Anxiety after a fall in elderly subjects and subsequent risk of developing post traumatic stress disorder at two months. A pilot study - 06/12/24
, M. Blandin 3, R. Ranerison 3, Y.E. Claessens 4, A.S. Rigaud 1, 2, G. Kemoun 5
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Abstract |
Background |
The psychological burden suffered by elderly subjects after a fall adds to rehabilitation difficulties. We hypothesised that Post Traumatic Stress Disorder (PTSD) may be at the root of these psychological post-fall problems. The immediate psychological state was examined after 2 months post-fall in order to determine the prevalence of anxiety and PTSD and their possible correlates.
Method |
A single centre prospective survey including elderly subjects referred to an emergency department (ED) after a fall with a 2-month follow-up.
Results |
30.5% of patients showed a significant level of anxiety after their fall and (26%) showed evidence supporting the presence of PTSD at 2-months. Immediate anxiety, ability to re-establish upright posture and a history of repeated falls were significant predictors of PTSD at 2-months.
Conclusion |
persistent psychological problems post fall may be related to PTSD which is significantly correlated to immediate anxiety. This study can be seen as a first step in patient characterisation, and predicts who may benefit from which of the various approaches of rehabilitation.
Le texte complet de cet article est disponible en PDF.Key words : Elderly, anxiety, PTSD, Geriatric psychiatry
Plan
Vol 18 - N° 3
P. 303-306 - mars 2014 Retour au numéro
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