Skip to main content
Top
Published in: BMC Geriatrics 1/2016

Open Access 01-12-2016 | Research Article

Kinesiophobia and its relation to pain characteristics and cognitive affective variables in older adults with chronic pain

Authors: Caroline Larsson, Eva Ekvall Hansson, Kristina Sundquist, Ulf Jakobsson

Published in: BMC Geriatrics | Issue 1/2016

Login to get access

Abstract

Background

The contribution of kinesiophobia (fear of movement) to the pain experience among older adults has been poorly evaluated. The aim of this study was to study prevalence at baseline, development over a 12-month period and cognitive-affective variables of kinesiophobia in a population-based sample of older adults with chronic pain.

Methods

The study included 433 older adults (+65 years) with chronic pain (mean age 74.8 years) randomly selected using a Swedish register of inhabitants. Kinesiophobia was measured at baseline and 12-month follow-up with the 11-item version of the Tampa Scale of Kinesiophobia (TSK-11). Associations of demographic-, cognitive affective - and pain-related variables to kinesiophobia were analysed with linear regression analyses.

Results

The mean level of kinesiophobia was low. Worsening and recovering from kinesiophobia occurred over time, but the mean level of kinesiophobia remained unchanged (p = 0.972). High levels of kinesiophobia (TSK ≥35) were found among frailer and older adults predominately living in care homes, but not dependent on sex. Poor self-perceived health (OR = 8.84) and high pain intensity (OR = 1.22) were significantly associated with kinesiophobia.

