TY - JOUR AU - V. B. Decker AU - S. Patrick AU - N. Ozougwu AU - J. Lopez AU - J. R. M. Suarez AU - C. Banarjee AU - D. Kim AU - C. S. Leinbach AU - L. Thiamwong A1 - AB - PURPOSE: To explore the relationship between depressive symptoms and fear of falling (FoF) to identify shared risk factors and inform integrated prevention strategies. METHOD: A cross-sectional correlational design was conducted in three phases to examine relationships between depressive symptoms and FoF in 354 community-dwelling older adults. Depressive symptoms were assessed with the Patient Health Questionnaire-9, FoF with the Short Falls Efficacy Scale-International, and individual differences in behavioral inhibition and action with the Behavioral Inhibition System and Behavioral Activation System. RESULTS: Depressive symptoms were significantly associated with falls and FoF beyond other factors. The regression model showed that FoF independently predicted depressive symptoms, indicating a direct role in depression. Other factors (age, living alone) may operate through shared pathways. CONCLUSION: Findings support existing research, suggesting that psychological factors, such as FoF, play a key role in the mental health of older adults. AD - University of Central Florida, Orlando, Florida. AN - 42347580 BT - J Psychosoc Nurs Ment Health Serv C5 - Healthcare Disparities DA - 06/2026 DO - 10.3928/02793695-20260619-03 DP - NLM ET - 20260629 JF - J Psychosoc Nurs Ment Health Serv LA - eng N2 - PURPOSE: To explore the relationship between depressive symptoms and fear of falling (FoF) to identify shared risk factors and inform integrated prevention strategies. METHOD: A cross-sectional correlational design was conducted in three phases to examine relationships between depressive symptoms and FoF in 354 community-dwelling older adults. Depressive symptoms were assessed with the Patient Health Questionnaire-9, FoF with the Short Falls Efficacy Scale-International, and individual differences in behavioral inhibition and action with the Behavioral Inhibition System and Behavioral Activation System. RESULTS: Depressive symptoms were significantly associated with falls and FoF beyond other factors. The regression model showed that FoF independently predicted depressive symptoms, indicating a direct role in depression. Other factors (age, living alone) may operate through shared pathways. CONCLUSION: Findings support existing research, suggesting that psychological factors, such as FoF, play a key role in the mental health of older adults. PY - 2026 SN - 0279-3695 (Print); 0279-3695 SP - 1 EP - 12+ ST - Depressive Symptoms, Fear of Falling, and the Case for Integrated Mental Health Interventions in Geriatric Care: Breaking the Cycle T1 - Depressive Symptoms, Fear of Falling, and the Case for Integrated Mental Health Interventions in Geriatric Care: Breaking the Cycle T2 - J Psychosoc Nurs Ment Health Serv TI - Depressive Symptoms, Fear of Falling, and the Case for Integrated Mental Health Interventions in Geriatric Care: Breaking the Cycle U1 - Healthcare Disparities U3 - 10.3928/02793695-20260619-03 VO - 0279-3695 (Print); 0279-3695 Y1 - 2026 ER -