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Articles

The Association between Generalized Anxiety Disorder, Subthreshold Anxiety Symptoms and Fear of Falling among Older Adults: Preliminary Results from a Pilot Study

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References

  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
  • Avin, K. G., Hanke, T. A., Kirk-Sanchez, N., McDonough, C. M., Shubert, T. E., Hardage, J., & Hartley, G. (2015). Management of falls in community-dwelling older adults: Clinical guidance statement from the Academy of Geriatric Physical Therapy of the American Physical Therapy Association. Physical Therapy, 95(6), 815–834. doi:10.2522/ptj.20140415
  • Barry, E., Galvin, R., Keogh, C., Horgan, F., & Fahey, T. (2014). Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: A systematic review and meta-analysis. BMC Geriatrics, 14, 14. doi:10.1186/1471-2318-14-14
  • Beck, J. G., Stanley, M. A., & Zebb, B. J. (1996). Characteristics of generalized anxiety disorder in older adults: A descriptive study. Behaviour Research and Therapy, 34(3), 225–234. doi:10.1016/0005-7967(95)00064-X
  • Bloch, F., Thibaud, M., Tournoux-Facon, C., Brèque, C., Rigaud, A. S., Dugué, B., & Kemoun, G. (2013). Estimation of the risk factors for falls in the elderly: Can meta-analysis provide a valid answer? Geriatrics & Gerontology International, 13(2), 250–263. doi:10.1111/j.1447-0594.2012.00965.x
  • Bomyea, J., Ramsawh, H., Ball, T. M., Taylor, C. T., Paulus, M. P., Lang, A. J., & Stein, M. B. (2015). Intolerance of uncertainty as a mediator of reductions in worry in a cognitive behavioral treatment program for generalized anxiety disorder. Journal of Anxiety Disorders, 33, 90–94. doi:10.1016/j.janxdis.2015.05.004
  • Bourque, P., Blanchard, L., & Vézina, J. (1990). Étude psychométrique de l’Échelle de dépression gériatrique. Canadian Journal on Aging/La Revue Canadienne du Vieillissement, 9(04), 348–355. doi:10.1017/s0714980800007467
  • Brown, T. A., DiNardo, P., Barlow, D. H., & DiNardo, P. A. (1994). Anxiety Disorders Interview Schedule for DSM-IV: Client interview schedule. Oxford University Press.
  • Bryant, C. (2010). Anxiety and depression in old age: Challenges in recognition and diagnosis. International Psychogeriatrics, 22(04), 511–513. doi:10.1017/S1041610209991785
  • Bryant, C., Jackson, H., & Ames, D. (2008). The prevalence of anxiety in older adults: Methodological issues and a review of the literature. Journal of Affective Disorders, 109(3), 233–250. doi:10.1016/j.jad.2007.11.008
  • Champagne, A., Landreville, P., Gosselin, P., & Carmichael, P. H. (2016). Psychometric properties of the French Canadian version of the Geriatric Anxiety Inventory. Aging and Mental Health, 1–6. doi:10.1080/13607863.2016.1226767
  • de Beurs, E., Beekman, A. T. F., Deeg, D. J. H., Van Dyck, R., & Van Tilburg, W. (2000). Predictors of change in anxiety symptoms of older persons: Results from the Longitudinal Aging Study Amsterdam. Psychological Medicine, 30(3), 515–527. doi:10.1017/s0033291799001956
  • Delbaere, K., Close, J. C., Brodaty, H., Sachdev, P., & Lord, S. R. (2010). Determinants of disparities between perceived and physiological risk of falling among elderly people: Cohort study. Bmj, 341, c4165. doi:10.1136/bmj
  • Delbaere, K., Close, J. C., Mikolaizak, A. S., Sachdev, P. S., Brodaty, H., & Lord, S. R. (2010). The Falls Efficacy Scale International (FES-I). A comprehensive longitudinal validation study. Age Ageing, 39(2), 210–216. doi:10.1093/ageing/afp225
  • Denkinger, M. D., Lukas, A., Nikolaus, T., & Hauer, K. (2015). Factors associated with fear of falling and associated activity restriction in community-dwelling older adults: A systematic review. The American Journal of Geriatric Psychiatry, 23(1), 72–86. doi:10.1016/j.jagp.2014.03.002
  • Dugas, M. J., Marchand, A., & Ladouceur, R. (2005). Further validation of a cognitive-behavioral model of generalized anxiety disorder: Diagnostic and symptom specificity. Journal of Anxiety Disorders, 19(3), 329–343. doi:10.1016/j.janxdis.2004.02.002
  • Dugas, M. J., & Robichaud, M. (2007). Cognitive-behavioral treatment for generalized anxiety disorder (T. F. Group Ed.). New York: Routledge.
