AUTHOR=Hajek André , König Hans-Helmut 

TITLE=The Onset of Falls Reduces Subjective Well-Being. Findings of a Nationally Representative Longitudinal Study

JOURNAL=Frontiers in Psychiatry

VOLUME=Volume 12 - 2021

YEAR=2021

URL=https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2021.599905

DOI=10.3389/fpsyt.2021.599905

ISSN=1664-0640

ABSTRACT=<p><bold>Introduction:</bold> The prevalence of older individuals experiencing a fall is high. Moreover, falls can have deleterious effects on health status. Additionally, falls can affect the subjective well-being of individuals. However, there is a lack of studies examining the link between falls and subjective well-being. Therefore, the objective of this study was to investigate whether the onset of falling is associated with (intraindividual) decreases in subjective well-being in men and women.</p><p><bold>Materials and Methods:</bold> Longitudinal data (from wave 5 to wave 6) were taken from a population-based sample of individuals residing in private households in Germany [in our analytical sample: 3,906 observations (men), and 3,718 observations (women)]. Positive and negative affect were quantified using the Positive and Negative Affect Schedule (PANAS). Life satisfaction was assessed using the Satisfaction with Life Scale (SWLS).</p><p><bold>Results:</bold> Adjusting for various potential confounders, fixed effects regressions showed that the onset of falls was associated with a decrease in positive affect (β = 0.08, <italic>p</italic> &lt; 0.01), and an increase in negative affect (β = 0.07, <italic>p</italic> &lt; 0.01) among men. While the onset of falls was not associated with changes in positive affect in women, it was associated with a decrease in negative affect in women (β = 0.06, <italic>p</italic> &lt; 0.05). Sex differences were significant. The onset of falls was not associated with decreases in life satisfaction in men, nor in women.</p><p><bold>Discussion:</bold> The present study particularly highlights the link between the onset of falls and reduced affective well-being among men. Avoiding falls may contribute to maintaining affective well-being among middle-aged and older men.</p>