Depressive symptoms associated with concerns about falling in Parkinson's disease

Franzén, Erika; Conradsson, David; Hagströmer, María; Nilsson, Maria H

doi:10.1002/brb3.524

Cited by 23 publications

(26 citation statements)

References 21 publications

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“…In our study, experiences of FOF were described by men as well as women, and by those with and without a history of falls. This supports previous findings which showed that gender and experiences of falls are not independently associated with FOF in people with PD [ 2 , 4 , 10 , 11 , 13 ], which is in contrast to studies that involve elderly persons without PD [ 14 ].…”

Section: Discussionsupporting

confidence: 91%

“…FOF is a predictor of future falls and near falls already in mild PD [ 6 ], and is negatively associated with participation and health-related as well as overall quality of life [ 7 – 9 ]. Studies that used multivariable regression analyses to identify explanatory factors of FOF have shown that PD-related disabilities such as walking difficulties, need of help in activities of daily living, motor symptoms, orthostatism, poor functional balance and fatigue are significantly associated with FOF in people with PD [ 2 , 4 , 8 , 10 – 13 ]. Female gender and a history of falls have been shown to be significant and independently explanatory factors of FOF in the overall elderly population [ 14 ] but not in people with PD [ 2 , 4 , 10 , 11 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

“…There are qualitative studies of FOF in elderly persons without PD [ 17 – 22 ]. However, since many explanatory factors of FOF in persons with PD are PD-related [ 2 , 4 , 8 , 10 – 13 ], it is plausible that the experience of FOF in persons with PD differ to those without PD. To the best of our knowledge, no study has explored how persons with PD experience FOF.…”

Section: Introductionmentioning

confidence: 99%

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Experiences of fear of falling in persons with Parkinson’s disease – a qualitative study

et al. 2018

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BackgroundFear of falling is common among persons with Parkinson’s disease and is negatively associated with quality of life. However a lack of in-depth understanding of fear of falling as a phenomenon persists. This qualitative study aimed to explore the experiences of fear of falling in persons with Parkinson’s disease.MethodsIndividual interviews were performed with twelve persons with Parkinson’s disease (median age 70 years, median Parkinson duration 9 years, 50% women). The interviews were semi-structured and followed a study-specific interview guide. The transcribed interviews were analyzed using qualitative content analysis.ResultsFear of falling was experienced as a disturbing factor in everyday life. It generated a feeling of vulnerability and made daily activities and everyday environments seem potentially hazardous. Persons also missed performing previous activities. The fear of falling was a varying experience, fueled by an awareness of falls and near falls, Parkinson-related symptoms and disabilities, and by others in their environment. The persons adopted different strategies to handle their fear of falling. Activities were adapted, avoided, performed with help, or carried out despite their fear of falling.ConclusionsThe experiences of fear of falling were complex, multifaceted and varied over time and in relation to different activities and environments. This indicates that interventions targeting fear of falling need to be individually tailored for persons with Parkinson’s disease and should focus on several aspects, such as Parkinson-related symptoms and disabilities, activities and environmental factors. This study provides new information that increases the understanding of fear of falling, which has implications for researchers as well as clinicians working with persons with Parkinson’s disease and fear of falling.Electronic supplementary materialThe online version of this article (10.1186/s12877-018-0735-1) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Experiences of fear of falling in persons with Parkinson’s disease – a qualitative study

et al. 2018

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“…Another limitation was that we did not investigate if the participants had psychological symptoms like depression, that may have negatively affected how they coped with reduced balance. Our earlier research have shown a relation between fear of falling and depressive symptoms [58]. To increase credibility, the analyzed material was peer-debriefed by other authors (HJ, EF and BE) at several occasions [38].…”

Section: Discussionmentioning

confidence: 99%

Choreographing life-experiences of balance control in people with Parkinson’s disease

et al. 2020

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Background: Parkinson's disease (PD) is a devastating neurodegenerative disorder. Reduced balance is one of the cardinal symptoms of PD, predisposing people living with PD to experience difficulties with the execution of tasks and activities, as well as hindering their involvement in meaningful life areas. The overarching aim of this study was to explore how deficits in balance control manifest in everyday life and how it is managed by people with PD (PwPD). Methods: Qualitative description was used as methodology, and in-depth interviews were conducted with 18 participants, between the ages of 46 to 83 years, with mild to severe PD. Interview transcripts were analyzed using qualitative content analysis, following an inductive approach. Results: One theme emerged from the analysis: Increased planning-choreographing life. Within this overarching theme, two categories were identified, namely Limitations in mobility and New restricted functioning in everyday life, each with 3-4 sub-categories. The categories described how PwPD handled decreased balance control in their everyday life by using motor and cognitive strategies as a consequence of not trusting their body's capacity to control balance. Activities in everyday life, as well as the ability to partake in leisure and social activities were profoundly affected. Conclusion: People with mild to severe PD used strategies to handle decreased balance and they choreographed their lives around their individual current state of mobility and balance. The knowledge gained from this study can be used to develop targeted interventions addressing the nuances of balance deficits in everyday life.

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“…Our earlier research have shown a relation between fear of falling and depressive symptoms. 58 To increase credibility, the analyzed material was peer-debriefed by other authors (HJ, EF and BE) at several occasions. 38 There was an equal amount of men and women included in the study.…”

Section: Discussionmentioning

confidence: 99%

Choreographing life-experiences of balance control in people with Parkinson’s disease

LaGrone

Joseph²,

Johansson

et al. 2019

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Background: Parkinson’s disease (PD) is a devastating neurodegenerative disorder. Reduced balance is one of the cardinal symptoms of PD, predisposing people living with PD to experience difficulties with the execution of tasks and activities, as well as hindering their involvement in meaningful life areas. Objective: The aim of this study was to explore how deficits in balance control manifest in everyday life and how it is managed by people with PD (PwPD). Design: Qualitative description was used. Methods: In-depth interviews were conducted with 18 participants, between the ages of 46 to 83 years, with mild to severe PD. Interview transcripts were analyzed using qualitative content analysis, following an inductive approach. Results: One theme emerged from the analysis: Increased planning—choreographing life. Within this overarching theme, two categories were identified, namely Limitations in mobility and New restricted functioning in everyday life, each with 3-4 sub-categories. The categories described how PwPD handled decreased balance control in their everyday life by using motor and cognitive strategies as a consequence of not trusting their body’s capacity to control balance. Activities in everyday life, as well as the ability to partake in leisure and social activities were profoundly affected. Conclusion: People with mild to severe PD used strategies to handle decreased balance and they choreographed their lives around their individual current state of mobility and balance. The knowledge gained from this study can be used to develop targeted interventions addressing the nuances of balance deficits in everyday life.

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Depressive symptoms associated with concerns about falling in Parkinson's disease

Cited by 23 publications

References 21 publications

Experiences of fear of falling in persons with Parkinson’s disease – a qualitative study

Experiences of fear of falling in persons with Parkinson’s disease – a qualitative study

Choreographing life-experiences of balance control in people with Parkinson’s disease

Choreographing life-experiences of balance control in people with Parkinson’s disease

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