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Relevance of Kinesiophobia in Relation to Changes Over Time Among Patients After an Acute Coronary Artery Disease Event.
Sahlgrenska University Hospital.
Sahlgrenska University Hospital.
Sahlgrenska University Hospital.
Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.ORCID-id: 0000-0003-4139-6235
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2017 (Engelska)Ingår i: Journal of cardiopulmonary rehabilitation and prevention, ISSN 1932-751XArtikel i tidskrift (Refereegranskat) Epub ahead of print
Hållbar utveckling
Innehållet faller inom området hållbar samhällsutveckling
Abstract [en]

PURPOSE: To identify levels of kinesiophobia during the first 4 months after an acute episode of coronary artery disease (CAD), while controlling for gender, anxiety, depression, and personality traits.

METHODS: In all, 106 patients with CAD (25 women), mean age 63.1 ± 11.5 years, were included in the study at the cardiac intensive care unit, Sahlgrenska University Hospital, Sweden. The patients completed questionnaires at 3 time points: in the cardiac intensive care unit (baseline), 2 weeks, and 4 months after baseline. The primary outcome measure was kinesiophobia. Secondary outcome measures were gender, anxiety, depression, harm avoidance, and positive and negative affect. A linear mixed model procedure was used to compare kinesiophobia across time points and gender. Secondary outcome measures were used as covariates.

RESULTS: Kinesiophobia decreased over time (P = .005) and there was a significant effect of gender (P = .045; higher values for women). The presence of a high level of kinesiophobia was 25.4% at baseline, 19% after 2 weeks, and 21.1% after 4 months. Inclusion of the covariates showed that positive and negative affect and harm avoidance increased model fit. The effects of time and gender remained significant.

CONCLUSIONS: This study highlights that kinesiophobia decreased over time after an acute CAD episode. Nonetheless, a substantial part of the patients were identified with a high level of kinesiophobia across time, which emphasizes the need for screening and the design of a treatment intervention.

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2017.
Nationell ämneskategori
Klinisk medicin
Forskningsämne
Människan i vården
Identifikatorer
URN: urn:nbn:se:hb:diva-13329DOI: 10.1097/HCR.0000000000000265ISI: 000436872200007PubMedID: 28671936Scopus ID: 2-s2.0-85021815112OAI: oai:DiVA.org:hb-13329DiVA, id: diva2:1170681
Tillgänglig från: 2018-01-04 Skapad: 2018-01-04 Senast uppdaterad: 2018-12-07Bibliografiskt granskad

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Herlitz, Johan

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