Araştırma Makalesi
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The relationship between fall risk and depression, anxiety and quality of life in patients with osteoporosis

Yıl 2025, Cilt: 9 Sayı: 3, 116 - 127, 30.12.2025
https://doi.org/10.33716/bmedj.1636625

Öz

Introduction: In this study, in patients diagnosed with osteoporosis the relationship between fall risk and depression, anxiety and quality of life has been investigated.
Methods: This study included 100 women with and without osteoporosis. The Morse Fall Scale(MFS), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI) and European Osteoporosis Society Quality of Life Survey (QUALEFFO) scale were applied.
Results: The mean fall risk value was higher in patients with osteoporosis than in healthy controls and was statistically significant (p=0.005). In osteoporosis patients, there was a positive correlation all score (r=0.226, r=0.23, r=0.302, respectively).
Conclusion :As a result, patients with osteoporosis had an increased risk of falling,depression and anxiety levels.There was no correlation between the risk of falling and depression and anxiety levels, but it was observed that the quality of life worsened with the increased risk of falling.

Etik Beyan

The study was approved by the Non-invasive Clinical Research Ethics Committee at Mersin University (02/10/2019 ,429).

Destekleyen Kurum

None declared by the author.

Kaynakça

  • Adıgüzel, D., Gündüz, H. O., Bodur, H., & Yücel, M. (2000). Quality of life in osteoporosis. Romatizma, 15, 173–179.
  • Beck, A. T., Epstein, N., Brown, G., & Ster, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893–897.
  • Bianchi, M. L., Orsini, M. R., Saraifoger, S., Ortolani, S., Radaelli, G., & Betti, S. (2005). Quality of life in post-menopausal osteoporosis. Health and Quality of Life Outcomes, 3, 78. https://doi.org/10.1186/1477-7525-3-78
  • Cumming, R. G., Salkeld, G., Thomas, M., & Szonyi, G. (2000). Prospective study of the impact of fear of falling on activities of daily living, SF-36 score, and nursing home admission. Journal of Gerontology: Series A, 55(5), M299–M305. https://doi.org/10.1093/gerona/55.5.m299
  • Demir, N. Y., & İntepeler, Ş. S. (2012). Morse düşme ölçeğinin Türkçeye uyarlanması ve duyarlılık-seçicilik düzeyinin belirlenmesi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 28(1), 57–71.
  • Dinçer, D. (2005). Osteoporoza bağlı kırıklar ve cerrahi tedavi yaklaşımları. In Y. Gökçe-Kutsal (Ed.), Osteoporoz (pp. 293–314). Güneş Kitabevi.
  • Falch, J. A., Bentzen, H., & Dahl, A. A. (2003). Pain, functional level and emotional problems of women with osteoporosis and vertebral fractures. Tidsskrift for den Norske Laegeforening, 123, 3355–3357.
  • Gillespie, L. D., Robertson, M. C., & Gillespie, W. J. (2009). Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, CD007146.
  • Gold, D. T. (1996). The clinical impact of vertebral fractures: Quality of life in women with osteoporosis. Bone, 18(Suppl. 3), 185–189. https://doi.org/10.1016/8756-3282(95)00500-5
  • Gür, S. (2004). Kemik kalitesi ve kırık ilişkisi. In Y. Gökçe-Kutsal (Ed.), Osteoporozda kemik kalitesi (pp. 235–254). Güneş Kitabevi.
  • Haney, E. M., & Warden, S. J. (2008). Skeletal effects of serotonin (5-hydroxytryptamine) transporter inhibition: Evidence from clinical studies. Journal of Musculoskeletal and Neuronal Interactions, 8(2), 133–145.
  • Hartman, J. M., Berger, A., & Baker, K. (2006). Quality of life and pain in premenopausal women with major depressive disorder: The POWER Study. Health and Quality of Life Outcomes, 4, 2. https://doi.org/10.1186/1477-7525-4-2
  • Hisli, N. (1988). Beck depresyon envanterinin geçerliği üzerine bir çalışma. Psikoloji Dergisi, 6, 118–126.
  • Ip, T. P., Leung, J., & Kung, A. W. (2010). Management of osteoporosis in patients hospitalized for hip fractures. Osteoporosis International, 21(Suppl. 6), S605–S614. https://doi.org/10.1007/s00198-010-1398-8
