Psychological Factors Associated With Fear of Falling Avoidance Behavior in Parkinson’s Disease: The Role of Depression, Anxiety, and Catastrophizing

Rider, John V.; Longhurst, Jason; Lekhak, Nirmala; Navalta, James W.; Young, Daniel L.; Landers, Merrill R.

doi:10.1177/08919887221119974

Cited by 3 publications

(4 citation statements)

References 66 publications

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“…In additional support of the construct of validity of the mFFABQ, there were also moderate, positive correlations with the following scales in the affective domain: ZAS (anxiety), BDI (depression), and CoFQ (catastrophization). These results are consistent with our original hypotheses and are also consistent with other studies (5,44). While many consider anxiety and fear to be related (both deal with the idea of danger or threat) but different constructs (fear is seen as a reaction to a specific, observable threat, while anxiety is worry about a future threat that has not happened or may never happen), they are clearly interrelated and it is not surprising that there are moderate correlations between these constructs and FFAB.…”

Section: Discussionsupporting

confidence: 94%

“…Furthermore, as hypothesized, there was a moderate correlation with the CoFQ (catastrophization), particularly the damage to identity subsection. This is consistent with research suggesting that the FFAB is more strongly correlated with damage to identity (i.e., the immediate consequences of pain, shame, and embarrassment) than loss of functional independence (i.e., enduring consequences of injury and disability) in people with PD (44). From a clinical context, it is important to holistically consider the associations of the mFFABQ with constructs in the affective domains and to collaborate with other members of the healthcare team with expertise in this area.…”

Section: Discussionsupporting

confidence: 90%

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The psychometric properties of the modified fear of falling avoidance behavior questionnaire in Parkinson’s disease and older adults

Landers,

Haller,

Aldaco

et al. 2024

Arch. Physioter

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Introduction: The Fear of Falling Avoidance Behavior Questionnaire (FFABQ) has good psychometric properties. However, a recently modified version (mFFABQ) was theorized to be easier to understand because the updated Likert responses are more consistent with the item stem. This study aimed to examine the reliability and validity of the mFFABQ in older adults and in people with Parkinson’s disease (PD). Methods: A total of 88 participants, 39 with PD (age = 72.2 ± 9.5; 29 males, 10 females) and 49 older adults (age = 72.8 ± 5.0; 13 males, 36 females) answered the mFFABQ twice, separated by one week, for test-retest reliability. Construct validity was evaluated through correlational analyses with fall history, Activities-Specific Balance Confidence Scale (ABC), Berg Balance Scale (BBS), Timed Up and Go, 30 Second Sit to Stand, Sensory Organization Test, Zung Anxiety Scale, Beck Depression Inventory; Consequences of Falling Questionnaire (CoFQ), and average daily activity levels using an activity monitor. Results: The mFFABQ had good overall test-retest reliability (ICC = 0.822 (older adult ICC = 0.781, PD ICC = .806). The mFFABQ correlated with fall history (r=-0.430) and exhibited high correlation with the ABC (rho=-.804) and moderate correlations with CoFQ (rho=.582) and BBS (rho=-.595). The mFFABQ also correlated with time stepping (rho=-.298), and number of steps (rho=-.358). Discussion: These results provide supportive evidence for the reliability and validity of the mFFABQ in older adults and people with PD, which supports its suitability as a clinical and research tool for the assessment of fear of falling avoidance behavior.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 90%

The psychometric properties of the modified fear of falling avoidance behavior questionnaire in Parkinson’s disease and older adults

Landers,

Haller,

Aldaco

et al. 2024

Arch. Physioter

Self Cite

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“…Psychological support helps a patient to feel independent and reinforced with stabilized emotions [67][68][69]. Such kind of mental support helps in slowing down the pace of neuronal degeneration.…”

Section: Alternative Therapiesmentioning

confidence: 99%

Customized treatment for Parkinson’s disease: extending lifespan and improving symptoms

