The association between anxiety and falls: a meta-analysis

Hallford, David John, Nicholson, Geoff, Sanders, Kerrie and McCabe, Marita P 2017, The association between anxiety and falls: a meta-analysis, Journals of gerontology: series B, vol. 72, no. 5, pp. 729-741, doi: 10.1093/geronb/gbv160.

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Title The association between anxiety and falls: a meta-analysis
Author(s) Hallford, David JohnORCID iD for Hallford, David John
Nicholson, Geoff
Sanders, Kerrie
McCabe, Marita P
Journal name Journals of gerontology: series B
Volume number 72
Issue number 5
Start page 729
End page 741
Total pages 13
Publisher Oxford University Press
Place of publication Oxford, Eng.
Publication date 2017-09
ISSN 1079-5014
Keyword(s) anxiety
falls and mobility problems
falls risk
accidental falls
aged, 80 and over
anxiety disorders
cross-sectional studies
mobility limitation
odds ratio
risk factors
statistics as topic
science & technology
social sciences
life sciences & biomedicine
geriatrics & gerontology
psychology, multidisciplinary
Summary Objectives: Falls occur frequently among older adults and can lead to a range of adverse and debilitating outcomes. Although symptoms of clinical anxiety have been implicated as risk factors for falls, there is no current consensus on the empirical association between anxiety and falls. The current study aimed to address this gap in the literature by conducting a quantitative, meta-analytic review of findings from previous studies. Method: A systematic literature search of bibliographic databases was conducted, yielding 18 studies that fit the criteria for inclusion in the meta-analysis. Results: A random-effects model of all 18 studies showed a significant overall odds ratio of 1.53 (95% CI 1.28-1.83, p < .001), indicating that elevated levels of anxiety were associated with a 53% increased likelihood of falls. A high amount of variance among effect sizes was observed. Only age was identified as a moderator of this relationship in a subgroup of the samples. Conclusions: Clinical anxiety is associated with falls, however, further research is required to elucidate the factors that might moderate or mediate this relationship, the casual pathways through which they are related, and the associations between different types of anxiety and falls.
Language eng
DOI 10.1093/geronb/gbv160
Field of Research 1103 Clinical Sciences
1701 Psychology
1608 Sociology
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2016, The Author
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Document type: Journal Article
Collection: School of Psychology
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