Factors associated with kinesiophobia among myocardial infarction survivors: a biopsychosocial perspective
ObjectivesThis study aimed to examine the factors associated with kinesiophobia among myocardial infarction (MI) survivors.MethodsThis study was based on the Biopsychosocial (BPS) model. A multicenter, descriptive, cross-sectional study was conducted at three tertiary hospitals in Changsha, Hunan Pr...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-08-01
|
| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1551758/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849237414948634624 |
|---|---|
| author | Xiaodan Zhang Yamin Li Qiuping Ma Zheyi Jiang Xinrui Han Keming Yi Lifang Cao |
| author_facet | Xiaodan Zhang Yamin Li Qiuping Ma Zheyi Jiang Xinrui Han Keming Yi Lifang Cao |
| author_sort | Xiaodan Zhang |
| collection | DOAJ |
| description | ObjectivesThis study aimed to examine the factors associated with kinesiophobia among myocardial infarction (MI) survivors.MethodsThis study was based on the Biopsychosocial (BPS) model. A multicenter, descriptive, cross-sectional study was conducted at three tertiary hospitals in Changsha, Hunan Province, China, with MI survivors as participants. The Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), Exercise Self-Efficacy Scale (ESES), Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Self-Perceived Burden Scale (SPBS), the 10-Item Connor-Davidson Resilience Scale (CD-RISC-10), Family Resilience Assessment Scale (FRAS), Multidimensional Scale of Perceived Social Support (MSPSS) and Social Support Rating Scale (SSRS) were used to collect data. Hierarchical regression analysis was employed to identify significant predictors of kinesiophobia.ResultsA total of 414 MI survivors participated. Hierarchical regression analysis showed that the total explanatory power of the model was 56.9%, with sociodemographic factors accounting for 17.0% and cognitive, behavioral, psychological and social support factors accounting for 39.9%. Kinesiophobia was significantly associated with age, gender, education level, disease duration, number of complications, exercise intensity, exercise duration, exercise frequency, exercise self-efficacy (ESE), depression, self-perceived burden (SPB), mental resilience, family resilience, perceived social support (PSS), and actual social support (ASS).ConclusionsThis study identified several sociodemographic, psychosocial, and behavioral factors associated with kinesiophobia in MI survivors. Based on these findings, integrating psychological support, behavior-focused interventions, and strengthened social support systems may help reduce kinesiophobia in this population. |
| format | Article |
| id | doaj-art-a740f21cf3cc41c1bac2ad64d7df971e |
| institution | Kabale University |
| issn | 1664-0640 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj-art-a740f21cf3cc41c1bac2ad64d7df971e2025-08-20T04:01:58ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-08-011610.3389/fpsyt.2025.15517581551758Factors associated with kinesiophobia among myocardial infarction survivors: a biopsychosocial perspectiveXiaodan Zhang0Yamin Li1Qiuping Ma2Zheyi Jiang3Xinrui Han4Keming Yi5Lifang Cao6Department of Cardiology, The Second Xiangya Hospital, Central South University, Changsha, ChinaClinical Nursing Teaching and Research Section, Second Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Changsha, ChinaDepartment of Cardiology, The Second Xiangya Hospital, Central South University, Changsha, ChinaObjectivesThis study aimed to examine the factors associated with kinesiophobia among myocardial infarction (MI) survivors.MethodsThis study was based on the Biopsychosocial (BPS) model. A multicenter, descriptive, cross-sectional study was conducted at three tertiary hospitals in Changsha, Hunan Province, China, with MI survivors as participants. The Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), Exercise Self-Efficacy Scale (ESES), Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Self-Perceived Burden Scale (SPBS), the 10-Item Connor-Davidson Resilience Scale (CD-RISC-10), Family Resilience Assessment Scale (FRAS), Multidimensional Scale of Perceived Social Support (MSPSS) and Social Support Rating Scale (SSRS) were used to collect data. Hierarchical regression analysis was employed to identify significant predictors of kinesiophobia.ResultsA total of 414 MI survivors participated. Hierarchical regression analysis showed that the total explanatory power of the model was 56.9%, with sociodemographic factors accounting for 17.0% and cognitive, behavioral, psychological and social support factors accounting for 39.9%. Kinesiophobia was significantly associated with age, gender, education level, disease duration, number of complications, exercise intensity, exercise duration, exercise frequency, exercise self-efficacy (ESE), depression, self-perceived burden (SPB), mental resilience, family resilience, perceived social support (PSS), and actual social support (ASS).ConclusionsThis study identified several sociodemographic, psychosocial, and behavioral factors associated with kinesiophobia in MI survivors. Based on these findings, integrating psychological support, behavior-focused interventions, and strengthened social support systems may help reduce kinesiophobia in this population.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1551758/fullbiopsychosocial modelexercise rehabilitationfear-avoidance modelkinesiophobiamyocardial infarction |
| spellingShingle | Xiaodan Zhang Yamin Li Qiuping Ma Zheyi Jiang Xinrui Han Keming Yi Lifang Cao Factors associated with kinesiophobia among myocardial infarction survivors: a biopsychosocial perspective Frontiers in Psychiatry biopsychosocial model exercise rehabilitation fear-avoidance model kinesiophobia myocardial infarction |
| title | Factors associated with kinesiophobia among myocardial infarction survivors: a biopsychosocial perspective |
| title_full | Factors associated with kinesiophobia among myocardial infarction survivors: a biopsychosocial perspective |
| title_fullStr | Factors associated with kinesiophobia among myocardial infarction survivors: a biopsychosocial perspective |
| title_full_unstemmed | Factors associated with kinesiophobia among myocardial infarction survivors: a biopsychosocial perspective |
| title_short | Factors associated with kinesiophobia among myocardial infarction survivors: a biopsychosocial perspective |
| title_sort | factors associated with kinesiophobia among myocardial infarction survivors a biopsychosocial perspective |
| topic | biopsychosocial model exercise rehabilitation fear-avoidance model kinesiophobia myocardial infarction |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1551758/full |
| work_keys_str_mv | AT xiaodanzhang factorsassociatedwithkinesiophobiaamongmyocardialinfarctionsurvivorsabiopsychosocialperspective AT yaminli factorsassociatedwithkinesiophobiaamongmyocardialinfarctionsurvivorsabiopsychosocialperspective AT qiupingma factorsassociatedwithkinesiophobiaamongmyocardialinfarctionsurvivorsabiopsychosocialperspective AT zheyijiang factorsassociatedwithkinesiophobiaamongmyocardialinfarctionsurvivorsabiopsychosocialperspective AT xinruihan factorsassociatedwithkinesiophobiaamongmyocardialinfarctionsurvivorsabiopsychosocialperspective AT kemingyi factorsassociatedwithkinesiophobiaamongmyocardialinfarctionsurvivorsabiopsychosocialperspective AT lifangcao factorsassociatedwithkinesiophobiaamongmyocardialinfarctionsurvivorsabiopsychosocialperspective |