Indu,

Dimri

2024

Egypt J Neurol Psychiatry Neurosurg

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Background Parkinson's disease (PD) is the second most prevalent neurodegenerative ailment affecting aged people. Several motor and non-motor symptoms appearing with this disease are linked to reduction in dopamine levels. Parkinson’s disease manifested by a wide range of symptoms, including gait instability, voice impairments, bradykinesia, hypomimia, tremors, and cognitive dysfunctions, where the concern is its steady global progression. Therefore, by evaluating the stage-specific retention and transition thresholds, the suggested work attempts to detect the progression of PD. Similarly, the assessment of the annual rate of deterioration of symptoms aids in assessing the influence of medications on four stages and six prime symptoms. Results During the 9-year period following clinical diagnosis, a symptomatic deterioration of 34.995% is observed in untreated patients compared to treated patients. Furthermore, the experimental analysis illustrates that medicines assist in regulating only bradykinesia, tremors, hypomimia, and speech impairment, which lasts for 4.8 years on average. A saturation period is also identified during the moderate phase, where the computed average depreciation in the Unified Parkinson’s Disease Rating Scale (UPDRS) is the least. Similarly, from stages 1 to 4, medicines might improve stage retention by 4.44, 3.5, 2.72, and 1.6 years, respectively. It demonstrates that, despite transient advantages and adverse effects, medications also have an optimistic impact on PD patients. Conclusions Here, we show that medication can extend the lifespan of PD patients up to 12 years cumulatively. Furthermore, the proposed work suggests that stagewise alternative remedies for improving quality of life, boosting the benefits of medicines, and eliminating their side effects. These include counselling, diet changes, yoga asanas, herbal medicines, bio-cleansing and other therapies. The current work does not consider the temporary transition among stages; nonetheless, further investigation regarding PD could open avenues for more worthy treatments with fewer side effects.

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“…Supporting this notion, recent work identifies low perceived control as a barrier to physical activity in older adults post hip fracture [ 79 ]. Relatedly, fall-related catastrophising—a key hypothesised outcome of low perceived control—has been shown to predict fear-related activity restriction in both community-dwelling older adults [ 80 ] and individuals with Parkinson’s Disease [ 81 ].…”

Section: Cmp: Friend or Foe?mentioning

confidence: 99%

The perceived control model of falling: developing a unified framework to understand and assess maladaptive fear of falling

et al. 2023

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Background fear of falling is common in older adults and can have a profound influence on a variety of behaviours that increase fall risk. However, fear of falling can also have potentially positive outcomes for certain individuals. Without progressing our understanding of mechanisms underlying these contrasting outcomes, it is difficult to clinically manage fear of falling. Methods this paper first summarises recent findings on the topic of fear of falling, balance and fall risk—including work highlighting the protective effects of fear. Specific focus is placed on describing how fear of falling influences perceptual, cognitive and motor process in ways that might either increase or reduce fall risk. Finally, it reports the development and validation of a new clinical tool that can be used to assess the maladaptive components of fear of falling. Results we present a new conceptual framework—the Perceived Control Model of Falling—that describes specific mechanisms through which fear of falling can influence fall risk. The key conceptual advance is the identification of perceived control over situations that threaten one’s balance as the crucial factor mediating the relationship between fear and increased fall risk. The new 4-item scale that we develop—the Updated Perceived Control over Falling Scale (UP-COF)—is a valid and reliable tool to clinically assess perceived control. Conclusion this new conceptualisation and tool (UP-COF) allows clinicians to identify individuals for whom fear of falling is likely to increase fall risk, and target specific underlying maladaptive processes such as low perceived control.

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Psychological Factors Associated With Fear of Falling Avoidance Behavior in Parkinson’s Disease: The Role of Depression, Anxiety, and Catastrophizing

Cited by 3 publications

References 66 publications

The psychometric properties of the modified fear of falling avoidance behavior questionnaire in Parkinson’s disease and older adults

The psychometric properties of the modified fear of falling avoidance behavior questionnaire in Parkinson’s disease and older adults

Customized treatment for Parkinson’s disease: extending lifespan and improving symptoms

The perceived control model of falling: developing a unified framework to understand and assess maladaptive fear of falling

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