Greater kinesiophobia was significantly associated with lower physical activity (τ = -0.248, p = 0.005), lower physical activity self-efficacy (partial r = -0.314 to -0.368, p < 0.015), and poorer quality of life (partial r = -0.520 to -0.558, p < 0.001) in adolescents with congenital heart disease.
Observational (n=63)
No
Does kinesiophobia correlate with physical activity, self-efficacy, and quality of life in adolescents with congenital heart disease?
Cardiac-focused kinesiophobia is independently associated with reduced physical activity self-efficacy and poorer quality of life in adolescents with heart disease, highlighting it as a modifiable target for intervention.
Effect estimate: Kendall's Tau correlation coefficients ranging from -0.248 to -0.457 for kinesiophobia with PA and QoL domains; partial correlation coefficients r = -0.314 to -0.558 controlling for PA
p-value: p < 0.001 to p = 0.005 depending on association
Abstract Kinesiophobia—an excessive, often debilitating fear of movement or exercise—has emerged as an important moderator of physical activity (PA) and has been linked with quality of life (QoL), anxiety, and depression in adolescents with heart disease (HD). This study explores additional factors that may be related to cardiac-focused kinesiophobia, including self-efficacy, PA engagement, and QoL. Sixty-three adolescents (mean age = 15.5 years; 49% female) with congenital or acquired HD completed the TSK-Heart-A, the Physical Activity Questionnaire for Adolescents (PAQ-A), the Pediatric Quality of Life Inventory (PedsQL™) Generic Core and Cardiac Module, and the Domain-Specific Physical Activity Efficacy Questionnaire (DSPAEQ-A). Data were analyzed using Kendall’s Tau correlations and bootstrapped partial correlations controlling for PA. Greater kinesiophobia correlated with lower PA across both PA measures (τ = − 0.248), lower PA self-efficacy across household, leisure-time, and ambulatory domains (τ = − 0.293 to − 0.356), and poorer QoL for both generic and cardiac scales (τ = − 0.403, − 0.400). When controlling for PA, kinesiophobia remained significantly related to lower self-efficacy ( r = − 0.314 to − 0.368) and poorer QoL ( r = − 0.558, − 0.520). Cardiac-focused kinesiophobia is a salient psychological factor in pediatric HD and is tied to lower self-reported PA, poorer QoL and is independently associated with reduced PA self-efficacy—a modifiable resilience construct. These findings support the development of interventions that target fear-avoidance mechanisms and build self-efficacy to improve everyday activity and psychosocial functioning in adolescent HD.
Black et al. (Thu,) conducted a observational in Adolescents aged 12-18 years with congenital or acquired heart disease including single ventricle heart disease, cardiomyopathy, long QT syndrome, complex supraventricular tachycardia, Wolff-Parkinson-White, arrhythmogenic right ventricular cardiomyopathy, ventricular tachycardia, catecholaminergic polymorphic ventricular tachycardia, and unexplained cardiac arrest (n=63). Greater kinesiophobia was significantly associated with lower physical activity (τ = -0.248, p = 0.005), lower physical activity self-efficacy (partial r = -0.314 to -0.368, p < 0.015), and poorer quality of life (partial r = -0.520 to -0.558, p < 0.001) in adolescents with congenital heart disease.