Older Adults’ Psychosocial Responses to a Fear of Falling: A Scoping Review to Inform Occupational Therapy Practice

Abstract

Falls in older adults are a major health concern, yet the “fear of falling”, a common psychosocial response that can occur post-fall, has seldom been investigated. A scoping review was conducted to identify and map interventions that occupational therapists can use to manage the fear of falling psychosocial response (FoFPR) among older adults. Thirteen electronic databases were searched and 22 studies were retrieved. Cognitive behavioral therapy, guided imagery, and Tai Chi were interventions found to help older adults deal with their FoFPRs. Occupational therapists assisting older adults in this area can play a significant role.     

Eye movements and the identification of spatially ambiguous words during Chinese sentence reading

Readers of Chinese must generally determine word units in the absence of visually distinct inter-word spaces. In the present study, we examined how a sequence of Chinese characters is parsed into words under these conditions. Eye movements were monitored while participants read sentences with a critical four-character (C1234) sequence. Three partially overlapping character groupings formed legal words in the ambiguous condition (C12, C23, and C34), two of which corresponded to context-consistent words (C12 and C34). Two nonoverlapping groupings corresponded to legal words in the control conditions (C12 and C34). In two experiments, readers spent more time viewing the critical character sequence and its two center characters (C23) in the ambiguous condition. These results argue against the strictly serial assignment of characters to words during the reading of Chinese text.     

Body image perceptions among Chinese children and adolescents

In order to investigate the body image self-perception and the prevalence of body dissatisfaction among Chinese children and adolescents, 9100 children aged 3-15 years living in four cities completed a questionnaire assessing body image self-percepts and ideals by figural stimuli. The results indicate that (1) children's body ratings started to be significantly related to their BMIs at age 5 and correlations increased with age; (2) a wide range of current body sizes was chosen by Chinese boys and girls; (3) the ideal body sizes of boys and girls selected by boys and girls, respectively, were "boys by boys">"boys by girls">"girls by boys">"girls by girls" and (4) the satisfaction, mild dissatisfaction, and moderate dissatisfaction rates were 40.1%, 36.4% and 23.5%, respectively. Differences as a function of gender and age were identified. It was concluded that the prevalence of body dissatisfaction among children and adolescents of urban China was striking, and that the Chinese boys were not immune to body dissatisfaction.     

Suicidal behavior among inpatients with schizophrenia and mood disorders in Chengdu, China

This study evaluated the characteristics of suicidal behavior (suicide attempt or suicidal ideation) among 230 consecutively admitted inpatients with schizophrenia and mood disorders in a university hospital in China. The rate of lifetime suicidal behavior was found to be significantly higher in patients with mood disorders (62.4%) than in patients with schizophrenia (38.6%). The rate of suicidal behavior was significantly higher in patients with major depressive disorder (86.8%) than those with bipolar disorders (42.6%). Patients with schizophrenia attempted suicide for the first time earlier in life than the patients with mood disorders. Mood disorder patients, especially those with major depressive disorder, had more and more serious suicide attempts than the patients with schizophrenia.     

Effects of age and anxiety on episodic memory: selectivity and variability

Selective age-related differences in source memory relative to item memory, and individual differences in memory performance in relation to anxiety were explored with high- and low-anxious subjects screened from normal young and elderly adults. They were read false facts about the locations of well-known and unknown sights in a male or female voice. Intentional and incidental learning instructions were administered for source memory. Selective age-related deficits in source memory were observed under both encoding conditions. Higher level of anxiety was related to lower memory performance only in the old group; this relation was stronger in source recall. The findings suggest that the presence of such selectivity is unrelated to the tradeoff between item encoding and source encoding. Anxiety affects the variability, and mediates the selectivity of age effects on episodic memory.     

Topiramate in the preventive treatment of episodic migraine: a combined analysis from pilot,double-blind,placebo-controlled trials

The safety and efficacy of medications for preventive treatment of migraine is the subject of current concern and investigation in health care. Two single-center, double-blind, placebo-controlled studies were conducted to evaluate the efficacy and safety of topiramate for migraine prophylaxis. Seventy patients with a diagnosis of migraine were randomly assigned to topiramate-treated and placebo groups. The studies consisted of a 4-week baseline phase, a 6-8 week titration, and 8-12 weeks of maintenance. Topiramate was titrated from an initial dose of 25 mg/day to a target dose of 100 mg BID. The primary efficacy measure, the mean 28-day migraine frequency, was lower in topiramate-treated patients than in the placebo group (3.2 versus 3.8, P=.001). Similarly, topiramate treatment resulted in a significantly greater mean reduction in migraine frequency than did placebo (1.55 versus 0.47, P=.001) and a significantly higher responder rate (35.3% versus 8.3%, P=.008). Paresthesia was the most common side effect reported with topiramate treatment. Other topiramate-associated adverse events included altered taste, memory impairment, diarrhea, and appetite suppression/weight loss. The rates of discontinuation were similar for the topiramate group (n=10) and the placebo group (n=8). These results suggest that topiramate is effective and well tolerated in the preventive treatment of migraine headaches.     

人体系统非优性的进化论诠释

从进化论的角度论述了人体系统非优性的成因,说明了生物竿化在人体系统中保留下大量的时空沉迹,其形式与特征表现为层次套叠,多元集合,转化退化。从而成为新与旧,高级与低级,复杂与简单,一句话就是优 与非优相互缠绕,相互作用,互补关联的协同统一性,而疾病的发生则是这种辩证统一的失调或破坏。     

思维风格测验在大学生中的初步应用

本文介绍了斯腾伯格的心理自我管理理论并使用斯腾伯格所编制的思维风格问卷对大学生的思维风格进行了测量,比较了思维风格在性别、文理科、地域等方面的个体差异,得出了中国大学生在思维风格方面的一些特点;研究了思维风格与一般智力的关系,发现思维风格与智力相关很低,说明思维风格是一种独立于智力的特质;同时对思维风格量表的信、效度及量表的结构进行了探讨。     

大五人格理论与人事测评中的人格结构分析

本研究以工商企业人事选拔工作中参与实际测评的成人被试为研究对象,采用因素分析方法对中国成人人格的内隐结构进行了分析,并对所获取得主要特质因素与大五人格理论模型的关系和差别进行了探讨。     

诚信人格特质初探

本研究旨在探讨诚信人格特质的结构.利用人格词评定法,通过探索性因素分析得出诚信人格结构包括正性取向:实干重义、诚实信用、公正无欺、忠实可靠;负性取向:自私欺人、钻营世故、多谋寡信、虚伪不实.并通过验证性因素分析检验,结果表明所得的八个因素与诚信人格的结构拟合较好.