title: Anxiety, depression, and fall-related psychological concerns in community-dwelling older people.
abstract: OBJECTIVE
  Establish the association between affect and fall-related psychological concerns (fear of falling, fall-related self-efficacy, balance confidence, and outcome expectancy).
  
  
  METHODS
  A total of 205 community-dwelling older people (mean age 81, SD 7.5 years) completed the Geriatric Depression Scale-15, Geriatric Anxiety Inventory, Modified Survey of Activities and Fear of Falling, Falls-Efficacy Scale- International, Activity-Specific Balance Confidence Scale, and the Consequences of Falling Scale.
  
  
  RESULTS
  Hierarchical regression models showed that anxiety was independently associated with all fall-related psychological concerns; depression was only associated with falls efficacy. Associations between fall-related psychological concerns and age, gender, accommodation,medications, self-rated physical health, falls history, mobility, and sensory aids are also discussed.
  
  
  CONCLUSIONS
  This is the first study that investigates the association between affect and the four fall-related psychological concerns. Anxiety was a significant factor associated with all four, whereas depression was only associated with activity avoidance. Implications for healthcare providers are discussed.
authors.affiliation: National Hospital for Neurology and Neurosurgery, UCLH NHS Foundation Trust, London, United Kingdom. Electronic address: samanthahull@nhs.net.
authors.forename: Samantha L
authors.initials: SL
authors.lastname: Hull
authors.forename: Ian I
authors.initials: II
authors.lastname: Kneebone
authors.forename: Lorna
authors.initials: L
authors.lastname: Farquharson
mesh_terms: D000058:Accidental Falls; D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D001007:Anxiety / Q000523:psychology*; D003863:Depression / Q000523:psychology*; D005239:Fear / Q000523:psychology*; D005260:Female; D015577:Geriatric Assessment; D006801:Humans; D008297:Male; D004856:Postural Balance; D012044:Regression Analysis; D012111:Residence Characteristics; D020377:Self Efficacy
keywords: Anxiety; depression; fall self-efficacy; fear of falling; older people