The mediating role of psychological symptoms on falls risk among older adults with osteoarthritis

Sumaiyah Mat,1 Chin Teck Ng,1–3 Farhana Fadzil,4 Faizatul Izza Rozalli,4 Maw Pin Tan1,5 1Ageing and Age-Associated Disorders Research Group, University of Malaya, Kuala Lumpur, Malaysia; 2Department of Rheumatology and Immunology, Singapore General Hospital, 3Duke-NUS Medical School, Nati...

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Autores principales:	Mat S, Ng CT, Fadzli F, Rozalli FI, Tan MP
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Falls Fear of Falling Osteoarthritis Psychological status Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/a879178440b145029f797bb33ce93d2d
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spelling	oai:doaj.org-article:a879178440b145029f797bb33ce93d2d2021-12-02T00:41:05ZThe mediating role of psychological symptoms on falls risk among older adults with osteoarthritis1178-1998https://doaj.org/article/a879178440b145029f797bb33ce93d2d2017-11-01T00:00:00Zhttps://www.dovepress.com/the-mediating-role-of-psychological-symptoms-on-falls-risk-among-older-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Sumaiyah Mat,1 Chin Teck Ng,1–3 Farhana Fadzil,4 Faizatul Izza Rozalli,4 Maw Pin Tan1,5 1Ageing and Age-Associated Disorders Research Group, University of Malaya, Kuala Lumpur, Malaysia; 2Department of Rheumatology and Immunology, Singapore General Hospital, 3Duke-NUS Medical School, National University Singapore, Singapore; 4Department of Radiology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; 5Geriatric Division, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia Abstract: The purpose of this study was to investigate the role of fear of falling (FoF) and psychological symptoms in explaining the relationship between osteoarthritis (OA) symptom severity and falls. Individuals aged ≥65 years with ≥2 falls or ≥1 injurious fall over the past 12 months were included in the falls group, while volunteers aged ≥65 years with no history of falls over 12 months were recruited as controls. The presence of lower extremity OA was determined radiologically and clinically. Severity of symptoms was assessed using the Western Ontario and McMaster Universities Arthritis Index (WOMAC) questionnaire. FoF and psychological status were measured with the shortened version of the Falls Efficacy Scale-International and the 21-item Depression, Anxiety and Stress Scale (DASS-21), respectively. Of 389 (229 fallers, 160 non-fallers) potential participants, mean (SD) age: 73.74 (6.60) years, 141 had clinical OA and 171 had radiological OA. Fallers with both radiological OA and clinical OA had significantly higher FoF and DASS-21 scores than non-fallers. FoF was significantly positively correlated with symptom severity in fallers and non-fallers with radiological and clinical OA. Depression, anxiety, and stress scores were only significantly correlated with symptom severity among fallers but not non-fallers in both clinical and radiological OA. The relationship between mild symptoms and reduced risk of falls compared to no symptoms in those with radiological OA was attenuated by increased anxiety. The increased falls risk associated with severe symptoms compared to mild symptoms in clinical OA was attenuated by FoF. FoF may, therefore, be a potentially modifiable risk factor for OA-associated falls which could be considered in future intervention studies. Keywords: falls, fear of falling, osteoarthritis, psychological status, agedMat SNg CTFadzli FRozalli FITan MPDove Medical PressarticleFallsFear of FallingOsteoarthritisPsychological statusGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 2025-2032 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Falls Fear of Falling Osteoarthritis Psychological status Geriatrics RC952-954.6
spellingShingle	Falls Fear of Falling Osteoarthritis Psychological status Geriatrics RC952-954.6 Mat S Ng CT Fadzli F Rozalli FI Tan MP The mediating role of psychological symptoms on falls risk among older adults with osteoarthritis
description	Sumaiyah Mat,1 Chin Teck Ng,1–3 Farhana Fadzil,4 Faizatul Izza Rozalli,4 Maw Pin Tan1,5 1Ageing and Age-Associated Disorders Research Group, University of Malaya, Kuala Lumpur, Malaysia; 2Department of Rheumatology and Immunology, Singapore General Hospital, 3Duke-NUS Medical School, National University Singapore, Singapore; 4Department of Radiology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia; 5Geriatric Division, Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia Abstract: The purpose of this study was to investigate the role of fear of falling (FoF) and psychological symptoms in explaining the relationship between osteoarthritis (OA) symptom severity and falls. Individuals aged ≥65 years with ≥2 falls or ≥1 injurious fall over the past 12 months were included in the falls group, while volunteers aged ≥65 years with no history of falls over 12 months were recruited as controls. The presence of lower extremity OA was determined radiologically and clinically. Severity of symptoms was assessed using the Western Ontario and McMaster Universities Arthritis Index (WOMAC) questionnaire. FoF and psychological status were measured with the shortened version of the Falls Efficacy Scale-International and the 21-item Depression, Anxiety and Stress Scale (DASS-21), respectively. Of 389 (229 fallers, 160 non-fallers) potential participants, mean (SD) age: 73.74 (6.60) years, 141 had clinical OA and 171 had radiological OA. Fallers with both radiological OA and clinical OA had significantly higher FoF and DASS-21 scores than non-fallers. FoF was significantly positively correlated with symptom severity in fallers and non-fallers with radiological and clinical OA. Depression, anxiety, and stress scores were only significantly correlated with symptom severity among fallers but not non-fallers in both clinical and radiological OA. The relationship between mild symptoms and reduced risk of falls compared to no symptoms in those with radiological OA was attenuated by increased anxiety. The increased falls risk associated with severe symptoms compared to mild symptoms in clinical OA was attenuated by FoF. FoF may, therefore, be a potentially modifiable risk factor for OA-associated falls which could be considered in future intervention studies. Keywords: falls, fear of falling, osteoarthritis, psychological status, aged
format	article
author	Mat S Ng CT Fadzli F Rozalli FI Tan MP
author_facet	Mat S Ng CT Fadzli F Rozalli FI Tan MP
author_sort	Mat S
title	The mediating role of psychological symptoms on falls risk among older adults with osteoarthritis
title_short	The mediating role of psychological symptoms on falls risk among older adults with osteoarthritis
title_full	The mediating role of psychological symptoms on falls risk among older adults with osteoarthritis
title_fullStr	The mediating role of psychological symptoms on falls risk among older adults with osteoarthritis
title_full_unstemmed	The mediating role of psychological symptoms on falls risk among older adults with osteoarthritis
title_sort	mediating role of psychological symptoms on falls risk among older adults with osteoarthritis
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/a879178440b145029f797bb33ce93d2d
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The mediating role of psychological symptoms on falls risk among older adults with osteoarthritis

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