Falls as a mental health risk among Korean-American residents in subsidized senior housing: mediating effect of fall-related self-efficacy.

IF 2.8 3区医学 Q3 GERIATRICS & GERONTOLOGY

Aging & Mental Health Pub Date : 2024-09-25 DOI:10.1080/13607863.2024.2407586

Yuri Jang, Min-Kyoung Rhee, Juyoung Park, Jung Eun Ko, Nan Sook Park, Benjamin F Henwood, Stacey L Schepens Niemiec, Soondool Chung

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引用次数: 0

Abstract

Objectives: The study examined the mediating role of fall-related self-efficacy in the association between falls and mental health among older Korean Americans living in subsidized senior housing in the greater Los Angeles area. We focused on serious fall incidents (i.e. multiple falls or any fall with a fracture) and used symptoms of depression and anxiety as indicators of mental health.

Method: Survey data from 315 participants (M age = 79.4 years) were used to examine the direct effects of serious fall incidents on mental health symptoms, as well as indirect effects through fall-related self-efficacy.

Results: The mediating effect of fall-related self-efficacy was found to be significant in both models for depressive symptoms (B [SE] = 0.15 [0.07], bias-corrected 95% CI = [0.03, 0.31]) and anxiety symptoms (B [SE] = 0.11 [0.05], bias-corrected 95% CI = [0.02, 0.23]).

Conclusion: The mental health impact of serious fall incidents was shaped by older individuals' perceived concerns about falls and confidence in performance. The findings highlight the importance of addressing fall-related psychological responses in preventing falls and promoting mental health among senior housing residents.

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摔倒是住在老年补贴住房的韩裔美国人的心理健康风险：与摔倒有关的自我效能的中介效应。

研究目的本研究探讨了跌倒相关自我效能感在大洛杉矶地区居住在老年补贴住房中的美籍韩裔老年人跌倒与心理健康之间关系中的中介作用。我们关注的重点是严重跌倒事件（即多次跌倒或任何导致骨折的跌倒），并将抑郁和焦虑症状作为心理健康的指标：我们利用 315 名参与者（平均年龄为 79.4 岁）的调查数据，研究了严重跌倒事件对心理健康症状的直接影响，以及通过跌倒相关自我效能感产生的间接影响：在抑郁症状（B[SE] = 0.15 [0.07]，偏差校正后的 95% CI = [0.03，0.31]）和焦虑症状（B[SE] = 0.11 [0.05]，偏差校正后的 95% CI = [0.02，0.23]）的两个模型中，均发现跌倒相关自我效能的中介效应显著：严重跌倒事件对心理健康的影响取决于老年人对跌倒的担忧和对自己表现的信心。研究结果凸显了解决与跌倒相关的心理反应对预防老年住宅居民跌倒和促进其心理健康的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aging & Mental Health 医学-精神病学

CiteScore

7.00

自引率

2.90%

发文量

176

审稿时长

4-8 weeks

期刊介绍： Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods. Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.