Conclusion

Results indicate that potential interventions regarding kinesiophobia among older adults should aim to decrease pain intensity and strengthen health beliefs.
Literature
1.
go back to reference Kori S, Miller R, Todd D. Kineisiophobia: a new view of chronic pain behavior. Pain Manag. 1990;3(1):35–43. Kori S, Miller R, Todd D. Kineisiophobia: a new view of chronic pain behavior. Pain Manag. 1990;3(1):35–43.
2.
go back to reference Vlaeyen JW, KoleSnijders AM, Rotteveel AM, Ruesink R, Heuts PH. The role of fear of movement (re)injury in pain disability. J Occup Rehabil. 1995;5(4):235–52.CrossRefPubMed Vlaeyen JW, KoleSnijders AM, Rotteveel AM, Ruesink R, Heuts PH. The role of fear of movement (re)injury in pain disability. J Occup Rehabil. 1995;5(4):235–52.CrossRefPubMed
3.
go back to reference Tak E, Kuiper R, Chorus A, Hopman-Rock M. Prevention of onset and progression of basic ADL disability by physical activity in community dwelling older adults: A meta-analysis. Ageing Res Rev. 2013;12(1):329–38.CrossRefPubMed Tak E, Kuiper R, Chorus A, Hopman-Rock M. Prevention of onset and progression of basic ADL disability by physical activity in community dwelling older adults: A meta-analysis. Ageing Res Rev. 2013;12(1):329–38.CrossRefPubMed
4.
go back to reference Manini TM, Everhart JE, Patel KV, Schoeller DA, Colbert LH, Visser M, Tylavsky F, Bauer DC, Goodpaster BH, Harris TB. Daily activity energy expenditure and mortality among older adults. JAMA. 2006;296(2):171–9.CrossRefPubMed Manini TM, Everhart JE, Patel KV, Schoeller DA, Colbert LH, Visser M, Tylavsky F, Bauer DC, Goodpaster BH, Harris TB. Daily activity energy expenditure and mortality among older adults. JAMA. 2006;296(2):171–9.CrossRefPubMed
5.
go back to reference Sawatzky R, Liu-Ambrose T, Miller WC, Marra CA. Physical activity as a mediator of the impact of chronic conditions on quality of life in older adults. Health Qual Life Outcomes. 2007;5(1):1–11.CrossRef Sawatzky R, Liu-Ambrose T, Miller WC, Marra CA. Physical activity as a mediator of the impact of chronic conditions on quality of life in older adults. Health Qual Life Outcomes. 2007;5(1):1–11.CrossRef
6.
go back to reference Sengul Y, Unver B, Karatosun V, Gunal I. Assessment of pain-related fear in patients with the thrust plate prosthesis (TPP): Due to hip fracture and hip osteoarthritis. Arch Gerontol Geriatr. 2011;53(2):249–52.CrossRef Sengul Y, Unver B, Karatosun V, Gunal I. Assessment of pain-related fear in patients with the thrust plate prosthesis (TPP): Due to hip fracture and hip osteoarthritis. Arch Gerontol Geriatr. 2011;53(2):249–52.CrossRef
7.
go back to reference Cook AJ, Brawer PA, Vowles KE. The fear-avoidance model of chronic pain: Validation and age analysis using structural equation modeling. Pain. 2006;121(3):195–206.CrossRefPubMed Cook AJ, Brawer PA, Vowles KE. The fear-avoidance model of chronic pain: Validation and age analysis using structural equation modeling. Pain. 2006;121(3):195–206.CrossRefPubMed
8.
go back to reference Kovacs F, Noguera J, Abraira V, Royuela A, Cano A, Gil del Real MT, Zamora J, Gestoso M, Muriel A, Mufraggi N. The Influence of Psychological Factors on Low Back Pain-Related Disability in Community Dwelling Older Persons. Pain Med. 2008;9(7):871–80.CrossRefPubMed Kovacs F, Noguera J, Abraira V, Royuela A, Cano A, Gil del Real MT, Zamora J, Gestoso M, Muriel A, Mufraggi N. The Influence of Psychological Factors on Low Back Pain-Related Disability in Community Dwelling Older Persons. Pain Med. 2008;9(7):871–80.CrossRefPubMed
9.
go back to reference Basler HD, Luckmann J, Wolf U, Quint S. Fear-avoidance beliefs, physical activity, and disability in elderly individuals with chronic low back pain and healthy controls. Clin J Pain. 2008;24(7):604–10.CrossRefPubMed Basler HD, Luckmann J, Wolf U, Quint S. Fear-avoidance beliefs, physical activity, and disability in elderly individuals with chronic low back pain and healthy controls. Clin J Pain. 2008;24(7):604–10.CrossRefPubMed
