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Abstract

This study examined the relationship between the behavioral activation system (BAS) and fall risk awareness among Korean older adults, focusing on the mediating roles of optimistic bias and risk-taking. Data from 280 participants aged 60–84 were collected via an online survey. Using PROCESS Macro 3.5 Model 6, results showed that BAS positively correlated with optimistic bias, risk-taking, and fall risk awareness. However, optimistic bias and risk-taking were not directly correlated with fall risk awareness. A double mediation effect was observed, where optimistic bias and risk-taking sequentially mediated the BAS-fall risk awareness link. While BAS generally increased fall risk awareness, its influence became negative when mediated through optimistic bias and risk-taking. These findings suggest BAS affects fall risk awareness in complex ways, sometimes leading to lower awareness due to overconfidence and risk-taking behaviors.

Keywords

fall risk awareness optimistic bias risk-taking behavioral activation

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References

Abdal Qader

Amin

Shah

Isa

Latif

Ghazi

(2013). Psychological risk factors associated with falls among elderly people in Baghdad city, Iraq. Open Journal of Preventive Medicine, 3(07), 441–445. https://doi.org/10.4236/ojpm.2013.37059

American Psychiatric Association . (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.

Ashari

Hamid

T. A.

Hussain

M. R.

Ibrahim

Hill

K. D.

(2021). Prevalence, circumstances, and risk factors of falls among community-dwelling members of the university of the third age. Frontiers in Public Health, 9, Article e610504. https://doi.org/10.3389/fpubh.2021.610504

Azzarello

Hall

(2016). Describing older adults' awareness of fall risk using situation awareness research techniques: A pilot study. Research in Gerontological Nursing, 9(4), 161–166. https://doi.org/10.3928/19404921-20160504-01

Black

C. L.

Goldstein

K. E.

LaBelle

D. R.

Brown

C. W.

Harmon-Johns

Abramson

L. Y.

Alloy

L. B.

(2014). Behavioral approach system sensitivity and risk taking interact to predict left-frontal EEG asymmetry. Behavior Therapy, 45(5), 640–650. https://doi.org/10.1016/j.beth.2014.01.006

Blais

A. R.

Weber

E. U.

(2006). A domain-specific risk-taking (DOSPERT) scale for adult populations. Judgment and Decision Making, 1(1), 33–47. https://doi.org/10.1017/S1930297500000334

Buelow

M. T.

Kowalsky

J. M.

Brunell

A. B.

(2022). Stability of risk perception across pandemic and non-pandemic situations among young adults: Evaluating the impact of individual differences. Frontiers in Psychology, 13, Article e840284. https://doi.org/10.3389/fpsyg.2022.840284

Byun

Kim

(2020). Physical and psychological factors affecting falls in older patients with arthritis. International Journal of Environmental Research and Public Health, 17(3), Article e1098. https://doi.org/10.3390/ijerph17031098

Carver

C. S.

White

T. L.

(1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS scales. Journal of Personality and Social Psychology, 67(2), 319–333. https://doi.org/10.1037/0022-3514.67.2.319

10.

Chapin

Coleman

(2009). Optimistic bias: What you think, what you know, or whom you know? North American Journal of Psychology, 11, 121–132.

11.

Choi

S. M.

Lee

J. S.

Seo

S. S.

Kim

J. Y.

Kim

H. Y.

Kim

S. R.

(2021). Development and validation of the fall risk perception questionnaire for patients in acute care hospitals. Journal of Clinical Nursing, 30(7-8), 1234–1246. https://doi.org/10.1111/jocn.15550

12.

Corr

P. J.

(2013). Approach and avoidance behavior: Multiple systems and their interactions. Emotion Review, 5(3), 285–290. https://doi.org/10.1177/1754073913477507

13.

Cutello

C. A.

Walsh

Hanoch

Hellier

(2021). Reducing optimism bias in the driver’s seat: Comparing two interventions. Transportation Research Part F: Traffic Psychology and Behaviour, 78, 207–217. https://doi.org/10.1016/j.trf.2021.02.013

14.

de Clercq

Naudé

Bornman

(2020). Older adults’ perspectives on fall risk: Linking results to the ICF. Journal of Applied Gerontology: The Official Journal of the Southern Gerontological Society, 40(3), 328–338. https://doi.org/10.1177/0733464820929863

15.