  • Field, A. (2013). Discovering statistics using SPSS (4th ed.). Los Angeles, CA: Sage Publications.
  • Fortinsky, R. H., Panzer, V., Wakefield, D., & Into, F. (2009). Alignment between balance confidence and fall risk in later life: Has over-confidence been overlooked? Health, Risk & Society, 11(4), 341–352. doi:10.1080/13698570903015735
  • Gagnon, N., Flint, A., Naglie, G., & Devins, G. (2005). Affective correlates of fear of falling in elderly persons. The American Journal of Geriatric Psychiatry, 13, 7–14. doi:10.1097/00019442-200501000-00003
  • Gould, R. L., Coulson, M. C., & Howard, R. J. (2012). Efficacy of cognitive behavioral therapy for anxiety disorders in older people: A meta-analysis and meta-regression of randomized controlled trials. Journal of the American Geriatrics Society, 60(2), 218–229. doi:10.1111/j.1532-5415.2011.03824.x
  • Greenberg, S. A. (2015). Fear of falling among high-risk, urban, community-dwelling older adults (Doctoral dissertation) Retrieved from http://repository.upenn.edu/edissertations/1295.
  • Grenier, S., Barrette, A.-M., & Ladouceur, R. (2005). Intolerance of uncertainty and intolerance of ambiguity: Similarities and differences. Personality and Individual Differences, 39(3), 593–600. doi:10.1016/j.paid.2005.02.014
  • Grenier, S., Preville, M., Boyer, R., O’Connor, K., Beland, S. G., Potvin, O., … Brassard, J. (2011). The impact of DSM-IV symptom and clinical significance criteria on the prevalence estimates of subthreshold and threshold anxiety in the older adult population. The American Journal of Geriatric Psychiatry, 19(4), 316–326. doi:10.1097/JGP.0b013e3181ff416c
  • Guo, J. L., Tsai, Y. Y., Liao, J. Y., Tu, H. M., & Huang, C. M. (2014). Interventions to reduce the number of falls among older adults with/without cognitive impairment: An exploratory meta-analysis. International Journal of Geriatric Psychiatry, 29(7), 661–669. doi:10.1002/gps.4056
  • Hajjar, E. R., Cafiero, A. C., & Hanlon, J. T. (2007). Polypharmacy in elderly patients. The American Journal of Geriatric Pharmacotherapy, 5(4), 345–351. doi:10.1016/j.amjopharm.2007.12.002
  • Howland, J., Peterson, E., Levin, W., Fried, L., Pordon, D., & Bak, S. (1993). Fear of falling among the community-dwelling elderly. Journal of Aging and Health, 5(2), 229–243. doi:10.1177/089826439300500205
  • Hughes, C. C., Kneebone, I. I., Jones, F., & Brady, B. (2015). A theoretical and empirical review of psychological factors associated with falls-related psychological concerns in community-dwelling older people. International Psychogeriatrics, 27(Special issue 07), 1071–1087. doi:10.1017/s1041610214002701
  • Iaboni, A., Banez, C., Lam, R., Jones, S. A., Maki, B. E., Liu, B. A., & Flint, A. J. (2015). Depression and outcome of fear of falling in a falls prevention program. The American Journal of Geriatric Psychiatry, 23, 1088–1097. doi:10.1016/j.jagp.2015.02.006
  • Kearney, F. C., Harwood, R. H., Gladman, J. R., Lincoln, N., & Masud, T. (2013). The relationship between executive function and falls and gait abnormalities in older adults: A systematic review. Dementia and Geriatric Cognitive Disorders, 36(1–2), 20–35. doi:10.1159/000350031
  • Kempen, G. I. J. M., Todd, C. J., Van Haastregt, J. C. M., Zijlstra, G. A. R., Beyer, N., Freiberger, E., … Yardley, L. (2007). Cross-cultural validation of the Falls Efficacy Scale International (FES-I) in older people: Results from Germany, the Netherlands and the UK were satisfactory. Disability & Rehabilitation, 29(2), 155–162. doi:10.1080/09638280600747637
  • Kessler, R. C., Petukhova, M., Sampson, N. A., Zaslavsky, A. M., & Wittchen, H. U. (2012). Twelve-month and lifetime prevalence and lifetime morbid risk of anxiety and mood disorders in the United States. International Journal of Methods in Psychiatric Research, 21(3), 169–184. doi:10.1002/mpr.1359
  • Kumar, A., Delbaere, K., Zijlstra, G., Carpenter, H., Iliffe, S., Masud, T., … Kendrick, D. (2016). Exercise for reducing fear of falling in older people living in the community: Cochrane systematic review and meta-analysis. Age and Ageing, 45(3), 345–352. doi:10.1093/ageing/afw036
