Psychological Factors Associated With Fear of Falling Avoidance Behavior in Parkinson's Disease: The Role of Depression, Anxiety, and Catastrophizing.

IF 2.9 4区医学 Q2 CLINICAL NEUROLOGY

Journal of Geriatric Psychiatry and Neurology Pub Date : 2023-05-01 DOI:10.1177/08919887221119974

John V Rider, Jason K Longhurst, Nirmala Lekhak, James W Navalta, Daniel L Young, Merrill R Landers

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引用次数: 1

Abstract

Purpose: The purpose of this study was to examine the relationship between psychological factors (depression, anxiety, and catastrophizing) and fear of falling avoidance behavior (FFAB) among individuals with Parkinson's disease (PD).

Methods: A secondary analysis of cross-sectional data from 59 individuals with PD using hierarchical multiple regression.

Results: Disease severity (Movement Disorder Society - Unified PD Rating Scale) and catastrophizing (Consequences of Falling Questionnaire (CoF)) explained approximately 48.2% of the variance in the FFAB Questionnaire scores (P < .001). Catastrophizing was the only significant psychological variable (P < .001). The damage to identity subscale of the CoF was significant in the final model (P < .001).

Conclusions: Catastrophizing about the consequences of falls explained the largest portion of variability in FFAB after controlling for disease severity. Catastrophizing about the immediate consequences of falling may play a prominent role in FFAB and may be a potential treatment target for mitigating FFAB.

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帕金森氏症患者害怕避免跌倒行为的相关心理因素:抑郁、焦虑和灾难化的作用

目的:本研究的目的是探讨心理因素(抑郁、焦虑和灾难化)与帕金森病(PD)患者害怕避免跌倒行为(FFAB)之间的关系。方法:采用分层多元回归对59例PD患者的横断面资料进行二次分析。结果:疾病严重程度(运动障碍学会-统一PD评定量表)和灾难化(跌倒后果问卷(CoF))解释了FFAB问卷得分约48.2%的方差(P < 0.001)。灾难化是唯一显著的心理变量(P < 0.001)。在最终模型中，CoF的身份亚量表损伤显著(P < 0.001)。结论:在控制疾病严重程度后，对跌倒后果的灾难化解释了FFAB变异的最大部分。对摔倒的直接后果的灾难化可能在FFAB中起重要作用，可能是减轻FFAB的潜在治疗靶点。

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

Journal of Geriatric Psychiatry and Neurology 医学-精神病学

CiteScore

6.20

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Journal of Geriatric Psychiatry and Neurology (JGP) brings together original research, clinical reviews, and timely case reports on neuropsychiatric care of aging patients, including age-related biologic, neurologic, and psychiatric illnesses; psychosocial problems; forensic issues; and family care. The journal offers the latest peer-reviewed information on cognitive, mood, anxiety, addictive, and sleep disorders in older patients, as well as tested diagnostic tools and therapies.