Demographic,health-related and psychosocial predictors of changes in depressive symptoms and anxiety in late middle-aged and older persons with fall-related injuries |
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| Authors: | Hans Bosma Robbert Sanderman Winnie Scaf-Klomp Jacques Th M Van Eijk Johan Ormel Gertrudis IJM Kempen |
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| Institution: | 1. Maastricht University , Health Care Studies, Medical Sociology , P.O. Box 616, 6200 MD Maastricht, The Netherlands;2. Department of Public Health and Health Psychology , University of Groningen, Northern Centre for Healthcare Research (NCH) , P.O. Box 196, 9700 AD Groningen, The Netherlands;3. Department of Psychiatry , University of Groningen , P.O. Box 30001, 9700 RB Groningen, The Netherlands |
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| Abstract: | Research on anxiety and depression after fall-related injuries to the extremities and its pre-fall determinants is scarce. The present study sought to examine change between pre-fall and post-fall anxiety and depression and its (pre-fall) predictors. Data were obtained from 181 Dutch persons, aged 57 and older, who sustained fall-related injuries between 1993 and 1997. Demographic (e.g. socio-economic status), health-related (e.g. number of chronic conditions), and psychosocial (e.g. social support, neuroticism) factors were determined in 1993 (prior to the fall). Depressive symptoms and anxiety were determined prior to the fall, and two, five and twelve months after the fall. Taking into account pre-fall anxiety and depression, pre-fall neuroticism was the most consistent, independent predictor of adverse changes in anxiety and depression. Other factors, including severity of the fall and age were not related to changes in anxiety and depression. Our prospective findings may be interpreted as support for the importance of personality for mental health outcomes in persons who have sustained fall-related injuries. |
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| Keywords: | Falls Elderly Depression Anxiety Longitudinal Neuroticism |
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