Highlights
- •As the first study to investigate kinesiophobia in patients with AP of CAD, we have refocused on the effect of "fear of pain" on kinesiophobia in individuals with CAD.
- •This study provides new insights into the application of kinesiophobia in patients with CAD, which can improve the attention of kinesiophobia in patients with AP of CAD.
- •We also reviewed the status quo, identified factors related to kinesiophobia and provided guidance for reducing kinesiophobia in patients with AP of CAD.
Abstract
Background
In the field of chronic pain research, kinesiophobia is defined as avoidance behavior
due to fear of pain, but this perspective seems to be neglected in the field of coronary
artery disease (CAD).
Objective
To investigate the status quo of angina pectoris (AP) and kinesiophobia and factors
associated with kinesiophobia in patients with AP of CAD.
Methods
This was a cross-sectional study. Participants were recruited by convenience sampling,
and patients with AP of CAD in four wards of the Cardiology Department of a hospital
were enrolled in this study. Participants completed questionnaires and scales face-to-face
with researchers.
Results
Most patients with AP of CAD suffered from at least moderate pain episodes (60.2%)
of at least 5 minutes per episode (53.8%), but less than 1/3 of patients reached 5
instances of pain per week (29.1%). The total score of kinesiophobia in patients was
40.80±6.65, and the vast majority of patients had moderate to high levels of kinesiophobia
(75.7%). The results of multiple linear stepwise regression analysis showed that personal
monthly income, New York Heart Function Assessment (NYHA) classification, pain intensity,
and pain resilience were independent factors associated with kinesiophobia, and these
factors explained 30.2% of the variation in total scores of kinesiophobia.
Conclusion
The symptoms of AP were prominent in terms of pain intensity and duration of pain.
The level of kinesiophobia was moderate, and this was affected by multiple factors.
Health care providers and researchers seldom pay attention to the kinesiophobia of
patients with AP of CAD. This study refocused on the effect of "fear of pain" in kinesiophobia
in patients with CAD. It opens up new horizons for the application of fear-avoidance
models in CAD patients and helps to raise awareness of kinesiophobia in AP patients
with CAD and provides guidance for reducing the level of kinesiophobia in the future.
Keywords
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Article info
Publication history
Published online: August 17, 2022
Accepted:
July 28,
2022
Received in revised form:
July 8,
2022
Received:
April 2,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
