Fear of Falling in Community-Dwelling Older People:Relationship with Sleep Quality, Depression andQuality of Life


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ASLAN C., ULUS Y., AKYOL Y., BİLGİCİ A., KURU Ö.

Fiziksel Tıp ve Rehabilitasyon Bilimleri Dergisi, cilt.24, sa.1, ss.8-16, 2021 (Hakemli Dergi) identifier

Özet

Objective: Fear of falling is not only a risk factor for falls it is also associated with health problems in older people. The purpose of this study was to explore the relationship of fear of falling with sleep quality, depression, and quality-of life in community-dwelling elderly. Material and Methods: The study included 150 communitydwelling elderly aged ≥65 with Mini Mental State Examination score ≥25. Data on fear of falling were collected by Falls Efficacy Scale-International, sleep quality by Pittsburgh Sleep Quality-Index, depression by Geriatric Depression Scale, and quality-of life by Short Form-36.Results: Sleep quality, depression, and quality-of life were significantly different in participants with and without fear of falling. Fear of falling was correlated with depression and sleep quality scores positively, and with quality of life negatively. According to the regression analysis, positive correlations with fear of falling were sleep quality and depression scores. Physical functioning and pain-subscales were negatively correlated with fear of falling scores. Conclusion: In this study; poor sleep quality, depressive symptoms, and lower quality of life were associated with higher fear of falling in older people. It may be beneficial to design targeted interventions to improve sleep quality, psychological health, and quality-of life for reducing fear of falling in community-dwelling older people.