  • Kocyigit, H., Gülseren, Ş., Erol, A., Hizli, N., & Memis, A. (2003). The reliability and validity of the Turkish version of QUALEFFO. Clinical Rheumatology, 22(1), 18–23. https://doi.org/10.1007/s10067-002-0653-6
  • Lawhorne, L. W., Ouslander, J. G., Parmelee, P. A., Resnick, B., & Calabrese, B. (2008). Urinary incontinence: A neglected geriatric syndrome in nursing facilities. Journal of the American Medical Directors Association, 9, 29–35. https://doi.org/10.1016/j.jamda.2007.08.003
  • Lord, S. R., Clark, R. D., & Webster, I. W. (1991). Physiological factors associated with falls in an elderly population. Journal of the American Geriatrics Society, 39(12), 1194–1200. https://doi.org/10.1111/j.1532-5415.1991.tb03574.x
  • Lynn, S. G., Sinaki, M., & Westerlind, K. C. (1997). Balance characteristics of persons with osteoporosis. Archives of Physical Medicine and Rehabilitation, 78(3), 273–277. https://doi.org/10.1016/S0003-9993(97)90033-2
  • Michelson, D., Stratakis, C., Hill, L., et al. (1996). Bone mineral density in women with depression. The New England Journal of Medicine, 335, 1176–1181. https://doi.org/10.1056/NEJM199610173351602
  • Oleksik, A., Lips, P., & Dawson, A. (2000). Health-related quality of life in postmenopausal women with low BMD with or without prevalent vertebral fractures. Journal of Bone and Mineral Research, 15, 1384–1392. https://doi.org/10.1359/jbmr.2000.15.7.1384
  • Pamuk, G., Kutlu, R., & Civi, S. (2014). Evaluation of quality of life in postmenopausal women with and without osteoporosis using the QUALEFFO-41 Scale. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 60, 139–146. https://doi.org/10.5152/tftrd.2014.47855
  • Pearce, M., Garcia, L., Abbas, A., Strain, T., Schuch, F. B., Golubic, R., Kelly, P., Khan, S., Utukuri, M., Laird, Y., Mok, A., Smith, A., Tainio, M., Brage, S., & Woodcock, J. (2022). Association Between Physical Activity and Risk of Depression: A Systematic Review and Meta-analysis. JAMA psychiatry, 79(6), 550–559. https://doi.org/10.1001/jamapsychiatry.2022.0609
  • Rubenstein, L. Z. (2006). Falls in older people: Epidemiology, risk factors and strategies for prevention. Age and Ageing, 35(Suppl. 2), ii37–ii41. https://doi.org/10.1093/ageing/afl084
  • Seeman, E., & Allen, T. (1989). Risk factors for osteoporosis. Australian and New Zealand Journal of Medicine, 19, 69–75.
  • Sinaki, M. (2004). Falls, fractures and hip pads. Current Osteoporosis Reports, 2, 131–137. https://doi.org/10.1007/s11914-996-0012-7
  • Sinaki, M., Brey, R. H., Hughes, C. A., Larson, D. R., & Kaufman, K. R. (2005). Balance disorder and increased risk of falls in osteoporosis and kyphosis: Significance of kyphotic posture and muscle strength. Osteoporosis International, 16, 1004–1010. https://doi.org/10.1007/s00198-004-1791-2
  • Suzuki, M., Ohyama, N., Yamada, K., & Kanamori, M. (2002). The relationship between fear of falling, activities of daily living and quality of life among elderly individuals. Nursing and Health Sciences, 4(4),155-161. https://doi.org/10.1046/j.1442-2018.2002.00123.x
  • Şahin Onat, Ş., Delialioğlu, S. Ü., Biçer, S. ., & Özel, S. . (2013). Depression in Osteoporosis and Effects on Quality of Life. Turkish Journal of Osteoporosis, 19(3), 0-0. https://doi.org/10.4274/tod.25238
  • Tegin, B. (1980). Depresyonda bilişsel şemalar (Yayımlanmamış doktora tezi). Hacettepe Üniversitesi, Ankara. Ünlüsoy, D. Aydoğ, E., Tuncay,R., Eryüksel, R. Ünlüsoy, İ.Çakcı, A. Türk Osteoporoz Dergisi 2011;17:37-43.
  • Van den Berg, M., Verdijk, N. A., Leusink, G. L., Wijnands-van Gent, C. J., Romeijnders, A. C., & Pop, V. J. (2011). Depression after low-energy fracture in older women predicts future falls: A prospective observational study. BMC Geriatrics, 11, 73. https://doi.org/10.1186/1471-2318-11-73
  • Yılmaz, F. (2005). Effect of vertebral fracture on quality of life. Osteoporoz Dünyasından, 11(3), 105–110. https://doi.org/10.4274/tod.96158
  • Whooley, M. A. (1999). Depression, falls, and risk of fracture in older women. Archives of Internal Medicine, 159(5), 484. https://doi.org/10.1001/archinte.159.5.484

