Kinesiophobia and Its Association With Fatigue in CHF Patients

Qin, Jingwen; Xiong, Juanjuan; Wang, Xue; Gao, Ya; Gong, Kaizheng

doi:10.1177/10547738221081230

Cited by 15 publications

(24 citation statements)

References 44 publications

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“…Kinesiophobia has a detrimental impact on rehabilitation outcomes and prognosis, which leads to lower levels of PA and reduced involvement in exercise-based cardiac rehabilitation 55. Furthermore, a comprehensive review of kinesiophobia in patients with chronic heart failure revealed a moderate correlation between kinesiophobia and fatigue 56. Larsson mentioned that patients with low PA levels displayed higher levels of kinesiophobia 57.…”

Section: Discussionmentioning

confidence: 99%

“… 55 Furthermore, a comprehensive review of kinesiophobia in patients with chronic heart failure revealed a moderate correlation between kinesiophobia and fatigue. 56 Larsson mentioned that patients with low PA levels displayed higher levels of kinesiophobia. 57 Previous studies in patients with CHD have demonstrated that self-efficacy is one of the predictors of numerous health behaviours, such as smoking cessation and the reduction in sedentary behaviour.…”

Section: Discussionmentioning

confidence: 99%

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Mediating effect of kinesiophobia between self-efficacy and physical activity levels in post-CABG patients: protocol for a prospective, multicentre, cross-sectional study in China

Piao

Ling

et al. 2022

BMJ Open

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IntroductionPhysical activity (PA) can improve cardiac function, exercise capacity, and quality of life, in addition to reducing mortality by 20%–30% and preventing the recurrence of adverse cardiovascular events in patients following coronary artery bypass graft (CABG). However, PA levels are low in patients after CABG. This study intends to explore the mediating effect of kinesiophobia between self-efficacy and PA levels in patients following CABG.Methods and analysisThe proposed study constitutes a prospective, multicentre and cross-sectional study comprising 413 patients. Four teaching hospitals with good reputations in CABG will be included in the study. All of them are located in Beijing, China, and provide medical service to the whole country. This study will assess the following patient-reported outcome measures: demographic information, International Physical Activity Questionnaire-Long, Social Support Rating Scale, Cardiac Exercise Self-Efficacy Instrument, Multidimensional Fatigue Inventory, Hospital Anxiety and Depression Scale, and Tampa Scale for Kinesiophobia Heart.Ethics and disseminationThis study conforms to the principles of the Declaration of Helsinki and relevant ethical guidelines. Ethical approval has been obtained from the Ethics Committee of The Sixth Medical Centre of PLA General Hospital (approval number: HZKY-PJ-2022–2). All study participants will provide written informed consent. Findings from this study will be published in Chinese or English for widespread dissemination of the results.Trial registration numberChinese Clinical Trial Register, ChiCTR2100054098.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Mediating effect of kinesiophobia between self-efficacy and physical activity levels in post-CABG patients: protocol for a prospective, multicentre, cross-sectional study in China

Piao

Ling

et al. 2022

BMJ Open

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“…Inclusion criteria: (a) Diagnostic criteria based on the 2021 GLOBAL Initiative guidelines for COPD (Qin et al, 2022 ); (b) Normal verbal communication ability; (c) Voluntarily sign informed consent and agree to participate in the investigation. Exclusion criteria: (a) Patients with severe respiratory diseases; (b) Conforming to the diagnostic criteria for coronary heart disease of the American College of Cardiology, accompanied by varying degrees of chest pain, chest tightness, and combined with ECG, imaging, etc.…”

Section: The Studymentioning

confidence: 99%

“…Inclusion criteria: (a) Diagnostic criteria based on the 2021 GLOBAL Initiative guidelines for COPD (Qin et al, 2022)…”

Section: Sample Recruitmentmentioning

confidence: 99%

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Identifying patterns of kinesiophobia trajectories among COPD patients: A longitudinal study

et al. 2023

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Aim To determine differences in kinesiophobia levels among COPD patients at different time points 6 months after discharge；To identify potential subgroups of COPD patients who perceived different levels of kinesiophobia over time；and to evaluate differences in identified subgroups based on demographic and disease‐related characteristics Design An observational longitudinal study. Methods OPD patients hospitalized in respiratory department of a grade A hospital in Huzhou city from October 2021 to May 2022 were selected as the research objects. TSK scale was used to evaluate the level of kinesiophobia at discharge (T1), 1 month after discharge (T2), 4 months after discharge (T3) and 6 months after discharge (T4). The kinesiophobia level scores at different time points were compared using latent class growth modelling. ANOVA and Fisher's exact tests were used to test differences in demographic characteristics，and univariate analysis and multinomial logistic regression analysis were used to explore the influencing factors. Results During the first 6 months after discharge, kinesiophobia levels decreased significantly in the entire sample of COPD patients. The best‐fitting group‐based trajectory model described three distinctive trajectories: Low kinesiophobia group (31.4% of sample); Medium kinesiophobia group (43.4% of sample)；and High kinesiophobia group (25.2% of sample). Logistic regression results showed that sex, age, course of disease, pulmonary function, education level, BMI, the level of pain, MCFS and mMRC were influencing factors of kinesiophobia trajectory in COPD patients ( p < 0.05).

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Influencing factors of kinesiophobia in older patients with chronic heart failure: A structural equation model

Qin

Xiong

Chen

et al. 2023

Clinical Cardiology

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Background Our recent study has demonstrated that kinesiophobia is common in Chinese inpatients with chronic heart failure (CHF). Symptoms of heart failure (HF), coping mode, self‐efficacy for exercise (SEE), and social support have been reported to be associated with kinesiophobia. However, little is known about the relationships between these four variables and kinesiophobia in older patients with CHF. Objective To test a model of influencing factors of kinesiophobia in older CHF patients. Methods A cross‐sectional design was conducted from January 2021 to October 2021. The general information questionnaire, the Chinese version of the Tampa Scale for Kinesiophobia Heart (TSK‐SV Heart‐C), Symptom Status Questionnaire‐Heart Failure, SEE, the Medical Coping Modes Questionnaire, and Social Support Rating Scale were used. Spearman correlation analysis and structural equation model (SEM) were performed for data analysis. Results A total of 270 older patients with CHF were recruited. Symptom status of HF (r = 0.455, p < .01), avoidance coping mode (r = 0.393, p <.01), and yielding coping mode (r = 0.439, p < .01) were positively correlated with kinesiophobia, while SEE (r = −0.530, p < .01), facing coping mode (r = −0.479, p < .01), and social support (r = −0.464, p < .01) were negatively correlated with kinesiophobia. SEM analysis showed that social support could affect kinesiophobia through the mediating variables of symptom status of HF, avoidance coping mode, and exercise self‐efficacy. Conclusions Symptoms of HF, coping mode, SEE, and social support may play role in kinesiophobia in older CHF patients. We should pay more attention to the synergies among these four variables in the improvement of kinesiophobia.

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Kinesiophobia and Its Association With Fatigue in CHF Patients

Cited by 15 publications

References 44 publications

Mediating effect of kinesiophobia between self-efficacy and physical activity levels in post-CABG patients: protocol for a prospective, multicentre, cross-sectional study in China

Mediating effect of kinesiophobia between self-efficacy and physical activity levels in post-CABG patients: protocol for a prospective, multicentre, cross-sectional study in China

Identifying patterns of kinesiophobia trajectories among COPD patients: A longitudinal study

Influencing factors of kinesiophobia in older patients with chronic heart failure: A structural equation model

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