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Kinesiophobia in Parents of Children with Haemophilia
Erkan Kaya1, Elif Guler Kazanci2, Taner Dandinoglu1
1Department of Physical Medicine and Rehabilitation, Bursa City Hospital, Bursa, Turkiye.
Insights
Parents of children with haemophilia do not show higher kinesiophobia (fear of movement) than parents of healthy children. However, factors like bleeding risk and pain associated with haemophilia may contribute to parental kinesiophobia.
Area of Science:
- Medical Rehabilitation
- Pediatric Hematology
- Psychology
Background:
- Haemophilia is a genetic bleeding disorder requiring careful management.
- Kinesiophobia, or fear of movement, can impact individuals and their families.
- Understanding parental kinesiophobia is crucial for holistic patient care.
Purpose of the Study:
- To compare kinesiophobia levels in mothers of children with haemophilia versus mothers of healthy children.
- To identify factors associated with kinesiophobia in mothers of children with haemophilia.
Main Methods:
- A cross-sectional study involving 30 mothers of children with haemophilia and 30 mothers of healthy children.
- Utilized the Tampa Scale for Kinesiophobia (TSK), Visual Analogue Scale (VAS) for pain, Short Form-36 (SF-36) for quality of life, and Beck Depression Inventory (BDI).
- Statistical analysis included Mann-Whitney U test and Spearman's rank correlation coefficient.
Main Results:
- No significant differences in kinesiophobia (TSK scores) were observed between mothers of children with haemophilia and mothers of healthy children.
- Demographic factors like age, BMI, and education level did not differ significantly between the groups.
- The study did not identify specific factors associated with kinesiophobia in this cohort based on the tested variables.
Conclusions:
- While this study found no difference in kinesiophobia levels between the groups, the underlying risks in haemophilia (bleeding, pain, injury) are theoretically linked to increased parental fear of movement.
- Healthcare providers should consider and address parental kinesiophobia in the context of haemophilia care.
- Further research is needed to explore the nuances of parental kinesiophobia and its management strategies.
Objective:
To compare kinesiophobia levels between parents of haemophilic patients and parents of healthy children, and to investigate the factors associated with kinesiophobia in parents of haemophilic patients.
Study Design:
A cross-sectional descriptive study. Place and Duration of the Study: Department of Physical Medicine and Rehabilitation, Bursa City Hospital, Bursa, Turkiye, between December 2023 and June 2024.
Methodology:
Thirty mothers of children with haemophilia (MCwH) and thirty mothers of healthy children (MHC) were evaluated using the Visual Analogue Scale for pain, the Short Form-36 for quality of life, the Beck Depression Inventory (BDI) for depression level, and the Tampa Scale for Kinesiophobia (TSK). TSK scores between the two groups were compared using the Mann-Whitney U test. The correlations between TSK scores and the study variables were examined using Spearman's rank correlation coefficient.
Results:
No significant differences were found between the MCwH and MHC groups in terms of age, BMI, and educational status (p >0.05). The median TSK scores were 44.0 (33.3-46.0) in the MCwH group and 40.5 (36.0-44.0) in the MHC control group. There was no significant difference in TSK scores between the groups (p >0.05).
Conclusion:
The risk of bleeding in people with haemophilia, the pain secondary to bleeding, and the risk of sustaining an injury contribute to increased levels of kinesiophobia, not only in individuals with haemophilia but also in their parents. Physicians should focus on parents' kinesiophobia when evaluating patients with haemophilia and inform parents about its importance and available treatment strategies.
Key Words:
Fear of movement, Haemophilia, Kinesiophobia, Emotion regulation.
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