Osteoporoz tanlı hastalarda düşme riskinin depresyon, anksiyete ve yaşam kalitesi ile ilişkisi

Yıl 2025, Cilt: 9 Sayı: 3, 116 - 127, 30.12.2025
https://doi.org/10.33716/bmedj.1636625

Öz

Giriş: Bu çalışmada osteoporoz tanısı almış hastalarda düşme riski ile depresyon, anksiyete ve yaşam kalitesi arasındaki ilişki araştırılmıştır.
Yöntem: Çalışmaya osteoporozu olan ve olmayan 100 kadın dahil edildi. Morse Düşme Ölçeği (MFS), Beck Anksiyete Envanteri (BAI), Beck Depresyon Envanteri (BDI) ve Avrupa Osteoporoz Derneği Yaşam Kalitesi Anketi (QUALEFFO) ölçeği uygulandı.
Morse Düşme Ölçeği (MFS), Beck Anksiyete Envanteri (BAI), Beck Depresyon Envanteri (BDI) ve Avrupa Osteoporoz Derneği Yaşam Kalitesi Anketi (QUALEFFO) ölçeği uygulandı.
Bulgular: Osteoporozlu hastalarda düşme riski değeri ortalaması sağlıklı kontrollere göre daha yüksekti ve istatistiksel olarak anlamlıydı (p=0,005). Osteoporozlu hastalarda tüm skorlar arasında pozitif korelasyon vardı (sırasıyla r=0,226, r=0,23, r=0,302).
Sonuç: Sonuç olarak osteoporozlu hastalarda düşme riski, depresyon ve anksiyete düzeyleri artmıştır. Düşme riski ile depresyon ve anksiyete düzeyleri arasında bir korelasyon bulunmamış ancak düşme riskinin artmasıyla yaşam kalitesinin kötüleştiği gözlenmiştir.

Etik Beyan

Çalışma Mersin Üniversitesi Non-invaziv Klinik Araştırmalar Etik Kurulu tarafından onaylanmıştır .(02/10/2019,429).

Destekleyen Kurum

Destekleyici kurum bulunmamaktadır.

