Cross-sectional study investigates anxiety, pain catastrophizing, and self-efficacy's role in kinesiophobia among stroke patients.
Key Points
The study examines how pain catastrophizing and self-efficacy mediate the relationship between anxiety, depressive symptoms, and kinesiophobia in stroke patients with hemiplegia.
Cross-sectional study conducted from March 2023 to September 2024 with 260 stroke patients with hemiplegia.
Assessments included the Tampa Scale for Kinesiophobia, Pain Catastrophizing Scale, Hospital Anxiety and Depression Scale, and Self-Efficacy for Exercise Scale.
Multiple linear regression and parallel mediation analysis were performed to identify relationships among variables.
Age (β = −0.054, p = 0.027), fall history (β = 0.082, p = 0.002), pain catastrophizing (β = 0.569, p < 0.001), and self-efficacy (β = −0.267, p < 0.001) were significantly associated with kinesiophobia.
Anxiety and depressive symptoms had a significant total effect on kinesiophobia (total effect = 0.788, p < 0.001).
Pain catastrophizing and self-efficacy were identified as mediators in the relationship between anxiety, depressive symptoms, and kinesiophobia.