Toward a More Comprehensive Understanding of the Etiology of Falls

In an effort to understand the multifactorial etiology of falls among the well elderly, the interrelationships among anxiety, depression, worry about falling, and falls self-efficacy were explored. A sample of convenience of 61 elders attending senior centers was interviewed to obtain the information necessary to explore the extent to which depression and anxiety were associated with worry about falling and concerns about falling while performing specific activities of daily living. Results indicate a need for clinicians to inquire into the mood states of elderly persons in their care. Variables of anxiety and depression should be included in every falls history, with in-depth follow-up when indicated. Secondary prevention measures should include referral for all appropriate interventions in order to reduce the substantial public health burden that falls and worry about falling imposes.