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August 15, 2026Nursing Research

Subjective Cognitive Decline and Fear of Falling Among Community-Dwelling Racially Diverse Older Adults in Low-Income Settings

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Authors

RKRenata KomalasariUniversity of North TexasNHNikki L. HillPennsylvania State UniversityLTLadda ThiamwongUniversity of Central Florida

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Implication

Cross-sectional study finds that anxiety moderates fear of falling among low-income older adults with cognitive difficulties, indicating mental health shapes fall concerns.

Key Points

  • To evaluate the associations between subjective cognitive decline, related functional difficulties, and fear of falling, and to determine whether depressive and anxiety symptoms moderate these relationships.
  • Analyzed cross-sectional baseline data from racially diverse community-dwelling adults aged 60+ living in low-income housing in Central Florida (N=91; 89% female, mean age 73.26 ± 6.99 years, 96.7% non-White).
  • Measured fear of falling using the Short Fall-Efficacy Scale International, subjective cognitive decline (SCD) and functional difficulties via survey items, depressive symptoms using the Patient Health Questionnaire, and anxiety using the Geriatric Anxiety Inventory-Short Form.
  • Evaluated main associations and interaction effects using Poisson regression models and simple slope analyses.
  • Depressive symptoms were independently associated with fear of falling, while SCD, SCD-related functional difficulties, and anxiety symptoms showed no independent association.
  • Anxiety significantly moderated the relationship between SCD-related functional difficulties and fear of falling, such that higher anxiety accentuated fall fears and lower anxiety attenuated them.
  • The interaction between SCD-related functional difficulties and depressive symptoms was not significantly associated with fear of falling.

Cite This Study

Komalasari et al. (2026) studied this question.

synapsesocial.com/papers/6a8019f175c2e31742c8634dhttps://doi.org/10.1097/nnr.0000000000000938
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Also Consider

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  4. 4Associations Between Subjective and Objective Cognitive Decline and Depressive Symptoms in Community‐Dwelling, Older People2026 · 1 citations
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