Overcoming an Irrational Fear of Falling: A Case Study

IF 0.8 4区心理学 Q4 PSYCHIATRY

Clinical Case Studies Pub Date : 2020-07-19 DOI:10.1177/1534650120942322

Ladda Thiamwong, Veronica B. Decker

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引用次数: 1

Abstract

Irrational fear of falling is defined by the high degree of psychological fear a person has of falling when in reality, that person is at low physiological risk of falling. It is a significant problem in older people and may manifest from previous falls or fall-related depression and/or anxiety. If untreated, it may lead to increased falling, decreased mobility, social isolation, and decreased participation in daily activities. A mixed-methods, home-based, 8-week, physio-feedback/exercise program was developed for an older adult to help mitigate her irrational fear of falling. In this pilot case study, the quantitative independent variables of fear of falling, static balance, dynamic balance, fall risk factors, and fall risk appraisal were assessed pre- and post-intervention. A qualitative semi-structured interview was also conducted to help assess the participant’s reaction to the intervention. Data from quantitative, qualitative, and integrated viewpoints converged to indicate the intervention improved fear of falling, shifted the participant’s perception from irrational to rational fall risk appraisal and increased participation in daily activities.

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克服对跌倒的非理性恐惧：一个案例研究

对跌倒的非理性恐惧是指一个人对跌倒有高度的心理恐惧，而事实上，这个人跌倒的生理风险很低。这是老年人的一个重大问题，可能表现为以前的跌倒或与跌倒相关的抑郁和/或焦虑。如果不加以治疗，可能会导致跌倒增加、行动能力下降、社交孤立和日常活动参与度下降。为一名老年人制定了一项为期8周的混合方法、基于家庭的理疗师反馈/锻炼计划，以帮助减轻她对摔倒的非理性恐惧。在这项试点案例研究中，对干预前后跌倒恐惧、静态平衡、动态平衡、跌倒风险因素和跌倒风险评估的定量自变量进行了评估。还进行了一次定性的半结构化访谈，以帮助评估参与者对干预的反应。来自定量、定性和综合观点的数据表明，干预改善了对跌倒的恐惧，将参与者的跌倒风险评估从非理性转变为理性，并增加了对日常活动的参与。

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

Clinical Case Studies Multiple-

CiteScore

1.80

自引率

20.00%

发文量

期刊介绍： Clinical Case Studies seeks manuscripts that articulate various theoretical frameworks. All manuscripts will require an abstract and must adhere to the following format: (1) Theoretical and Research Basis, (2) Case Introduction, (3) Presenting Complaints, (4) History, (5) Assessment, (6) Case Conceptualization (this is where the clinician"s thinking and treatment selection come to the forefront), (7) Course of Treatment and Assessment of Progress, (8) Complicating Factors (including medical management), (9) Managed Care Considerations (if any), (10) Follow-up (how and how long), (11) Treatment Implications of the Case, (12) Recommendations to Clinicians and Students, and References.