Related Experiment Video
Updated: May 15, 2025
Investigating Pain-Related Avoidance Behavior using a Robotic Arm-Reaching Paradigm
Published on: October 3, 2020
Kinesiophobia in patients with coronary heart disease: a Rodgers' evolutionary concept analysis
Mei-Jun Zhang1,2, Si Liu1,2, Xiao-Yun Xiong1
1Department of Nursing, The Second Affiliated Hospital of Nanchang University, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi, China.
Insights
Kinesiophobia in coronary heart disease patients involves fear of pain and cardiac events, driven by emotional responses and misperceptions. Early identification and tailored interventions are crucial for managing this condition.
Area of Science:
- Cardiology
- Psychology
- Rehabilitation Science
Background:
- Kinesiophobia research in coronary heart disease (CHD) is growing but often borrows from chronic pain models.
- This approach overlooks unique aspects of CHD, hindering effective patient identification and management.
Purpose of the Study:
- To clarify the concept of kinesiophobia specifically within the context of coronary heart disease.
- Utilize Rodgers' evolutionary concept analysis to provide a precise definition and understanding.
Main Methods:
- Applied Rodgers' evolutionary concept analysis to a literature review.
- Searched 13 databases for English and Chinese studies on CHD patients and kinesiophobia attributes, antecedents, and consequences.
- Included 31 articles meeting specific inclusion criteria, excluding gray literature and protocols.
Main Results:
- Identified kinesiophobia attributes: self-symptomatic distress, complex emotions, avoidance behavior, and misperceptions.
- Antecedents comprised sociodemographic, disease-related, and psychological factors.
- Consequences included reduced cardiac rehabilitation participation, decreased function, increased adverse cardiac events, and lower quality of life.
Conclusions:
- Kinesiophobia in CHD is a subjective avoidance behavior with fear of pain and cardiac events, influenced by personality, emotions, and misperceptions.
- Highlights the necessity for early, multidisciplinary interventions tailored to CHD patients.
- Establishes a basis for developing specialized assessment tools for kinesiophobia in this population.
Introduction:
Research on kinesiophobia in coronary heart disease is increasing, but existing studies primarily adopt concepts from the chronic pain domain, neglecting the specific characteristics of coronary heart disease patients. This gap limits effective identification and management.
Objective:
This study aims to clarify the concept of kinesiophobia in coronary heart disease using Rodgers' evolutionary concept analysis.
Methodology:
Rodgers' evolutionary concept analysis method was applied to review the literature. A comprehensive search was conducted in PubMed, Web of Science, PsycINFO, CINAHL, Cochrane Library, Embase, Scopus, ProQuest, OVID, CNKI, Wanfang Data, CBM, and VIP Database (up to June 30, 2024). Inclusion criteria: Studies on coronary heart disease patients, addressing the concept's attributes, antecedents, and consequences, published in English or Chinese. Exclusion criteria: Unavailable full text, gray literature, non-peer-reviewed texts, and study protocols.
Results:
A total of 31 articles were included. The attributes of kinesiophobia in coronary heart disease patients were identified as self-symptomatic distress, complex emotional responses, subjective avoidance behavior with personality tendencies, and misperceptions with negative reactions. Antecedents included sociodemographic, disease-related, and psychological factors. Consequences encompassed reduced participation in cardiac rehabilitation, decreased functional capacity, increased major adverse cardiac events, and lower quality of life.
Conclusion:
In this study, we found that kinesiophobia in patients with coronary heart disease is a subjective avoidance behavior that includes both "fear of pain or weakness" and "fear of cardiac events" based on personality tendencies, driven by complex emotional responses and misperceptions based on their own symptomatic disturbances, and presents an excessive and irrational fear of movement. This analysis highlights the need for early identification and multidisciplinary interventions tailored to this population. It also provides a foundation for developing more specific and objective assessment tools.
Related Concept Videos
01:09Preparedness and Phobias
01:25Physiological Barriers
The blood endothelial barrier is the most porous of these. It allows all small ionized, un-ionized, and lipophilic molecules to pass through the endothelial lining into the interstitial space...
01:20Evolutionary Psychology
01:22Physiological Theories: Cannon-Bard Theory of Emotion
Upon perceiving a stimulus, such as a dangerous...
01:23Assessment of the Cardiovascular System I: Subjective Data
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
01:18Factors Affecting Illness
For instance, risk factors are connected to illness,...