von Piekartz H, Lüers J, Daumeyer H, Mohr G
Abt. Physiotherapie und Rehabilitationswissenschaften, Hochschule Osnabrück, Caprivistr. 30, 49076, Osnabrück, Deutschland.
Hochschule Osnabrück, Abteilung Bewegungsstudien, Osnabrück, Deutschland.
Schmerz. 2017 Oct;31(5):483-488. doi: 10.1007/s00482-017-0220-3.
The aim of this study is to investigate the effects of kinesiophobia on emotion recognition and left/right judgement.
A total of 67 patients with chronic musculoskeletal pain were tested. In all, 24 patients achieved a score >37 on the Tampa Scale of Kinesiophobia and were included in the study. The ability to recognize basic emotions coded through facial expression was assessed using the Facially Expressed Emotion Labeling (FEEL) test. Left/right judgement was evaluated using a special Face-mirroring Assessment and Treatment program. The Toronto Alexithymia Scale-26 (TAS-26) was used to assess if the patients showed signs of alexithymia.
The FEEL score of patients with kinesiophobia was significantly lower (p = 0.019). The recognition of the basic emotions fear (p = 0.026), anger (p = 0.027), and surprise (p = 0.014) showed significant differences in comparison to unaffected subjects. The basic emotion surprise was recognized more often by patients with kinesiophobia (p = 0.014). Only Scale 1 of the TAS-26 (identification problems of emotions) showed a significant difference between patients with kinesiophobia (p = 0.008) and healthy subjects.
The results show that kinesiophobic patients have altered recognition of emotions, problems in left/right judgement, and show signs of alexithymia.
本研究旨在探讨运动恐惧对情绪识别及左右判断的影响。
共对67例慢性肌肉骨骼疼痛患者进行测试。其中，24例患者在坦帕运动恐惧量表上得分>37分，被纳入研究。使用面部表情编码的基本情绪识别能力通过面部表情情绪标签（FEEL）测试进行评估。左右判断通过一个特殊的面部镜像评估与治疗程序进行评估。使用多伦多述情障碍量表-26（TAS-26）评估患者是否有述情障碍迹象。
运动恐惧患者的FEEL得分显著更低（p = 0.019）。与未受影响的受试者相比，基本情绪恐惧（p = 0.026）、愤怒（p = 0.027）和惊讶（p = 0.014）的识别存在显著差异。运动恐惧患者更常识别出基本情绪惊讶（p = 0.014）。仅TAS-26的量表1（情绪识别问题）在运动恐惧患者（p = 0.008）和健康受试者之间显示出显著差异。
结果表明，运动恐惧患者的情绪识别改变，左右判断存在问题，并表现出述情障碍迹象。