10.
go back to reference Ledoux E, Dubois JD, Descarreaux M. Physical and psychosocial predictors of functional trunk capacity in older adults with and without low back pain. J Manipulative Physiol Ther. 2012;35(5):338–45.CrossRefPubMed Ledoux E, Dubois JD, Descarreaux M. Physical and psychosocial predictors of functional trunk capacity in older adults with and without low back pain. J Manipulative Physiol Ther. 2012;35(5):338–45.CrossRefPubMed
11.
go back to reference Wood BM, Nicholas MK, Blyth F, Asghari A, Gibson S. Catastrophizing Mediates the Relationship Between Pain Intensity and Depressed Mood in Older Adults With Persistent Pain. J Pain. 2013;14(2):149–57.CrossRefPubMed Wood BM, Nicholas MK, Blyth F, Asghari A, Gibson S. Catastrophizing Mediates the Relationship Between Pain Intensity and Depressed Mood in Older Adults With Persistent Pain. J Pain. 2013;14(2):149–57.CrossRefPubMed
12.
go back to reference Raftery MN, Sarma K, Murphy AW, De la Harpe D, Normand C, McGuire BE. Chronic pain in the Republic of Ireland—Community prevalence, psychosocial profile and predictors of pain-related disability: Results from the Prevalence, Impact and Cost of Chronic Pain (PRIME) study, Part 1. Pain. 2011;152(5):1096–103.CrossRefPubMed Raftery MN, Sarma K, Murphy AW, De la Harpe D, Normand C, McGuire BE. Chronic pain in the Republic of Ireland—Community prevalence, psychosocial profile and predictors of pain-related disability: Results from the Prevalence, Impact and Cost of Chronic Pain (PRIME) study, Part 1. Pain. 2011;152(5):1096–103.CrossRefPubMed
13.
go back to reference Woby SR, Urmston M, Watson PJ. Self-efficacy mediates the relation between pain-related fear and outcome in chronic low back pain patients. Eur J Pain. 2007;11(7):711–8.CrossRefPubMed Woby SR, Urmston M, Watson PJ. Self-efficacy mediates the relation between pain-related fear and outcome in chronic low back pain patients. Eur J Pain. 2007;11(7):711–8.CrossRefPubMed
14.
go back to reference Bandura A. Self-Efficacy in Changing Societies. NewYork: Cambridge University Press; 1995.CrossRef Bandura A. Self-Efficacy in Changing Societies. NewYork: Cambridge University Press; 1995.CrossRef
15.
go back to reference Pereira LV, de Vasconcelos PP, Souza LAF, Pereira Gde A, Nakatani AYK, Bachion MM. Prevalence and intensity of chronic pain and self-perceived health among elderly people: a population-based study. Rev Lat Am Enfermagem. 2014;22(4):662–9.CrossRefPubMedPubMedCentral Pereira LV, de Vasconcelos PP, Souza LAF, Pereira Gde A, Nakatani AYK, Bachion MM. Prevalence and intensity of chronic pain and self-perceived health among elderly people: a population-based study. Rev Lat Am Enfermagem. 2014;22(4):662–9.CrossRefPubMedPubMedCentral
16.
go back to reference Elliott AM, Smith BH, Hannaford PC, Smith WC, Chambers WA. The course of chronic pain in the community: results of a 4-year follow-up study. Pain. 2002;99(1–2):299–307.CrossRefPubMed Elliott AM, Smith BH, Hannaford PC, Smith WC, Chambers WA. The course of chronic pain in the community: results of a 4-year follow-up study. Pain. 2002;99(1–2):299–307.CrossRefPubMed
17.
go back to reference Larsson C, Hansson EE, Sundquist K, Jakobsson U. Psychometric properties of the Tampa Scale of Kinesiophobia (TSK-11) among older people with chronic pain. Physiother Theory Pract. 2014;30(6):421–428.CrossRefPubMed Larsson C, Hansson EE, Sundquist K, Jakobsson U. Psychometric properties of the Tampa Scale of Kinesiophobia (TSK-11) among older people with chronic pain. Physiother Theory Pract. 2014;30(6):421–428.CrossRefPubMed
18.
