The relationships among positive coping style, psychological resilience, and fear of falling in older adults

Abstract Objectives Fear of falling is a psychological issue that adversely impacts the health of elderly individuals. The purpose of this study was to investigate the correlation among positive coping styles, psychological resilience, and fear of falling in older adults. The mediating role of psych...

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Main Authors: Siqi Liu, Han Xiao, Peiyao Qi, Mi Song, Yuan Gao, Hongying Pi, Qingqing Su
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-025-05682-6
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author Siqi Liu
Han Xiao
Peiyao Qi
Mi Song
Yuan Gao
Hongying Pi
Qingqing Su
author_facet Siqi Liu
Han Xiao
Peiyao Qi
Mi Song
Yuan Gao
Hongying Pi
Qingqing Su
author_sort Siqi Liu
collection DOAJ
description Abstract Objectives Fear of falling is a psychological issue that adversely impacts the health of elderly individuals. The purpose of this study was to investigate the correlation among positive coping styles, psychological resilience, and fear of falling in older adults. The mediating role of psychological resilience was also investigated. Methods A cross-sectional study was carried out from July 2023 to December 2023. There are 202 older adults from a tertiary hospital in Beijing, China, participated in this study. The general information questionnaire, the Simplified Coping Style Questionnaire, the Chinese version of the Connor-Davidson Resilience Scale, and the Falls Efficacy Scale-International were utilized. Descriptive statistics, Pearson correlation, and structural equation modeling were used for data analysis. Results The prevalence of fear of falling in the elderly was 53.00%. Older individuals with a history of falls or fractures had a significantly higher fear of falling (P < 0.05). Fear of falling was inversely connected with psychological resilience and positive coping styles (P < 0.05). Positive coping styles were positively connected with psychological resilience (r = 0.638, P < 0.01). Structural equation modeling showed that psychological resilience fully mediated the effect of positive coping styles on fear of falling (indirect effect estimate = -0.126, 95% CI -0.036 to-0.225; total effect estimate = -0.121, 95% CI -0.028to -0.005). Conclusion Fear of falling was widespread among older adults and psychological resilience fully mediated the relationship between positive coping styles and fear of falling. Future interventions targeting the fear of falling should consider the enhancement of psychological resilience.
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spelling doaj-art-414849c6a78f47feb25b1b53e663ab2a2025-01-26T12:51:25ZengBMCBMC Geriatrics1471-23182025-01-012511910.1186/s12877-025-05682-6The relationships among positive coping style, psychological resilience, and fear of falling in older adultsSiqi Liu0Han Xiao1Peiyao Qi2Mi Song3Yuan Gao4Hongying Pi5Qingqing Su6Medical School of Chinese PLAMedical School of Chinese PLA Department of Endocrinology, The Second Medical Center, Chinese PLA General HospitalDepartment of Nursing, The First Medical Center, Chinese PLA General HospitalDepartment of Nursing, The First Medical Center, Chinese PLA General HospitalMedical Service Training Center, Chinese PLA General HospitalDepartment of Nursing, The First Medical Center, Chinese PLA General HospitalAbstract Objectives Fear of falling is a psychological issue that adversely impacts the health of elderly individuals. The purpose of this study was to investigate the correlation among positive coping styles, psychological resilience, and fear of falling in older adults. The mediating role of psychological resilience was also investigated. Methods A cross-sectional study was carried out from July 2023 to December 2023. There are 202 older adults from a tertiary hospital in Beijing, China, participated in this study. The general information questionnaire, the Simplified Coping Style Questionnaire, the Chinese version of the Connor-Davidson Resilience Scale, and the Falls Efficacy Scale-International were utilized. Descriptive statistics, Pearson correlation, and structural equation modeling were used for data analysis. Results The prevalence of fear of falling in the elderly was 53.00%. Older individuals with a history of falls or fractures had a significantly higher fear of falling (P < 0.05). Fear of falling was inversely connected with psychological resilience and positive coping styles (P < 0.05). Positive coping styles were positively connected with psychological resilience (r = 0.638, P < 0.01). Structural equation modeling showed that psychological resilience fully mediated the effect of positive coping styles on fear of falling (indirect effect estimate = -0.126, 95% CI -0.036 to-0.225; total effect estimate = -0.121, 95% CI -0.028to -0.005). Conclusion Fear of falling was widespread among older adults and psychological resilience fully mediated the relationship between positive coping styles and fear of falling. Future interventions targeting the fear of falling should consider the enhancement of psychological resilience.https://doi.org/10.1186/s12877-025-05682-6Positive coping stylePsychological resilienceFear of fallingFall efficacyOlder adults
spellingShingle Siqi Liu
Han Xiao
Peiyao Qi
Mi Song
Yuan Gao
Hongying Pi
Qingqing Su
The relationships among positive coping style, psychological resilience, and fear of falling in older adults
BMC Geriatrics
Positive coping style
Psychological resilience
Fear of falling
Fall efficacy
Older adults
title The relationships among positive coping style, psychological resilience, and fear of falling in older adults
title_full The relationships among positive coping style, psychological resilience, and fear of falling in older adults
title_fullStr The relationships among positive coping style, psychological resilience, and fear of falling in older adults
title_full_unstemmed The relationships among positive coping style, psychological resilience, and fear of falling in older adults
title_short The relationships among positive coping style, psychological resilience, and fear of falling in older adults
title_sort relationships among positive coping style psychological resilience and fear of falling in older adults
topic Positive coping style
Psychological resilience
Fear of falling
Fall efficacy
Older adults
url https://doi.org/10.1186/s12877-025-05682-6
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