Evidence map›Paper›PMID 41231938›Full record

ArticlePloS one2025

Fear of falling and depression in older adults: The mediating role of attitudes toward aging and social networks.

Dan Zhang, Ziqing Qi, Lulu Wu, Yali Mao, Jia Wang, Yue Zhang, Ruting Wang, Annuo Liu

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Dan ZhangSchool of Nursing, Anhui Medical University, Hefei, Anhui Province, China.ORCID https://orcid.org/0009-0009-4995-3201
Ziqing QiSchool of Nursing, Anhui Medical University, Hefei, Anhui Province, China.ORCID https://orcid.org/0009-0001-7874-5032
Lulu WuSchool of Nursing, Anhui Medical University, Hefei, Anhui Province, China.
Yali MaoSchool of Nursing, Anhui Medical University, Hefei, Anhui Province, China.
Jia WangSchool of Nursing, Anhui Medical University, Hefei, Anhui Province, China.
Yue ZhangSchool of Nursing, Anhui Medical University, Hefei, Anhui Province, China.
Ruting WangSchool of Nursing, Anhui Medical University, Hefei, Anhui Province, China.
Annuo LiuSchool of Nursing, Anhui Medical University, Hefei, Anhui Province, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveFalls represent a common injury among older adults, and fear of falling is a prevalent psychological stressor in this population. This study aims to investigate the relationship between fear of falling and depression in older adults, as well as the chained mediating effects of attitudes toward aging and social networks.

methodsUsing stratified cluster sampling, 1,158 adults aged 60 and older were surveyed between July and August 2022. Instruments included the Modified Fall Effectiveness Scale (MFES), Geriatric Depression Scale-15 (GDS-15), Attitudes Toward Aging Questionnaire (AAQ), and Local Social Network Scale-6 (LSNS-6). Correlation analysis and mediation effect testing were conducted using SPSS 26.0 and Stata 18.0.

resultsFear of falling was positively correlated with depression (β = 0.36, p < 0.001). Attitudes toward aging (Effect = 0.13, 95% CI (0.09, 0.17)) and social networks (Effect = 0.09, 95% CI (0.05, 0.13)) served not only as independent mediators between fear of falling and depression but also as chain mediators (Effect = 0.02, 95% CI (0.01, 0.03)).

conclusionFear of falling is associated with depression in older adults through aging attitudes and social networks. Healthcare providers should prioritize addressing older adults' fear of falling and develop strategies based on this pathway to reduce the risk of depression in older adults.

Indexed as

Accidental FallsAgingDepressionFearSocial NetworkingAgedAged, 80 and overFemaleHumansMaleMiddle AgedSocial SupportSurveys and Questionnaires

Identifiers

PMID41231938
PMCPMC12614552

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.