Bränström Harriet, Fahlström Martin
Department of Community Medicine and Rehabilitation, Rehabilitation Medicine, Umeå University, Umeå, Sweden.
J Rehabil Med. 2008 May;40(5):375-80. doi: 10.2340/16501977-0186.
To investigate the degree of kinesiophobia in patients with chronic pain, to examine differences in kinesiophobia and other pain-related characteristics between men and women, and to examine differences in pain-related characteristics between patients with high and low levels of kinesiophobia.
Postal survey.
SUBJECTS/PATIENTS: Eighty-eight men and 173 women with chronic musculoskeletal pain.
Patients completed questionnaires covering background data, pain variables, disability and psychological characteristics. The Swedish version of Tampa Scale for Kinesiophobia (TSK-SV) was used to measure kinesiophobia.
Kinesiophobia (TSK-SV score >37) was found in 56% of patients, with men having a higher frequency (72%) than women (48%). Pain intensity was correlated with TSK-SV score in both men and women. No correlations were found between kinesiophobia and age, pain duration or probable depression/anxiety. Women with high kinesiophobia tended to be younger, had more pain and showed more tiredness, disability, stress, interference and life dissatisfaction compared with women with low kinesiophobia. These differences were not seen in men.
The results indicate differences between men and women with chronic pain. The use of the TSK-SV questionnaire might assist therapists to identify patients whose fear of movement may negatively impact their rehabilitation. There is some evidence to suggest that optimal cut-off scores may differ between male and female patients.
调查慢性疼痛患者的运动恐惧程度,研究男性和女性在运动恐惧及其他疼痛相关特征方面的差异,以及运动恐惧程度高和低的患者在疼痛相关特征方面的差异。
邮寄调查。
受试者/患者:88名男性和173名患有慢性肌肉骨骼疼痛的女性。
患者完成涵盖背景数据、疼痛变量、残疾和心理特征的问卷。使用瑞典版坦帕运动恐惧量表(TSK-SV)来测量运动恐惧。
56%的患者存在运动恐惧(TSK-SV评分>37),男性的发生率(72%)高于女性(48%)。男性和女性的疼痛强度均与TSK-SV评分相关。运动恐惧与年龄、疼痛持续时间或可能的抑郁/焦虑之间未发现相关性。与运动恐惧程度低的女性相比,运动恐惧程度高的女性往往更年轻,疼痛更多,且表现出更多的疲劳、残疾、压力、干扰和生活不满。男性中未观察到这些差异。
结果表明慢性疼痛的男性和女性之间存在差异。使用TSK-SV问卷可能有助于治疗师识别那些对运动的恐惧可能对其康复产生负面影响的患者。有证据表明,最佳临界值在男性和女性患者之间可能有所不同。