Kaynakça

  • Adıgüzel, D., Gündüz, H. O., Bodur, H., & Yücel, M. (2000). Quality of life in osteoporosis. Romatizma, 15, 173–179.
  • Beck, A. T., Epstein, N., Brown, G., & Ster, R. A. (1988). An inventory for measuring clinical anxiety: Psychometric properties. Journal of Consulting and Clinical Psychology, 56(6), 893–897.
  • Bianchi, M. L., Orsini, M. R., Saraifoger, S., Ortolani, S., Radaelli, G., & Betti, S. (2005). Quality of life in post-menopausal osteoporosis. Health and Quality of Life Outcomes, 3, 78. https://doi.org/10.1186/1477-7525-3-78
  • Cumming, R. G., Salkeld, G., Thomas, M., & Szonyi, G. (2000). Prospective study of the impact of fear of falling on activities of daily living, SF-36 score, and nursing home admission. Journal of Gerontology: Series A, 55(5), M299–M305. https://doi.org/10.1093/gerona/55.5.m299
  • Demir, N. Y., & İntepeler, Ş. S. (2012). Morse düşme ölçeğinin Türkçeye uyarlanması ve duyarlılık-seçicilik düzeyinin belirlenmesi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi, 28(1), 57–71.
  • Dinçer, D. (2005). Osteoporoza bağlı kırıklar ve cerrahi tedavi yaklaşımları. In Y. Gökçe-Kutsal (Ed.), Osteoporoz (pp. 293–314). Güneş Kitabevi.
  • Falch, J. A., Bentzen, H., & Dahl, A. A. (2003). Pain, functional level and emotional problems of women with osteoporosis and vertebral fractures. Tidsskrift for den Norske Laegeforening, 123, 3355–3357.
  • Gillespie, L. D., Robertson, M. C., & Gillespie, W. J. (2009). Interventions for preventing falls in older people living in the community. Cochrane Database of Systematic Reviews, CD007146.
  • Gold, D. T. (1996). The clinical impact of vertebral fractures: Quality of life in women with osteoporosis. Bone, 18(Suppl. 3), 185–189. https://doi.org/10.1016/8756-3282(95)00500-5
  • Gür, S. (2004). Kemik kalitesi ve kırık ilişkisi. In Y. Gökçe-Kutsal (Ed.), Osteoporozda kemik kalitesi (pp. 235–254). Güneş Kitabevi.
  • Haney, E. M., & Warden, S. J. (2008). Skeletal effects of serotonin (5-hydroxytryptamine) transporter inhibition: Evidence from clinical studies. Journal of Musculoskeletal and Neuronal Interactions, 8(2), 133–145.
  • Hartman, J. M., Berger, A., & Baker, K. (2006). Quality of life and pain in premenopausal women with major depressive disorder: The POWER Study. Health and Quality of Life Outcomes, 4, 2. https://doi.org/10.1186/1477-7525-4-2
  • Hisli, N. (1988). Beck depresyon envanterinin geçerliği üzerine bir çalışma. Psikoloji Dergisi, 6, 118–126.
  • Ip, T. P., Leung, J., & Kung, A. W. (2010). Management of osteoporosis in patients hospitalized for hip fractures. Osteoporosis International, 21(Suppl. 6), S605–S614. https://doi.org/10.1007/s00198-010-1398-8
  • Kocyigit, H., Gülseren, Ş., Erol, A., Hizli, N., & Memis, A. (2003). The reliability and validity of the Turkish version of QUALEFFO. Clinical Rheumatology, 22(1), 18–23. https://doi.org/10.1007/s10067-002-0653-6
  • Lawhorne, L. W., Ouslander, J. G., Parmelee, P. A., Resnick, B., & Calabrese, B. (2008). Urinary incontinence: A neglected geriatric syndrome in nursing facilities. Journal of the American Medical Directors Association, 9, 29–35. https://doi.org/10.1016/j.jamda.2007.08.003
  • Lord, S. R., Clark, R. D., & Webster, I. W. (1991). Physiological factors associated with falls in an elderly population. Journal of the American Geriatrics Society, 39(12), 1194–1200. https://doi.org/10.1111/j.1532-5415.1991.tb03574.x
  • Lynn, S. G., Sinaki, M., & Westerlind, K. C. (1997). Balance characteristics of persons with osteoporosis. Archives of Physical Medicine and Rehabilitation, 78(3), 273–277. https://doi.org/10.1016/S0003-9993(97)90033-2
  • Michelson, D., Stratakis, C., Hill, L., et al. (1996). Bone mineral density in women with depression. The New England Journal of Medicine, 335, 1176–1181. https://doi.org/10.1056/NEJM199610173351602
