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系统性硬化症中的运动恐惧:与功能状态、肺纤维化、抑郁及其他临床参数的关系

Kinesiophobia in Systemic Sclerosis: Relationship With Functional Status, Pulmonary Fibrosis, Depression, and Other Clinical Parameters.

作者信息

Pehlivan Canan Balamir, Sariyildiz Mustafa Akif, Cevik Remzi, Erbatur Serkan, Batmaz Ibrahim

机构信息

Department of Physical Medicine and Rehabilitation, Siirt Training Research Hospital, Siirt, Turkey.

Department Physical Medicine and Rehabilitation, Uskudar University Faculty of Medicine, Istanbul, Turkey.

出版信息

J Clin Med Res. 2025 May;17(5):256-261. doi: 10.14740/jocmr6202. Epub 2025 May 8.

DOI:10.14740/jocmr6202
PMID:40503069
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12151129/
Abstract

BACKGROUND

The aim of this study was to evaluate the levels of kinesiophobia and its relationship with functional status, quality of life, pulmonary involvement, depression, and other clinical parameters of the disease in patients with systemic sclerosis (SSc).

METHODS

A total of 100 individuals (40 patients with SSc and 60 healthy controls) were included in the study. The Tampa scale was used to assess kinesiophobia. Beck Depression Inventory (BDI) was used to assess depression. Scleroderma Health Assessment Questionnaire (SSc-HAQ) was used to assess functional status. Modified Rodnan skin score was used to assess skin thickness, and high-resolution computed tomography was used to assess lung fibrosis.

RESULTS

The mean Tampa kinesiophobia score was significantly higher in patients with SSc compared to healthy controls. Depressive symptoms were present in 57.5% of patients with SSc. Disease duration, pain, fatigue, disease activity, functional status, pulmonary fibrosis, and depressive symptoms were correlated with kinesiophobia in patients with SSc.

CONCLUSION

There is an increased prevalence of kinesiophobia in patients with SSc, which seems to be more closely associated with disease duration, pain levels, and depressive symptoms.

摘要

背景

本研究旨在评估系统性硬化症(SSc)患者的运动恐惧水平及其与功能状态、生活质量、肺部受累、抑郁及疾病其他临床参数之间的关系。

方法

本研究共纳入100名个体(40例SSc患者和60名健康对照)。采用坦帕量表评估运动恐惧。采用贝克抑郁量表(BDI)评估抑郁。采用硬皮病健康评估问卷(SSc-HAQ)评估功能状态。采用改良罗德南皮肤评分评估皮肤厚度,采用高分辨率计算机断层扫描评估肺纤维化。

结果

与健康对照相比,SSc患者的平均坦帕运动恐惧评分显著更高。57.5%的SSc患者存在抑郁症状。SSc患者的病程、疼痛、疲劳、疾病活动度、功能状态、肺纤维化及抑郁症状与运动恐惧相关。

结论

SSc患者中运动恐惧的患病率增加,这似乎与病程、疼痛程度和抑郁症状密切相关。

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Kinesiophobia in rheumatoid arthritis patients: Relationship with quadriceps muscle strength, fear of falling, functional status, disease activity, and quality of life.类风湿关节炎患者的运动恐惧:与股四头肌力量、跌倒恐惧、功能状态、疾病活动及生活质量的关系。
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