The Investigation of Kinesiophobia, Pain Catastrophizing, Physical Activity, Anxiety, and Depression in Patients With or Without Myocardial Infarction

Abstract

Purpose: The study aimed to investigate kinesiophobia, pain catastrophizing, physical activity, anxiety, and depression in patients with MI.Material and Methods: A cross-sectional study was conducted with 100 participants (50 myocardial infarction, 50 age-sex matched controls). Participants were evaluated with the Tampa Scale of Kinesiophobia for Heart (TSK Heart), Pain Catastrophizing Scale (PCS), International Physical Activity Questionnaire-Short Form (IPAQ-SF), and Hospital Anxiety and Depression Scale (HAD).Results: IPAQ-SF (except sitting time) was higher in the control group (p<0.01). PCS score (p<0.01), HAD-A (p=0.001) and HAD-D (p=0.006) scores were significantly higher in the MI group. TSK Heart was correlated with Sitting PA (r=0.425), Walking PA (r=-0.574), Moderate PA (r=-0.632), HAD-A (r=0.641) and HAD-D (r=0.827) (p<0.01). There was a relationship between HAD-A with Sitting PA, Walking PA and Moderate PA (r1=0.445, r2=-0.485, r3=-0.378, p<0.01). Lastly, HAD-D was correlated with Sitting PA, Walking PA and Moderate PA (r1=0.475, r2=-0.520, r3=-0.578, p<0.01).Conclusion: The study results showed decreased physical activity, increased kinesiophobia, pain catastrophizing, depression and anxiety in patients with MI. In addition, kinesiophobia was related to mild -moderate physical activity and depression-anxiety.