  • Kvelde, T., Lord, S. R., Close, J. C. T., Reppermund, S., Kochan, N. A., Sachdev, P., … Delbaere, K. (2015). Depressive symptoms increase fall risk in older people, independent of antidepressant use, and reduced executive and physical functioning. Archives of Gerontology and Geriatrics, 60(1), 190–195. doi:10.1016/j.archger.2014.09.003
  • Lawrence, R. H., Tennstedt, S. L., Kasten, L. E., Shih, J., Howland, J., & Jette, A. M. (1998). Intensity and correlates of fear of falling and hurting oneself in the next year. Journal of Aging and Health, 10(3), 267–286. doi:10.1177/089826439801000301
  • Lee, F., Mackenzie, L., & James, C. (2008). Perceptions of older people living in the community about their fear of falling. Disability & Rehabilitation, 30(23), 1803–1811. doi:10.1080/09638280701669508
  • Miloyan, B., Byrne, G. J., & Pachana, N. A. (2015). Threshold and subthreshold generalized anxiety disorder in later life. The American Journal of Geriatric Psychiatry, 23(6), 633–641. doi:10.1016/j.jagp.2014.08.010
  • Moreland, J., Richardson, J., Chan, D., O’Neill, J., Bellissimo, A., Grum, R., & Shanks, L. (2003). Evidence-based guidelines for the secondary prevention of falls in older adults. Gerontology, 49(2), 93–116. doi:10.1159/000067948
  • Nasreddine, Z. S., Phillips, N. A., Bedirian, V., Charbonneau, S., Whitehead, V., Collin, I., … Chertkow, H. (2005). The Montreal Cognitive Assessment, MoCA: A brief screening tool for mild cognitive impairment. Journal of the American Geriatrics Society, 53(4), 695–699. doi:10.1111/j.1532-5415.2005.53221.x
  • Pachana, N. A., Byrne, G. J., Siddle, H., Koloski, N., Harley, E., & Arnold, E. (2007). Development and validation of the Geriatric Anxiety Inventory. International Psychogeriatrics, 19(1), 103–114. doi:10.1017/S1041610206003504
  • Payette, M.-C., Bélanger, C., Léveillé, V., & Grenier, S. (2016). Fall-related psychological concerns and anxiety among community-dwelling older adults: Systematic review and meta-analysis. PLoS One, 11(4), e0152848. doi:10.1371/journal.pone.0152848
  • Piot-Ziegler, C., Cuttelod, T., & Santiago, M. (2007). Définir « la peur de tomber » chez les personnes âgées à domicile. Étude qualitative. Bulletin de Psychologie, 6(492), 515–525. doi:10.3917/bupsy.492.0515
  • Podsiadlo, D., & Richardson, S. (1991). The timed “Up & Go”: A test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39(2), 142–148. doi:10.1111/j.1532-5415.1991.tb01616.x
  • Porensky, E. K., Dew, M. A., Karp, J. F., Skidmore, E., Rollman, B. L., Shear, M. K., & Lenze, E. J. (2009). The burden of late-life generalized anxiety disorder: Effects on disability, health-related quality of lfe, and healthcare utilization. The American Journal of Geriatric Psychiatry, 17(6), 473–482. doi:10.1097/JGP.0b013e31819b87b2
  • Scheffer, A., Schuurmans, M., Van Dijk, N., Hooft, T., & de Rooij, S. (2008). Fear of falling: Measurement strategy, prevalance, risk factors and consequences among older persons. Age and Ageing, 37(1), 19–24. doi:10.1093/ageing/afm169
  • Tabachnick, B. G., & Fidell, L. S. (2013). Using multivariate statistics. Upper Saddle River, NJ: Pearson Education.
  • Therrien, Z., & Hunsley, J. (2013). Assessment of anxiety in older adults: A reliability generalization meta-analysis of commonly used measures. Clinical Gerontologist: The Journal of Aging and Mental Health, 36(3), 171–194. doi:10.1080/07317115.2013.767871
  • Yardley, L., Beyer, N., Hauer, K., Kempen, G., Piot-Ziegler, C., & Todd, C. (2005). Development and initial validation of the Falls Efficacy Scale-International (FES-I). Age and Ageing, 34(6), 614–619. doi:10.1093/ageing/afi196
  • Yardley, L., & Smith, H. (2002). A prospective study of the relationship between feared consequences of falling and avoidance of activity in community-living older people. The Gerontologist, 42(1), 17–23. doi:10.1093/geront/42.1.17
  • Yesavage, J. A., Brink, T. L., Rose, T. L., Lum, O., Huang, V., Adey, M., & Leirer, V. O. (1982). Development and validation of a geriatric depression screening scale: A preliminary report. Journal of Psychiatric Research, 17(1), 37–49. doi:10.1016/0022-3956(82)90033-4

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