkkonen, Sarianna Sipilä, Timo Törmäkangas, Markku Alen, Tiia Kekäläinen |
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| Jazyk: | angličtina |
| Rok vydání: | 2022 |
| Předmět: |
psykologiset tekijät
Cross-sectional study media_common.quotation_subject poikittaistutkimus cross-sectional studies Falls in older adults 03 medical and health sciences 0302 clinical medicine mental disorders Humans Medicine Personality risk factors pelko Association (psychology) Depressive symptoms Aged media_common Neuroticism kaatuminen 030214 geriatrics business.industry persoonallisuuden piirteet Fear Fall risk riskitekijät huolestuneisuus Psychiatry and Mental health aged Cross-Sectional Studies Falling (accident) personality fear Independent Living accidental falls Geriatrics and Gerontology Pshychiatric Mental Health medicine.symptom business Gerontology 030217 neurology & neurosurgery ikääntyneet Clinical psychology |
| Popis: | OBJECTIVES Neuroticism predicts falls in older people. In addition, concern about falling and depressive symptoms are associated with fall risk. This study examined whether concern about falling and depressive symptoms mediate the association between neuroticism and falls. METHOD Cross-sectional data on 314 community-dwelling people aged 70–85 years were utilized. Neuroticism was assessed with a short modified form of the Eysenck Personality Inventory. Indoor and outdoor falls during the past year were self-reported. Concern about falling was assessed with the Falls Efficacy Scale-International and depressive symptoms with the Geriatric Depression Scale-15. Path modeling was used to examine the associations between variables. RESULTS Mediating pathways linking neuroticism and falls were found: neuroticism was positively associated with concern about falling, which was subsequently linked to indoor falls (indirect effect β = 0.34, p = 0.002) and recurrent outdoor falls (β = 0.19, p = 0.045). Moreover, a pathway from neuroticism to indoor falls through depressive symptoms was also found (β = 0.21, p = 0.054). In other words, higher neuroticism was associated with higher concern about falling and depressive symptoms, both of which were linked to falls. The associations were independent of age, sex, use of psychotropic, chronic diseases, persistent pain, physical performance, physical activity, and executive functioning that are known risk factors for falls. DISCUSSION The results indicate that concern about falling and depressive symptoms mediate the association between neuroticism and falling. Longitudinal studies are needed to confirm the causality of the findings and to examine the potential to reduce falls by targeting concern about falling and depressive symptoms among older adults higher in neuroticism. peerReviewed |
| Databáze: | OpenAIRE |
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