Anxiety disorders and falls among older adults

Holloway, K. L., Williams, L. J., Brennan-Olsen, S. L., Morse, A. G., Kotowicz, M. A., Nicholson, G. C. and Pasco, J. A. 2016, Anxiety disorders and falls among older adults, Journal of affective disorders, vol. 205, pp. 20-27, doi: 10.1016/j.jad.2016.06.052.

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Title Anxiety disorders and falls among older adults
Author(s) Holloway, K. L.ORCID iD for Holloway, K. L.
Williams, L. J.ORCID iD for Williams, L. J.
Brennan-Olsen, S. L.
Morse, A. G.ORCID iD for Morse, A. G.
Kotowicz, M. A.ORCID iD for Kotowicz, M. A.
Nicholson, G. C.
Pasco, J. A.ORCID iD for Pasco, J. A.
Journal name Journal of affective disorders
Volume number 205
Start page 20
End page 27
Total pages 8
Publisher Elsevier
Place of publication Amsterdam, The Netherlands
Publication date 2016-11-15
ISSN 1573-2517
Keyword(s) Accidental falls
Men and women
Summary BACKGROUND: Falls are common among older adults and can lead to serious injuries, including fractures. We aimed to determine associations between anxiety disorders and falls in older adults. METHODS: Participants were 487 men and 376 women aged ≥60 years enrolled in the Geelong Osteoporosis Study, Australia. Using the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Non-patient edition (SCID-I/NP), lifetime history of anxiety disorders was determined. Falls were determined by self-report. In men, a falls-risk score (Elderly Falls Screening Test (EFST)) was also calculated. RESULTS: Among fallers, 24 of 299 (8.0%) had a lifetime history of anxiety disorder compared to 36 of 634 (5.7%) non-fallers (p=0.014). Examination of the association between anxiety and falls suggested differential relationships for men and women. In men, following adjustment for psychotropic medications, mobility and blood pressure, lifetime anxiety disorder was associated with falling (OR 2.96; 95%CI 1.07-8.21) and with EFST score (OR 3.46; 95%CI 1.13-10.6). In women, an association between lifetime anxiety disorder and falls was explained by psychotropic medication use, poor mobility and socioeconomic status. LIMITATIONS: Sub-group analyses involving types of anxiety and anxiety disorders over the past 12-months were not performed due to power limitations. CONCLUSION: Although anxiety disorders were independently associated with a 3-fold increase in likelihood of reported falls and high falls risk among men, an independent association was not detected among women. These results may aid in prevention of falls through specific interventions aimed at reducing anxiety, particularly in men.
Language eng
DOI 10.1016/j.jad.2016.06.052
Field of Research 119999 Medical and Health Sciences not elsewhere classified
11 Medical And Health Sciences
17 Psychology And Cognitive Sciences
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, Elsevier
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Document type: Journal Article
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School of Medicine
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