A New Approach to Fear of Falls From Connections With the Posttraumatic Stress Disorder Literature

Abstract

Fear of falling (FoF) is as an important psychological problem among older people. While it has been researched for around four decades, paradoxically there is no agreed definition of FoF. Confusion over the definition of FoF inhibits current understanding of empirical findings. The objective of this article is to critique current definitions of FoF and to present a novel theoretical model that aims to resolve theoretical misunderstanding. A narrative review was conducted to present definitions of FoF and concepts often conflated with it including fall-related self-efficacy and anxiety. Then, by drawing on posttraumatic stress disorder (PTSD) theory and research, we present clear distinctions between the concepts. We argue that the presence or absence of anxiety determines whether FoF becomes maladaptive or adaptive, respectively, and that enhancing self-efficacy is key to optimizing postfall psychological recovery. The theoretical clarity presented will aid future research and application of evidence to the benefit older people.