ORIGINAL RESEARCH article
Front. Psychiatry
Sec. Psychological Therapy and Psychosomatics
Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1551758
Factors Associated with Kinesiophobia among Myocardial Infarction Survivors: A Biopsychosocial Perspective
Provisionally accepted
- 1Department of Cardiology, The Second Xiangya Hospital, Central South University, Changsha, China
- 2Clinical Nursing Teaching and Research Section, Second Xiangya Hospital, Central South University, Changsha, Anhui Province, China
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Abstract Objectives: This study aimed to examine the factors associated with kinesiophobia among myocardial infarction (MI) survivors. Methods: This study was based on the Biopsychosocial (BPS) model. A multicenter, descriptive, cross-sectional study was conducted at three tertiary hospitals in Changsha, Hunan Province, China, with MI survivors as participants. The Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), Exercise Self-Efficacy Scale (ESES), Generalized Anxiety Disorder-7 (GAD-7), Patient Health Questionnaire-9 (PHQ-9), Self-Perceived Burden Scale (SPBS), the 10-Item Connor-Davidson Resilience Scale (CD-RISC-10), Family Resilience Assessment Scale (FRAS), Multidimensional Scale of Perceived Social Support (MSPSS) and Social Support Rating Scale (SSRS) were used to collect data. Hierarchical regression analysis was employed to identify significant predictors of kinesiophobia. Results: A total of 414 MI survivors participated. Hierarchical regression analysis showed that the total explanatory power of the model was 56.9%, with sociodemographic factors accounting for 17.0% and cognitive, behavioral, psychological and social support factors accounting for 39.9%. Kinesiophobia was significantly associated with age, gender, education level, disease duration, number of complications, exercise intensity, exercise duration, exercise frequency, exercise self-efficacy (ESE), depression, self-perceived burden (SPB), mental resilience, family resilience, perceived social support (PSS), and actual social support (ASS). Conclusions: This study identified several sociodemographic, psychosocial, and behavioral factors associated with kinesiophobia in MI survivors. Based on these findings, integrating psychological support, behavior-focused interventions, and strengthened social support systems may help reduce kinesiophobia in this population. Keywords: Biopsychosocial model, exercise rehabilitation, fear-avoidance model, kinesiophobia, myocardial infarction.
Keywords: biopsychosocial model, Exercise rehabilitation, Fear-avoidance model, Kinesiophobia, Myocardial Infarction
Received: 04 Jan 2025; Accepted: 15 Jul 2025.
Copyright: © 2025 Zhang, Li, Ma, Jiang, Han, Yi and Cao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Lifang Cao, Department of Cardiology, The Second Xiangya Hospital, Central South University, Changsha, China
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