Varallo Giorgia, Scarpina Federica, Giusti Emanuele Maria, Cattivelli Roberto, Guerrini Usubini Anna, Capodaglio Paolo, Castelnuovo Gianluca
Istituto Auxologico Italiano IRCCS, Psychology Research Laboratory, San Giuseppe Hospital, 28824 Verbania, Italy.
Department of Psychology, Catholic University of Milan, 20123 Milan, Italy.
Brain Sci. 2021 May 22;11(6):684. doi: 10.3390/brainsci11060684.
Individuals suffering from chronic low-back pain and obesity face severe physical and functional limitations. According to the fear-avoidance model, kinesiophobia might play a crucial role in the relationship between pain intensity and disability. Thus, the purpose of this study was to verify the role of kinesiophobia as a mediator in the association between pain intensity and disability in individuals with both chronic low-back pain and obesity. A total of 213 individuals with chronic low-back pain and obesity were included in the study. The level of kinesiophobia, pain intensity and disability were all assessed using self-reported questionnaires. We verified through a simple mediation analysis that kinesiophobia partially mediated the association between pain intensity and disability in our sample. According to our findings, we emphasize the crucial role of kinesiophobia as a psychological factor that should be addressed in chronic low-back pain rehabilitative protocols to reduce disability in individuals with obesity.
患有慢性腰痛和肥胖症的个体面临严重的身体和功能限制。根据恐惧回避模型，运动恐惧可能在疼痛强度与残疾之间的关系中起关键作用。因此，本研究的目的是验证运动恐惧在患有慢性腰痛和肥胖症的个体中作为疼痛强度与残疾之间关联的中介作用。共有213名患有慢性腰痛和肥胖症的个体纳入了本研究。运动恐惧水平、疼痛强度和残疾程度均通过自我报告问卷进行评估。我们通过简单中介分析验证了运动恐惧在我们的样本中部分介导了疼痛强度与残疾之间的关联。根据我们的研究结果，我们强调运动恐惧作为一个心理因素的关键作用，在慢性腰痛康复方案中应予以关注，以减少肥胖个体的残疾程度。
