Advanced

Depressive symptoms associated with concerns about falling in Parkinson's disease

Franzén, Erika; Conradsson, David; Hagströmer, Maria and Nilsson, Maria H. LU (2016) In Brain and Behavior 6(10).
Abstract

Background: Concerns about falling, a construct related to fear of falling, is increased in people with Parkinson's disease (PD) and is recognized as a barrier for exercise, negatively affecting health-related quality of life and participation. Aim: To investigate modifiable factors associated with concerns about falling in elderly with mild-to-moderate PD. Methods: Eighty-nine elderly (39 females, mean age 73 years) with mild-to-moderate PD were recruited. Concerns about falling were assessed with the Falls Efficacy Scale-international, that is, the dependent variable in multiple linear regression analysis. Independent variables included both motor (e.g., objective measures of physical activity and gait) and nonmotor aspects such as... (More)

Background: Concerns about falling, a construct related to fear of falling, is increased in people with Parkinson's disease (PD) and is recognized as a barrier for exercise, negatively affecting health-related quality of life and participation. Aim: To investigate modifiable factors associated with concerns about falling in elderly with mild-to-moderate PD. Methods: Eighty-nine elderly (39 females, mean age 73 years) with mild-to-moderate PD were recruited. Concerns about falling were assessed with the Falls Efficacy Scale-international, that is, the dependent variable in multiple linear regression analysis. Independent variables included both motor (e.g., objective measures of physical activity and gait) and nonmotor aspects such as depressive symptoms. Results: A model with three significant independent variables explained 33% of the variance in concerns about falling. According to the standardized regression coefficients (β), the strongest contributing factor was depressive symptoms (0.40), followed by balance performance (−0.25), and use of mobility devices (0.24). Conclusions: The findings imply that factors associated with concerns about falling are a multifactorial phenomenon. For its management in elderly with mild-to-moderate PD, one should consider depressive symptoms, balance deficits, and mobility devices.

(Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
balance, depression, fear of falling, mobility devices, physical activity
in
Brain and Behavior
volume
6
issue
10
publisher
John Wiley & Sons
external identifiers
  • scopus:84979285085
  • wos:000387586800005
ISSN
2162-3279
DOI
10.1002/brb3.524
language
English
LU publication?
yes
id
fe27f25d-2086-4860-b35f-cc469f62a539
date added to LUP
2016-11-01 10:25:01
date last changed
2017-02-01 03:00:02
@article{fe27f25d-2086-4860-b35f-cc469f62a539,
  abstract     = {<p>Background: Concerns about falling, a construct related to fear of falling, is increased in people with Parkinson's disease (PD) and is recognized as a barrier for exercise, negatively affecting health-related quality of life and participation. Aim: To investigate modifiable factors associated with concerns about falling in elderly with mild-to-moderate PD. Methods: Eighty-nine elderly (39 females, mean age 73 years) with mild-to-moderate PD were recruited. Concerns about falling were assessed with the Falls Efficacy Scale-international, that is, the dependent variable in multiple linear regression analysis. Independent variables included both motor (e.g., objective measures of physical activity and gait) and nonmotor aspects such as depressive symptoms. Results: A model with three significant independent variables explained 33% of the variance in concerns about falling. According to the standardized regression coefficients (β), the strongest contributing factor was depressive symptoms (0.40), followed by balance performance (−0.25), and use of mobility devices (0.24). Conclusions: The findings imply that factors associated with concerns about falling are a multifactorial phenomenon. For its management in elderly with mild-to-moderate PD, one should consider depressive symptoms, balance deficits, and mobility devices.</p>},
  articleno    = {e00524},
  author       = {Franzén, Erika and Conradsson, David and Hagströmer, Maria and Nilsson, Maria H.},
  issn         = {2162-3279},
  keyword      = {balance,depression,fear of falling,mobility devices,physical activity},
  language     = {eng},
  month        = {10},
  number       = {10},
  publisher    = {John Wiley & Sons},
  series       = {Brain and Behavior},
  title        = {Depressive symptoms associated with concerns about falling in Parkinson's disease},
  url          = {http://dx.doi.org/10.1002/brb3.524},
  volume       = {6},
  year         = {2016},
}