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Title
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Kinesiophobia contributes to pain-related disability in breast cancer survivors : a cross-sectional study
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Author
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Abstract
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| Purpose Pain is one of the most prevalent problems reported by breast cancer survivors. As this long-lasting complication can result in disabilities on all different domains of functioning, we aimed to clarify the contribution of different factors (pain-related factors, psychosocial factors, and fatigue) to pain-related disability in female breast cancer survivors. Methods Seventy women who had completed their primary breast cancer treatment were included in this cross-sectional study. The following outcome measures were evaluated as independent variables for their contribution to pain-related disability (measured by the Pain Disability Index, with a maximum score of 70): pain intensity, self-reported symptoms of central sensitization, fatigue, illness beliefs, pain catastrophizing, and kinesiophobia. At first, bi- and multivariable regression methods were conducted. Secondly, a stepwise regression analysis was performed to determine the explained variance of the PDI. Results Mean score on the PDI was 16 at 4.5 years post-surgery. Multivariable regression analysis revealed higher levels of kinesiophobia as the main contributor to pain-related disability. Ultimately, stepwise regression showed that up to 40% of variance in pain-related disability could be explained by kinesiophobia, negative perceptions related to illness consequences, and pain catastrophizing. Conclusion This study shows that breast cancer survivors portray moderate self-reported pain-related disability. Kinesiophobia emerged as the main contributor to pain-related disability at this time point, which could shine a light on the improvement of treatment modalities for pain management in this population. |
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Language
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English
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Source (journal)
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Supportive care in cancer. - Berlin, 1993, currens
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Publication
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New york
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Springer
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2020
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ISSN
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0941-4355
[print]
1433-7339
[online]
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DOI
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10.1007/S00520-020-05304-4
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Volume/pages
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8 p.
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ISI
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000507791300001
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Pubmed ID
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31953624
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Full text (Publisher's DOI)
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Full text (publisher's version - intranet only)
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