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Front. Psychiatry | doi: 10.3389/fpsyt.2019.00447

Falls are associated with decreased autonomy and self-efficacy moderates this relation. Results from a national study.

 André Hajek1* and Hans-Helmut König1
  • 1University Medical Center Hamburg-Eppendorf, Germany

The first aim of this study was to examine the association between falls and perceived autonomy. The second aim was to investigate whether this association is moderated by self-efficacy. Cross-sectional data were drawn from the German Ageing Survey - a nationally representative sample of individuals living in private households aged 40 and above (n=7,746) in Germany. Perceived autonomy was quantified according to Schwarzer. Self-efficacy was assessed using a widely established scale by Schwarzer and Jerusalem. Adjusting for covariates, linear regressions revealed that experiencing a fall in the past 12 months was associated with lower perceived autonomy (β=-.09, p<.001). General self-efficacy moderated this association (β=.08, p=.02). Findings emphasized the association between falls and perceived autonomy as well as the moderating role of self-efficacy. Future longitudinal studies are required to gain insights into the temporal relationship between these variables.

Keywords: falls, autonomy, self-efficacy, Cross-sectional study, cohort study

Received: 30 Jul 2018; Accepted: 06 Jun 2019.

Edited by:

Matthias Jaeger, Psychiatrie Baselland, Switzerland

Reviewed by:

Raluca Sfetcu, Spiru Haret University, Romania
Florian Hotzy, Psychiatrische Klinik der Universität Zürich, Switzerland  

Copyright: © 2019 Hajek and König. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: PhD. André Hajek, University Medical Center Hamburg-Eppendorf, Hamburg, Germany, a.hajek@uke.de