Tendon Research Group, Master Program in Physical Therapy and Functioning Physical Therapy Department, Federal University of Ceara, Fortaleza, CE, Brazil.
Master Program in Physical Therapy and Functioning Physical Therapy Department, Federal University of Ceara, Fortaleza, CE, Brazil.
Phys Ther Sport. 2024 May;67:118-124. doi: 10.1016/j.ptsp.2024.04.004. Epub 2024 Apr 18.
This study aimed to investigate the association between psychosocial factors and the severity of Achilles tendinopathy, along with exploring their potential link to the pain's duration.
A cross-sectional study involving 111 individuals with Achilles tendon pain was conducted.
A cross-sectional study involving 111 individuals with Achilles tendon pain was conducted. Various psychological factors were assessed using the Pain Catastrophizing Scale, Chronic Pain Self-Efficacy Scale (CPSS), Tampa Scale for Kinesiophobia, and Hospital Anxiety and Depression Scale (HAD). Additionally, the severity of Achilles tendon pain was evaluated using the Victorian Institute of Sport Assessment-Achilles questionnaire (VISA-A-Br). Regression analyses were employed to determine the association of these psychosocial factors with pain severity and duration.
Self-efficacy for chronic pain showed a slight association with Achilles tendon pain severity (β = 0.42 [95% CI: 0.06 to 0.16], p = 0.001), explaining only 19% of the dependent variable. The other variables, including anxiety, depression, pain catastrophizing, and fear of movement, did not exhibit significant associations.
The study suggests that psychological factors demonstrate limited association with the severity of Achilles tendinopathy. While self-efficacy for chronic pain was weakly associated, its clinical relevance remains uncertain. Future research, particularly longitudinal studies, should explore the influence of psychosocial factors on treatment adherence and response to enhance management strategies for Achilles tendon pain.
本研究旨在探讨心理社会因素与跟腱病严重程度之间的关联，并探讨其与疼痛持续时间之间的潜在联系。
对 111 名患有跟腱疼痛的个体进行了横断面研究。采用疼痛灾难化量表、慢性疼痛自我效能感量表（CPSS）、运动恐惧量表（Tampa 量表）和医院焦虑抑郁量表（HAD）评估了各种心理因素。此外，还采用维多利亚运动评估-跟腱问卷（VISA-A-Br）评估了跟腱疼痛的严重程度。回归分析用于确定这些心理社会因素与疼痛严重程度和持续时间的关系。
慢性疼痛自我效能感与跟腱疼痛严重程度呈轻微相关（β=0.42[95%CI：0.06 至 0.16]，p=0.001），仅解释了因变量的 19%。其他变量，包括焦虑、抑郁、疼痛灾难化和运动恐惧，与疼痛严重程度无显著相关性。
研究表明，心理社会因素与跟腱病的严重程度相关性有限。虽然慢性疼痛自我效能感呈弱相关，但其实践相关性仍不确定。未来的研究，特别是纵向研究，应探讨心理社会因素对治疗依从性和治疗反应的影响，以增强跟腱疼痛的管理策略。