Dierickx

Dierckx

Claes

Rossi

(2022). Measuring behavioral inhibition and behavioral activation in older adults: Construct validity of the Dutch BIS/BAS scales. Assessment, 29(6), 1061–1074. https://doi.org/10.1177/10731911211000123

16.

Gakhar

(2019). Role of optimism bias and risk attitude on investment behaviour. Theoretical Economics Letters, 9(4), 852–871. https://doi.org/10.4236/tel.2019.94056

17.

Gray

J. A.

(1981). A critique of Eysenck's theory of personality. In Eysenck

H. J.

(Ed.), A model for personality (pp. 246–276). Springer.

18.

Hair

J. F.

Black

W. C.

Babin

B. J.

Anderson

R. E.

(2019). Multivariate data analysis (8th ed.). Cengage Learning.

19.

Hair

J. F.

Hult

G. T. M.

Ringle

C. M.

Sarstedt

(2022). A primer on partial least squares structural equation modeling (3rd ed.). Sage.

20.

Hauer

Lamb

S. E.

Jorstad

E. C.

Todd

Becker

PROFANE-Group . (2006). Systematic review of definitions and methods of measuring falls in randomised controlled fall prevention trials. Age and Ageing, 35(1), 5–10. https://doi.org/10.1093/ageing/afi218

21.

Hayes

A. F.

(2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. Guilford Press.

22.

Hong

C. M.

(2016). Development of perception measurement of fall risk for the community-dwelling elderly [Dissertation]. Ewha Womans University.

23.

Hou

Chen

Cheng

(2022). The effect of risk perception and other psychological factors on mobile phone use while crossing the street among pedestrians. Accident Analysis & Prevention, 170, Article e106643. https://doi.org/10.1016/j.aap.2022.106643

24.

Kakara

Bergen

Burns

(2023). Understanding the association of older adult fall risk factors by age and sex through factor analysis. Journal of Applied Gerontology: The Official Journal of the Southern Gerontological Society, 42(7), 1662–1671. https://doi.org/10.1177/07334648231154881

25.

Kim

(2018). The relationship between mental health and falling experience in the elderly [Dissertation]: Chosun University.

26.

Kim

(2001). Korean - BAS/BIS scale. Korean Journal of Health Psychology, 6(2), 19–37.

27.

Kim

Y. H.

(2013). Relations among fall efficacy, perception of fall risk, and fall prevention behavior in the frail elderly at home. Journal of the Korea Academia-Industrial Cooperation Society, 14(7), 3383–3391. https://doi.org/10.5762/kais.2013.14.7.3383

28.

Kimbrel

N. A.

Mitchell

J. T.

Nelson-Gray

R. O.

(2010). An examination of the relationship between behavioral approach system (BAS) sensitivity and social interaction anxiety. Journal of Anxiety Disorders, 24(3), 372–378. https://doi.org/10.1016/j.janxdis.2010.02.002

29.

Kimbrel

N. A.

Nelson-Gray

R. O.

Mitchell

J. T.

(2012). BIS, BAS, and bias: The role of personality and cognitive bias in social anxiety. Personality and Individual Differences, 52(3), 395–400. https://doi.org/10.1016/j.paid.2011.10.041

30.

Knowles

E. S.

Cutter

H. S.

Walsh

D. H.

Casey

N. A.

(1973). Risk-taking as a personality trait. Social Behavior and Personality: An International Journal, 1(2), 123–136. https://doi.org/10.2224/sbp.1973.1.2.123

31.

Lee

E. N.

Choi

E. J.

Jang

M. J.

Hwang

H. J.

(2015). The mediating effect of fall risk perception on the relationship between fracture risk and fall prevention behaviors in women with osteoporosis. Journal of Muscle and Joint Health, 22(2), 130–137. https://doi.org/10.5953/JMJH.2015.22.2.130

32.

Lee

H. P.

(2002). The relationship of irrational gambling belief, gambling motive, and risk taking with pathological gambling [Dissertation]. Korea University.

33.

Lion

Meertens

(2005). Security or opportunity: The influence of risk-taking tendency on risk information preference. Journal of Risk Research, 8(4), 283–294. https://doi.org/10.1080/1366987042000192435

34.

