Vitsa Aristea, Moisoglou Ioannis, Galanis Petros, Merkouris Anastasios, Papastavrou Evridiki, Sarafis Pavlos
Department of Nursing, Cyprus University of Technology, Limassol.
Department of Nursing, University of Thessaly, Larisa.
Eur J Transl Myol. 2025 Jun 27;35(2). doi: 10.4081/ejtm.2025.13636. Epub 2025 May 7.
Aim of the present study was to assess the level of catastrophizing pain and kinesiophobia in patients with osteoarthritis and to investigate the association between catastrophizing pain and kinesiophobia. This follow-up study included 170 osteoarthritis patients undergoing surgery. They completed the Pain Catastrophizing Scale and the Tampa Scale for Kinesiophobia preoperatively (T0) and then postoperatively, at one (T1) and six months (T2). The mean score of catastrophizing pain preoperatively indicates moderate to high level of catastrophic pain. Multivariable linear regression analysis with total score of Pain Catastrophizing Scale preoperatively as the dependent variable found that increased age was associated with increased total score of Pain Catastrophizing Scale. The mean kinesiophobia score preoperatively indicates moderate to high level of kinesiophobia. Multivariable linear regression analysis with total score of the Tampa Scale for Kinesiophobia preoperatively as the dependent variable found that increased age and increased patients' inability to manage pain (helplessness) were associated with increased total score of the Tampa Scale for Kinesiophobia. Increased age and catastrophizing pain are predictors of kinesiophobia. Surgical interventions tend to reduce both catastrophizing pain and kinesiophobia.
本研究的目的是评估骨关节炎患者的疼痛灾难化水平和运动恐惧，并调查疼痛灾难化与运动恐惧之间的关联。这项随访研究纳入了170名接受手术的骨关节炎患者。他们在术前（T0）、术后1个月（T1）和6个月（T2）分别完成了疼痛灾难化量表和坦帕运动恐惧量表。术前疼痛灾难化的平均得分表明存在中度至高度的灾难性疼痛。以术前疼痛灾难化量表总分作为因变量的多变量线性回归分析发现，年龄增加与疼痛灾难化量表总分增加相关。术前运动恐惧的平均得分表明存在中度至高度的运动恐惧。以术前坦帕运动恐惧量表总分作为因变量的多变量线性回归分析发现，年龄增加和患者疼痛管理能力下降（无助感）与坦帕运动恐惧量表总分增加相关。年龄增加和疼痛灾难化是运动恐惧的预测因素。手术干预往往会减轻疼痛灾难化和运动恐惧。