go back to reference IASP: Subcommitte on Taxonomi. Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Pain. 1986, Suppl 3:S1-S226. IASP: Subcommitte on Taxonomi. Classification of chronic pain. Descriptions of chronic pain syndromes and definitions of pain terms. Pain. 1986, Suppl 3:S1-S226.
19.
go back to reference Jakobsson U, Horstmann V. Psychometric evaluation of multidimensional pain inventory (Swedish version) in a sample of elderly people. Eur J Pain. 2006;10(7):645–51.CrossRefPubMed Jakobsson U, Horstmann V. Psychometric evaluation of multidimensional pain inventory (Swedish version) in a sample of elderly people. Eur J Pain. 2006;10(7):645–51.CrossRefPubMed
20.
go back to reference Ware JEJ, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: Construction of Scales and Preliminary Tests of Reliability and Validity. Med Care. 1996;34(3):220–33.CrossRefPubMed Ware JEJ, Kosinski M, Keller SD. A 12-Item Short-Form Health Survey: Construction of Scales and Preliminary Tests of Reliability and Validity. Med Care. 1996;34(3):220–33.CrossRefPubMed
21.
go back to reference Jakobsson U. Using the 12-item Short Form health survey (SF-12) to measure quality of life among older people. Aging Clin Exp Res. 2007;19(6):457–64.CrossRefPubMed Jakobsson U. Using the 12-item Short Form health survey (SF-12) to measure quality of life among older people. Aging Clin Exp Res. 2007;19(6):457–64.CrossRefPubMed
22.
go back to reference Tibblin G, Bengtsson C, Furunes B, Lapidus L. Symptoms by Age and Sex: The Population Studies of Men and Women in Gothenburg, Sweden. Scand J Prim Health Care. 1990;8(1):9–17.CrossRefPubMed Tibblin G, Bengtsson C, Furunes B, Lapidus L. Symptoms by Age and Sex: The Population Studies of Men and Women in Gothenburg, Sweden. Scand J Prim Health Care. 1990;8(1):9–17.CrossRefPubMed
23.
go back to reference Jakobsson U, Klevsgård R, Westergren A, Rahm-Hallberg I. Old people in pain: A comparative study. J Pain Symptom Manag. 2003;26(1):625–36.CrossRef Jakobsson U, Klevsgård R, Westergren A, Rahm-Hallberg I. Old people in pain: A comparative study. J Pain Symptom Manag. 2003;26(1):625–36.CrossRef
24.
go back to reference Schwarzer R, Jerusalem M. Generalized Self-Efficacy scale. In: Weinman J, Wright S, Johnston M, editors. Measures in health psychology: A user’s portfolio Causal and control beliefs. Windsor: Nfer-Nelson; 1995. p. 35–7. Schwarzer R, Jerusalem M. Generalized Self-Efficacy scale. In: Weinman J, Wright S, Johnston M, editors. Measures in health psychology: A user’s portfolio Causal and control beliefs. Windsor: Nfer-Nelson; 1995. p. 35–7.
25.
go back to reference Luszczynska A, Scholz U, Schwarzer R. The General Self-Efficacy Scale: Multicultural Validation Studies. J Psychol. 2005;139(5):439–57.CrossRefPubMed Luszczynska A, Scholz U, Schwarzer R. The General Self-Efficacy Scale: Multicultural Validation Studies. J Psychol. 2005;139(5):439–57.CrossRefPubMed
26.
go back to reference Scholz U, Doña BG, Sud S, Schwarzer R. Is General Self-Efficacy a Universal Construct? Psychometric Findings from 25 Countries. Eur J Psychol Assess. 2002;18(3):242–51.CrossRef Scholz U, Doña BG, Sud S, Schwarzer R. Is General Self-Efficacy a Universal Construct? Psychometric Findings from 25 Countries. Eur J Psychol Assess. 2002;18(3):242–51.CrossRef
28.
go back to reference Lundberg M. Begrepp och definitioner relaterade till kinesiophobi. In: Kinesiofobi- teori och tillämpning. Pozkal, Poland: Studentlitteratur; 2008. p. 123. Lundberg M. Begrepp och definitioner relaterade till kinesiophobi. In: Kinesiofobi- teori och tillämpning. Pozkal, Poland: Studentlitteratur; 2008. p. 123.
29.
go back to reference Tkachuk GA, Harris CA. Psychometric Properties of the Tampa Scale for Kinesiophobia-11 (TSK-11). J Pain. 2012;13(10):970–7.CrossRefPubMed Tkachuk GA, Harris CA. Psychometric Properties of the Tampa Scale for Kinesiophobia-11 (TSK-11). J Pain. 2012;13(10):970–7.CrossRefPubMed
30.
