Objective:To investigate the current status of kinesiophobia in patients with temporomandibular disorders(TMD)and analyze its risk factors.Methods:The Tampa Scale for kinesiophobia for patients with Temporomandibular ...Objective:To investigate the current status of kinesiophobia in patients with temporomandibular disorders(TMD)and analyze its risk factors.Methods:The Tampa Scale for kinesiophobia for patients with Temporomandibular Disorders(TSK-TMD),Numerical Rating Scale(NRS),Hospital Anxiety and Depression Scale(HADS),General Self-Efficacy Scale(GSES),Simplified Coping Style Questionnaire(SCSQ),and Social Support Rating Scale(SSRS)were adopted to measure patient's kinesiophobia,pain intensity,anxiety,depression,self-efficacy,coping styles and social support.Multiple linear regression was used to analyze the risk factors of kinesiophobia in patients with TMD.Results:A total of 307 participants were included in the present study.The average score of patients with kinesiophobia was(34.37±6.96)points.Multiple linear regression analysis showed that pain duration,worst pain intensity,mouth opening limitation,joint noise,joint trauma,self-efficacy,depression,negative coping style,support utilization and education level are independent risk factors for kinesiophobia.Conclusion:Patients with TMD have higher levels of kinesiophobia and poor recognition of the disease.Longer pain duration,pain intensity,mouth opening limitation,joint noise,joint trauma,lower self-efficacy,depression,negative coping style,lower support utilization and lower educational level can be used to predict the degree of kinesiophobia.展开更多
目的分析颈椎前路椎间盘切除融合(anterior cervical discectomy and fusion,ACDF)术后患者运动恐惧分型及影响因素,为制订针对性干预方案提供参考。方法采用横断面调查,选取2022年1月至2023年6月收治的ACDF术后患者作为调查对象,采用...目的分析颈椎前路椎间盘切除融合(anterior cervical discectomy and fusion,ACDF)术后患者运动恐惧分型及影响因素,为制订针对性干预方案提供参考。方法采用横断面调查,选取2022年1月至2023年6月收治的ACDF术后患者作为调查对象,采用一般资料调查表、恐动症Tampa评分量表、多维度运动自我效能量表进行调查。使用潜在剖面分析识别患者运动恐惧分型,二元Logistic回归分析不同运动恐惧类别的影响因素。结果最终纳入137例ACDF术后患者,其运动恐惧分为2个潜在剖面类别:“高恐惧—运动恐惧型”54例占39.4%,“低恐惧—运动回避型”83例占60.6%。相比较于“低恐惧—运动回避型”,女性、体重指数>24.0 kg/m^(2)、运动自我效能得分低的患者发展为“高恐惧—运动恐惧型”的概率大(OR=0.476、0.700、-1.305,P<0.05)。结论ACDF术后患者运动恐惧有2种潜在剖面类别,医护人员应根据其运动恐惧分型,实施针对性干预,以提高其康复运动的积极性。展开更多
文摘Objective:To investigate the current status of kinesiophobia in patients with temporomandibular disorders(TMD)and analyze its risk factors.Methods:The Tampa Scale for kinesiophobia for patients with Temporomandibular Disorders(TSK-TMD),Numerical Rating Scale(NRS),Hospital Anxiety and Depression Scale(HADS),General Self-Efficacy Scale(GSES),Simplified Coping Style Questionnaire(SCSQ),and Social Support Rating Scale(SSRS)were adopted to measure patient's kinesiophobia,pain intensity,anxiety,depression,self-efficacy,coping styles and social support.Multiple linear regression was used to analyze the risk factors of kinesiophobia in patients with TMD.Results:A total of 307 participants were included in the present study.The average score of patients with kinesiophobia was(34.37±6.96)points.Multiple linear regression analysis showed that pain duration,worst pain intensity,mouth opening limitation,joint noise,joint trauma,self-efficacy,depression,negative coping style,support utilization and education level are independent risk factors for kinesiophobia.Conclusion:Patients with TMD have higher levels of kinesiophobia and poor recognition of the disease.Longer pain duration,pain intensity,mouth opening limitation,joint noise,joint trauma,lower self-efficacy,depression,negative coping style,lower support utilization and lower educational level can be used to predict the degree of kinesiophobia.
