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Kinesiophobia in Patients with Chronic Obstructive Pulmonary Disease: A Concept Analysis
Huifang Yin1, Rongrong Li1, Yidan Hu1
1Nursing Department, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, People's Republic of China.
Summary
Kinesiophobia, or fear of movement, hinders recovery in Chronic Obstructive Pulmonary Disease (COPD). This study defines its attributes and proposes a framework to improve interventions for patients with COPD.
Area of Science:
- Pulmonary Medicine
- Psychology
- Rehabilitation Science
Background:
- Kinesiophobia (fear of movement) significantly impedes pulmonary rehabilitation and functional recovery in patients with Chronic Obstructive Pulmonary Disease (COPD).
- The concept of kinesiophobia in COPD lacks a unified definition and comprehensive theoretical framework, despite its clinical impact.
Purpose of the Study:
- To clarify the concept of kinesiophobia in COPD.
- To identify its defining attributes, antecedents, and consequences.
- To integrate these elements into a cohesive conceptual framework.
Main Methods:
- Comprehensive literature search across multiple databases (CNKI, Wanfang, VIP, Web of Science, PubMed, CINAHL, Cochrane Library) up to April 2025.
- Application of Rodgers' evolutionary methodology for concept analysis.
- Systematic thematic synthesis by two independent researchers.
Main Results:
- Twenty-nine studies were included in the analysis.
- Kinesiophobia in COPD is characterized by symptom hypervigilance, maladaptive cognition, complex emotional responses, and behavioral avoidance.
- Antecedents include sociodemographic, disease-related, and psychological factors, leading to functional decline and reduced quality of life.
Conclusions:
- A unified conceptual framework for kinesiophobia in COPD has been synthesized, integrating dyspnea- and pain-related subtypes.
- This framework addresses a critical literature gap and can guide the development of precise assessment tools.
- It lays the groundwork for mechanism-based interventions targeting specific fear subtypes to disrupt the cycle of fear and avoidance in COPD.
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