Gencay Can Aslı, Can Serdar Süleyman, Ekşioğlu Emel, Çakcı Fatma Aytül
Department of Physical Medicine and Rehabilitation, University of Health Sciences, Dışkapı Yıldırım Beyazıt Training and Research Hospital, Ankara, Turkey.
Department of Psychiatry, Ankara Yıldırım Beyazıt University, Ankara, Turkey.
Turk J Phys Med Rehabil. 2018 Aug 12;65(2):139-146. doi: 10.5606/tftrd.2019.2585. eCollection 2019 Jun.
This study aims to the effects of kinesiophobia on lymphedema, upper extremity function, depression/anxiety, and quality of life in breast cancer survivors.
Between January 2015 and January 2016, a total of 81 breast cancer survivors (mean age 54.1±10.8 years; range 44 to 70 years) were included. Lymphedema was evaluated based on the circumference measurements. The Tampa Scale for Kinesiophobia (TSK), the Quick Disabilities of Arm, Shoulder, and Hand (Q-DASH) Questionnaire, the Hospital Anxiety and Depression Scale (HADS), and the Short Form-36 (SF-36) were applied to all patients.
We found a significantly higher rate of lymphedema in the patients with kinesiophobia. Kinesiophobic patients had also significantly higher mean scores of TSK, Q-DASH, HADS-A, and HADS-D and lower mean scores of the SF-36 physical scores. Correlation analysis demonstrated that presence of lymphedema, Q-DASH, HADS-A, and HADS-D scores were significantly associated with the TSK scores.
Kinesiophobia increases the risk for lymphedema, depression/anxiety, and decreased upper extremity functioning in breast cancer survivors. Identifying kinesiophobia in breast cancer survivors, psychosocial providers may help to prevent undesirable effects of kinesiophobia.
本研究旨在探讨运动恐惧对乳腺癌幸存者淋巴水肿、上肢功能、抑郁/焦虑及生活质量的影响。
2015年1月至2016年1月，共纳入81例乳腺癌幸存者（平均年龄54.1±10.8岁；年龄范围44至70岁）。根据周长测量评估淋巴水肿情况。对所有患者应用运动恐惧坦帕量表（TSK）、手臂、肩部和手部快速残疾问卷（Q-DASH）、医院焦虑抑郁量表（HADS）及简明健康调查问卷（SF-36）。
我们发现运动恐惧患者的淋巴水肿发生率显著更高。运动恐惧患者的TSK、Q-DASH、HADS-A及HADS-D平均得分也显著更高，而SF-36身体得分的平均得分更低。相关性分析表明，淋巴水肿的存在、Q-DASH、HADS-A及HADS-D得分与TSK得分显著相关。
运动恐惧增加了乳腺癌幸存者发生淋巴水肿、抑郁/焦虑及上肢功能下降的风险。心理社会服务提供者识别乳腺癌幸存者中的运动恐惧，可能有助于预防运动恐惧的不良影响。