go back to reference Gomez-Perez L, Lopez-Martinez AE, Ruiz-Parraga GT. Psychometric Properties of the Spanish Version of the Tampa Scale for Kinesiophobia (TSK). Pain. 2011;12(4):425–35.CrossRef Gomez-Perez L, Lopez-Martinez AE, Ruiz-Parraga GT. Psychometric Properties of the Spanish Version of the Tampa Scale for Kinesiophobia (TSK). Pain. 2011;12(4):425–35.CrossRef
31.
go back to reference Roelofs J, Sluiter JK, Frings-Dresen MHW, Goossens M, Thibault P, Boersma K, Vlaeyen JWS. Fear of movement and (re)injury in chronic musculoskeletal pain: Evidence for an invariant two-factor model of the Tampa Scale for Kinesiophobia across pain diagnoses and Dutch, Swedish, and Canadian samples. Pain. 2007;131(1–2):181–90.CrossRefPubMed Roelofs J, Sluiter JK, Frings-Dresen MHW, Goossens M, Thibault P, Boersma K, Vlaeyen JWS. Fear of movement and (re)injury in chronic musculoskeletal pain: Evidence for an invariant two-factor model of the Tampa Scale for Kinesiophobia across pain diagnoses and Dutch, Swedish, and Canadian samples. Pain. 2007;131(1–2):181–90.CrossRefPubMed
32.
go back to reference Woby SR, Roach NK, Urmston M, Watson PJ. Psychometric properties of the TSK-11: A shortened version of the Tampa Scale for Kinesiophobia. Pain. 2005;117(1–2):137–44.CrossRefPubMed Woby SR, Roach NK, Urmston M, Watson PJ. Psychometric properties of the TSK-11: A shortened version of the Tampa Scale for Kinesiophobia. Pain. 2005;117(1–2):137–44.CrossRefPubMed
33.
go back to reference Denison E, Asenlof P, Lindberg P. Self-efficacy, fear avoidance, and pain intensity as predictors of disability in subacute and chronic musculoskeletal pain patients in primary health care. Pain. 2004;111(3):245–52.CrossRefPubMed Denison E, Asenlof P, Lindberg P. Self-efficacy, fear avoidance, and pain intensity as predictors of disability in subacute and chronic musculoskeletal pain patients in primary health care. Pain. 2004;111(3):245–52.CrossRefPubMed
34.
go back to reference Perry EV, Francis AJ. Self-efficacy, pain-related fear, and disability in a heterogeneous pain sample. Pain Manag Nurs. 2013;14(4):e124–34.CrossRefPubMed Perry EV, Francis AJ. Self-efficacy, pain-related fear, and disability in a heterogeneous pain sample. Pain Manag Nurs. 2013;14(4):e124–34.CrossRefPubMed
35.
go back to reference Larsson C, Ekvall Hansson E, Sundquist K, Jakobsson U. Impact of pain characteristics and fear-avoidance beliefs on physical activity levels among older adults with chronic pain: a population-based, longitudinal study. BMC Geriatr. 2016;16(1):1–8.CrossRef Larsson C, Ekvall Hansson E, Sundquist K, Jakobsson U. Impact of pain characteristics and fear-avoidance beliefs on physical activity levels among older adults with chronic pain: a population-based, longitudinal study. BMC Geriatr. 2016;16(1):1–8.CrossRef
36.
go back to reference Roelofs J, van Breukelen G, Sluiter J, Frings-Dresen MHW, Goossens M, Thibault P, Boersma K, Vlaeyen JWS. Norming of the Tampa Scale for Kinesiophobia across pain diagnoses and various countries. Pain. 2011;152(5):1090–5.CrossRefPubMed Roelofs J, van Breukelen G, Sluiter J, Frings-Dresen MHW, Goossens M, Thibault P, Boersma K, Vlaeyen JWS. Norming of the Tampa Scale for Kinesiophobia across pain diagnoses and various countries. Pain. 2011;152(5):1090–5.CrossRefPubMed
Metadata
Title
Kinesiophobia and its relation to pain characteristics and cognitive affective variables in older adults with chronic pain
Authors
Caroline Larsson
Eva Ekvall Hansson
Kristina Sundquist
Ulf Jakobsson
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2016
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-016-0302-6

Other articles of this Issue 1/2016

BMC Geriatrics 1/2016 Go to the issue
Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin
Prof. Florian Limbourg
Prof. Anoop Chauhan
Developed by: Springer Medicine
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.