  • Oleksik, A., Lips, P., & Dawson, A. (2000). Health-related quality of life in postmenopausal women with low BMD with or without prevalent vertebral fractures. Journal of Bone and Mineral Research, 15, 1384–1392. https://doi.org/10.1359/jbmr.2000.15.7.1384
  • Pamuk, G., Kutlu, R., & Civi, S. (2014). Evaluation of quality of life in postmenopausal women with and without osteoporosis using the QUALEFFO-41 Scale. Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi, 60, 139–146. https://doi.org/10.5152/tftrd.2014.47855
  • Pearce, M., Garcia, L., Abbas, A., Strain, T., Schuch, F. B., Golubic, R., Kelly, P., Khan, S., Utukuri, M., Laird, Y., Mok, A., Smith, A., Tainio, M., Brage, S., & Woodcock, J. (2022). Association Between Physical Activity and Risk of Depression: A Systematic Review and Meta-analysis. JAMA psychiatry, 79(6), 550–559. https://doi.org/10.1001/jamapsychiatry.2022.0609
  • Rubenstein, L. Z. (2006). Falls in older people: Epidemiology, risk factors and strategies for prevention. Age and Ageing, 35(Suppl. 2), ii37–ii41. https://doi.org/10.1093/ageing/afl084
  • Seeman, E., & Allen, T. (1989). Risk factors for osteoporosis. Australian and New Zealand Journal of Medicine, 19, 69–75.
  • Sinaki, M. (2004). Falls, fractures and hip pads. Current Osteoporosis Reports, 2, 131–137. https://doi.org/10.1007/s11914-996-0012-7
  • Sinaki, M., Brey, R. H., Hughes, C. A., Larson, D. R., & Kaufman, K. R. (2005). Balance disorder and increased risk of falls in osteoporosis and kyphosis: Significance of kyphotic posture and muscle strength. Osteoporosis International, 16, 1004–1010. https://doi.org/10.1007/s00198-004-1791-2
  • Suzuki, M., Ohyama, N., Yamada, K., & Kanamori, M. (2002). The relationship between fear of falling, activities of daily living and quality of life among elderly individuals. Nursing and Health Sciences, 4(4),155-161. https://doi.org/10.1046/j.1442-2018.2002.00123.x
  • Şahin Onat, Ş., Delialioğlu, S. Ü., Biçer, S. ., & Özel, S. . (2013). Depression in Osteoporosis and Effects on Quality of Life. Turkish Journal of Osteoporosis, 19(3), 0-0. https://doi.org/10.4274/tod.25238
  • Tegin, B. (1980). Depresyonda bilişsel şemalar (Yayımlanmamış doktora tezi). Hacettepe Üniversitesi, Ankara. Ünlüsoy, D. Aydoğ, E., Tuncay,R., Eryüksel, R. Ünlüsoy, İ.Çakcı, A. Türk Osteoporoz Dergisi 2011;17:37-43.
  • Van den Berg, M., Verdijk, N. A., Leusink, G. L., Wijnands-van Gent, C. J., Romeijnders, A. C., & Pop, V. J. (2011). Depression after low-energy fracture in older women predicts future falls: A prospective observational study. BMC Geriatrics, 11, 73. https://doi.org/10.1186/1471-2318-11-73
  • Yılmaz, F. (2005). Effect of vertebral fracture on quality of life. Osteoporoz Dünyasından, 11(3), 105–110. https://doi.org/10.4274/tod.96158
  • Whooley, M. A. (1999). Depression, falls, and risk of fracture in older women. Archives of Internal Medicine, 159(5), 484. https://doi.org/10.1001/archinte.159.5.484
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Romatoloji ve Artrit
Bölüm Araştırma Makalesi
Yazarlar

Ünzüle Hanbaba 0000-0002-5648-4038

Pınar Müge Sarıkaya 0000-0002-3683-2146

Orhan Güvener 0000-0003-2771-7055

Merve Türkegün Şengül 0000-0002-4405-521X

Ali Biçer 0000-0001-9783-0825

Günşah Şahin 0000-0002-4215-6957

Gönderilme Tarihi 28 Temmuz 2025
Kabul Tarihi 23 Aralık 2025
Yayımlanma Tarihi 30 Aralık 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 9 Sayı: 3

Kaynak Göster

APA Hanbaba, Ü., Sarıkaya, P. M., Güvener, O., … Türkegün Şengül, M. (2025). The relationship between fall risk and depression, anxiety and quality of life in patients with osteoporosis. Balıkesir Medical Journal, 9(3), 116-127. https://doi.org/10.33716/bmedj.1636625