Investigating the effect of illness perception on motor function in cardioembolic stroke patients using the fear-avoidance model: The mediating role of kinesiophobia

IF 2.4 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart & Lung Pub Date : 2025-02-22 DOI:10.1016/j.hrtlng.2025.02.006

Yunmei Ding , Shouwei Yue , Jing Li , Lu Wang , Jiayun Gu , Yan Cui

{"title":"Investigating the effect of illness perception on motor function in cardioembolic stroke patients using the fear-avoidance model: The mediating role of kinesiophobia","authors":"Yunmei Ding , Shouwei Yue , Jing Li , Lu Wang , Jiayun Gu , Yan Cui","doi":"10.1016/j.hrtlng.2025.02.006","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Cardioembolic stroke is the most common cause of ischemic stroke, and patients frequently have motor dysfunction as well as psychological disorders. Both physical and psychological causes can have an impact on a patient's motor function.</div></div><div><h3>Objectives</h3><div>In this study, we used the fear-avoidance model to examine the impact of patients' illness perception and kinesiophobia (excessive fear of exercise) on their motor function.</div></div><div><h3>Methods</h3><div>Between June 2021 and February 2022, we conducted a cross-sectional study of 319 participants diagnosed with cardioembolic stroke in the selected hospitals. Correlation analyses and mediation effects tests were used to analyze the relationship between patients' illness perception, kinesiophobia, and motor function.</div></div><div><h3>Results</h3><div>The total motor function score of the patients was (21.39 ± 29.30), the total kinesiophobia score was (48.51 ± 8.33), and the total illness perception score was (53.37 ± 16.82). There was a negative correlation between illness perception and motor function (<em>r</em> = -0.734, <em>P</em> < 0.001), a negative correlation between kinesiophobia and motor function (<em>r</em> = -0.522, <em>P</em> < 0.001), and a positive correlation between illness perception and kinesiophobia (<em>r</em> = 0.508, <em>P</em> < 0.001); kinesiophobia played a mediating role between illness perception and motor function (β = -0.63, <em>P</em> < 0.001).</div></div><div><h3>Conclusions</h3><div>The findings revealed that individuals with cardioembolic strokes had poor motor function, as well as negative illness perception and kinesiophobia. Negative illness perception had a direct impact on patients' motor function as well as an indirect effect via kinesiophobia. The fear-avoidance model contributes to understanding the process of reduced motor function in cardioembolic stroke patients.</div></div>","PeriodicalId":55064,"journal":{"name":"Heart & Lung","volume":"71 ","pages":"Pages 39-46"},"PeriodicalIF":2.4000,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Heart & Lung","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0147956325000329","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CARDIAC & CARDIOVASCULAR SYSTEMS","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Cardioembolic stroke is the most common cause of ischemic stroke, and patients frequently have motor dysfunction as well as psychological disorders. Both physical and psychological causes can have an impact on a patient's motor function.

Objectives

In this study, we used the fear-avoidance model to examine the impact of patients' illness perception and kinesiophobia (excessive fear of exercise) on their motor function.

Methods

Between June 2021 and February 2022, we conducted a cross-sectional study of 319 participants diagnosed with cardioembolic stroke in the selected hospitals. Correlation analyses and mediation effects tests were used to analyze the relationship between patients' illness perception, kinesiophobia, and motor function.

Results

The total motor function score of the patients was (21.39 ± 29.30), the total kinesiophobia score was (48.51 ± 8.33), and the total illness perception score was (53.37 ± 16.82). There was a negative correlation between illness perception and motor function (r = -0.734, P < 0.001), a negative correlation between kinesiophobia and motor function (r = -0.522, P < 0.001), and a positive correlation between illness perception and kinesiophobia (r = 0.508, P < 0.001); kinesiophobia played a mediating role between illness perception and motor function (β = -0.63, P < 0.001).

Conclusions

The findings revealed that individuals with cardioembolic strokes had poor motor function, as well as negative illness perception and kinesiophobia. Negative illness perception had a direct impact on patients' motor function as well as an indirect effect via kinesiophobia. The fear-avoidance model contributes to understanding the process of reduced motor function in cardioembolic stroke patients.

Abstract Image

查看原文本刊更多论文

背景心血管栓塞性卒中是缺血性卒中最常见的病因，患者常伴有运动功能障碍和心理障碍。方法 2021 年 6 月至 2022 年 2 月，我们对选定医院中确诊为心肌栓塞性脑卒中的 319 名参与者进行了横断面研究。结果患者的运动功能总分为（21.39±29.30）分，运动恐惧总分为（48.51±8.33）分，疾病认知总分为（53.37±16.82）分。疾病认知与运动功能呈负相关（r = -0.734，P < 0.001），运动恐惧与运动功能呈负相关（r = -0.522，P < 0.001），疾病认知与运动恐惧呈正相关（r = 0.508, P < 0.001）；运动恐怖症在疾病认知与运动功能之间起中介作用（β = -0.63, P < 0.001）。消极的疾病认知对患者的运动功能有直接影响，也会通过运动恐惧产生间接影响。恐惧-回避模型有助于理解心血管栓塞性脑卒中患者运动功能减退的过程。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Heart & Lung 医学-呼吸系统

CiteScore

4.60

自引率

3.60%

发文量

184

审稿时长

35 days

期刊介绍： Heart & Lung: The Journal of Cardiopulmonary and Acute Care, the official publication of The American Association of Heart Failure Nurses, presents original, peer-reviewed articles on techniques, advances, investigations, and observations related to the care of patients with acute and critical illness and patients with chronic cardiac or pulmonary disorders. The Journal''s acute care articles focus on the care of hospitalized patients, including those in the critical and acute care settings. Because most patients who are hospitalized in acute and critical care settings have chronic conditions, we are also interested in the chronically critically ill, the care of patients with chronic cardiopulmonary disorders, their rehabilitation, and disease prevention. The Journal''s heart failure articles focus on all aspects of the care of patients with this condition. Manuscripts that are relevant to populations across the human lifespan are welcome.