Logan

Kaye

S. A.

Lewis

(2019). The influence of the revised reinforcement sensitivity theory on risk perception and intentions to speed in young male and female drivers. Accident Analysis & Prevention, 132, 105291. https://doi.org/10.1016/j.aap.2019.105291

35.

Megías-Robles

Cándido

Maldonado

Baltruschat

Catena

(2022). Differences between risk perception and risk-taking are related to impulsivity levels. International Journal of Clinical and Health Psychology, 22(3), e100318. https://doi.org/10.1016/j.ijchp.2022.100318

36.

Moser

D. A.

Dricu

Wiest

Schüpbach

Aue

(2020). Social optimism biases are associated with cortical thickness. Social Cognitive and Affective Neuroscience, 15(7), 745–754. https://doi.org/10.1093/scan/nsaa095

37.

Nevitt

M. C.

Cummings

S. R.

Kidd

Black

(1989). Risk factors for recurrent nonsyncopal falls: A prospective study. JAMA, 261(18), 2663–2668. https://doi.org/10.1001/jama.1989.03420180087036

38.

Scholten

M. R.

van Honk

Aleman

Kahn

R. S.

(2006). Behavioral inhibition system (BIS), behavioral activation system (BAS) and schizophrenia: Relationship with psychopathology and physiology. Journal of Psychiatric Research, 40(7), 638–645. https://doi.org/10.1016/j.jpsychires.2006.06.001

39.

Shukla

Mishra

S. K.

Rai

(2021). Optimistic bias, risky behavior, and social norms among Indian college students during COVID-19. Personality and Individual Differences, 183, Article e111076. https://doi.org/10.1016/j.paid.2021.111076

40.

Shumway-Cook

Ciol

M. A.

Hoffman

Dudgeon

B. J.

Yorkston

K. M.

Chan

(2009). Falls in the Medicare population: Incidence, associated factors, and impact on health care. Physical Therapy, 89(4), 324–332. https://doi.org/10.2522/ptj.20070107

41.

Suh

Kim

Suh

(2019). Relationships between factors from the theory of planned behavior, optimistic bias, and fruit and vegetable intake among college students. Korean Journal of Health Psychology, 24(1), 191–208. https://doi.org/10.17315/kjhp.2019.24.1.009

42.

Vaishya

Vaish

(2020). Falls in older adults are serious. Indian Journal of Orthopaedics, 54(1), 1–3. https://doi.org/10.1007/s43465-019-00037-x

43.

Voigt

D. C.

Dillard

J. P.

Braddock

K. H.

Anderson

J. W.

Sopory

Stephenson

M. T.

(2009). Carver and White’s (1994) BIS/BAS scales and their relationship to risky health behaviors. Personality and Individual Differences, 47(1), 89–93. https://doi.org/10.1016/j.paid.2009.02.003

44.

Weinstein

N. D.

(1984). Why it won’t happen to me: Perceptions of risk factors and susceptibility. Health Psychology: Official Journal of the Division of Health Psychology, American Psychological Association, 3(5), 431–457. https://doi.org/10.1037/0278-6133.3.5.431

45.

Weinstein

N. D.

Klein

W. M. P.

(1996). Unrealistic optimism: Present and future. Journal of Social and Clinical Psychology, 15(1), 1–8. https://doi.org/10.1521/jscp.1996.15.1.1

46.

Weinstein

N. D.

Sandman

P. M.

Blalock

S. J.

(2008). The precaution adoption process model. In Glanz

Rimer

B. K.

Viswanath

(Eds.), Health behavior and health education (4th ed., pp. 123–147). Jossey-Bass.

47.

Weinstein

N. D.

William

M. K.

(1996). Unrealistic optimism: Present and future. Journal of Social and Clinical Psychology, 15(1), 1–8. https://doi.org/10.1521/jscp.1996.15.1.1

48.

L.-C.

Chou

M.-Y.

Liang

C.-K.

Lin

Y.-T.

Y.-C.

Wang

R.-H.

(2016). Factors affecting one-year mortality of elderly patients after surgery for hip fracture. International Journal of Gerontology, 10(4), 207–211. https://doi.org/10.1016/j.ijge.2016.02.004. https://www.sciencedirect.com/science/article/pii/S1873959816301235

The Serial Mediating Effect of Optimistic Bias and Risk-Taking on the Relationship Between the Behavioral Activation System and Fall Risk Awareness in Older Adults

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Keywords

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