OBJECTIVE: The study\'s aim was to clarify the roles of kinesiophobia and self-efficacy in the relationship between pain catastrophizing and PA in PWH.
METHODS: This cross-sectional study included adult PWH at the Haemophilia Centre of a Tertiary hospital in Beijing, China. The following questionnaires were used to collect data: the general information, the International Physical Activity Short Questionnaire, the Pain Catastrophizing Scale, the Tampa Scale of Kinesiophobia Scale, and the Exercise Self-Efficacy Scale.
RESULTS: The study included a total of 187 PWH, including 154 having haemophilia A and 33 having haemophilia B. The median interquartile range of PA was 594 (198, 1554) MET-min/wk. There were significant differences in PA of patients based on age stage, treatment modality, highest pain score within the last seven days, and presence of haemophilic arthropathy (p < .05). It was showed that pain catastrophizing could directly predict PA (p < .001), accounting for 38.13% of the total effect. Pain catastrophizing also had indirect effects on PA through the mediating factors of kinesiophobia or self-efficacy, and through the chain-mediating effect of kinesiophobia and self-efficacy, accounting for 38.40%, 17.07%, and 6.40%, respectively.
CONCLUSIONS: The study discovered that PWH have limited PA due to pain catastrophizing. This not only directly affects their activity but also indirectly influences it through kinesiophobia and self-efficacy.
目的:本研究的目的是阐明运动恐惧症和自我效能感在PWH疼痛灾难化和PA之间的关系中的作用。
方法:这项横断面研究包括北京某三甲医院血友病中心的成人PWH,中国。以下问卷用于收集数据:一般信息,国际体育活动简短问卷,疼痛灾难量表,运动恐惧症的坦帕量表,和运动自我效能量表。
结果:该研究共包括187个PWH,其中154例患有A型血友病,33例患有B型血友病。PA的中位数四分位数范围为594(198,1554)MET-min/wk。患者的PA根据年龄阶段有显著差异,治疗方式,过去七天内疼痛评分最高,和血友病性关节病的存在(p<0.05)。研究表明,疼痛灾难化可以直接预测PA(p<.001),占总效应的38.13%。疼痛灾难化也通过运动恐惧症或自我效能感的中介因素对PA产生间接影响,通过运动恐惧症和自我效能感的连锁中介作用,占38.40%,17.07%,和6.40%,分别。
结论:研究发现,由于疼痛灾难化,PWH的PA有限。这不仅直接影响他们的活动,而且还通过运动恐惧症和自我效能感间接影响他们的活动。