关键词: Headache kinesiophobia migraine physical activity

来  源:   DOI:10.1080/09593985.2024.2383933

Abstract:
UNASSIGNED: Headaches are the cause of disability worldwide, and among them, migraine stands out as one of the most prevalent. Psychosocial aspects have a relevant role in the prognosis of migraine, but their relationship with these variables is not completely clear.
UNASSIGNED: To investigate the relationship between kinesiophobia and catastrophizing level, self-efficacy, hypervigilance, physical activity level, and disability in individuals with migraine.
UNASSIGNED: Eighty-eight participants answered an online form containing validated questionnaires to evaluate kinesiophobia, catastrophizing, self-efficacy, hypervigilance, and disability. Based on the cutoff point of the Tampa scale, participants were categorized into two groups: migraine with kinesiophobia (KM, n = 45), and migraine without kinesiophobia (NKM, n = 43).
UNASSIGNED: The prevalence of kinesiophobia was 51.1%. The KM group presented higher catastrophizing and disability scores and lower self-efficacy scores, vigorous physical activity time, and physical activity level compared to the NKM group (p < .05). Kinesiophobia was associated with higher catastrophizing levels (r = 0.546, p < .001), hypervigilance (r = 0.302, p = .004) and disability (r = 0.517, p < .001) and lower self-efficacy levels (r = - 0.499, p < .001). In addition, kinesiophobia is associated with the risk of being physically inactive (OR = 0.186, 95% CI: 0.068-0.505).
UNASSIGNED: Kinesiophobia is prevalent in individuals with migraine and should be carefully considered in clinical practice, as it harms participation in physical activities and is associated with worse cognitive and behavioral outcomes.
摘要:
头痛是全球残疾的原因,其中,偏头痛是最常见的疾病之一。心理社会方面在偏头痛的预后中具有相关作用,但是它们与这些变量的关系并不完全清楚。
为了研究运动恐惧症与恐惧水平之间的关系,自我效能感,高度警惕,身体活动水平,偏头痛患者的残疾。
88名参与者回答了一份包含经过验证的问卷的在线表格,以评估运动恐惧症,灾难,自我效能感,高度警惕,和残疾。根据坦帕量表的分界点,参与者分为两组:偏头痛伴运动恐惧症(KM,n=45),和无运动恐惧症的偏头痛(NKM,n=43)。
运动恐惧症的患病率为51.1%。KM组的灾难化和残疾得分较高,自我效能感得分较低,剧烈的身体活动时间,与NKM组相比,体力活动水平(p<0.05)。运动恐惧症与较高的灾难化水平相关(r=0.546,p<.001),高警惕性(r=0.302,p=.004)和残疾(r=0.517,p<.001)以及较低的自我效能水平(r=-0.499,p<.001)。此外,运动恐惧症与身体不活动的风险相关(OR=0.186,95%CI:0.068-0.505)。
运动恐惧症在偏头痛患者中普遍存在,在临床实践中应仔细考虑。因为它损害了参与体育活动,并与更糟糕的认知和行为结果有关。
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