title: Impact of depression and activities of daily living on the fear of falling in Korean community-dwelling elderly.
abstract: This study determined the predictors of the fear of falling (FOF) in 213 South Korean community-dwelling elderly. The Fall Efficacy Scale, Pittsburgh Sleep Quality Index, Korean Geriatric Depression Screening Scale, and Barthel Index were used to measure the FOF, sleep quality, depression, and activities of daily living, respectively. In addition, information regarding the participants' demographic details and the number of types of medication was collected. The data were analyzed by using hierarchical regression. The general regression model, with the FOF as a dependent variable, was statistically significant. The FOF variance was partially explained. Depression and activities of daily living significantly influenced the FOF. Thus, the results indicate that the FOF in community-dwelling elderly Koreans is affected by depression and activities of daily living. Therefore, an older adult with recognized signs of depression must be provided with more appropriate care and the allocation of specific interventional strategies in order to maintain activities of daily living should be developed to manage the FOF.
authors.affiliation: Division of Nursing Science, College of Health Sciences, Ewha Womans University, Seoul, Korea. krshin@ewha.ac.kr
authors.forename: Kyung Rim
authors.initials: KR
authors.lastname: Shin
authors.forename: Younhee
authors.initials: Y
authors.lastname: Kang
authors.forename: Mi Young
authors.initials: MY
authors.lastname: Kim
authors.forename: Dukyoo
authors.initials: D
authors.lastname: Jung
authors.forename: Jeong Soo
authors.initials: JS
authors.lastname: Kim
authors.forename: Chong Min
authors.initials: CM
authors.lastname: Hong
authors.forename: Eun Suk
authors.initials: ES
authors.lastname: Yun
authors.forename: Rye Won
authors.initials: RW
authors.lastname: Ma
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control / Q000706:statistics & numerical data*; D000203:Activities of Daily Living / Q000523:psychology*; D000368:Aged; D000369:Aged, 80 and over; D000704:Analysis of Variance; D001294:Attitude to Health; D003430:Cross-Sectional Studies; D003863:Depression / Q000150:complications / Q000175:diagnosis / Q000523:psychology*; D004522:Educational Status; D005239:Fear / Q000523:psychology*; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D024802:Nurse's Role; D015403:Nursing Evaluation Research; D019338:Polypharmacy; D011237:Predictive Value of Tests; D012044:Regression Analysis; D056910:Republic of Korea / Q000453:epidemiology; D018570:Risk Assessment; D012720:Severity of Illness Index; D011795:Surveys and Questionnaires