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Association of kinesiophobia with catastrophism and sensitization-associated symptoms in COVID-19 survivors with post-COVID pain

Abstract: Pain symptoms after the acute phase of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) are present in almost 50% of COVID-19 survivors. The presence of kinesiophobia is a risk factor which may promote and perpetuate pain. This study aimed to investigate variables associated with the presence of kinesiophobia in a sample of previously hospitalized COVID-19 survivors exhibiting post-COVID pain. An observational study was conducted in three urban hospitals in Spain, including one hundred and forty-six COVID-19 survivors with post-COVID pain. Demographic (age, weight, height), clinical (intensity and duration of pain), psychological (anxiety level, depressive level, sleep quality), cognitive (catastrophizing), sensitization-associated symptoms, and health-related quality of life variables were collected in 146 survivors with post-COVID pain, as well as whether they exhibited kinesiophobia. Stepwise multiple linear regression models were conducted to identify variables significantly associated with kinesiophobia. Patients were assessed a mean of 18.8 (SD 1.8) months after hospital discharge. Kinesiophobia levels were positively associated with anxiety levels (r: 0.356, p < 0.001), depression levels (r: 0.306, p < 0.001), sleep quality (r: 0.288, p < 0.001), catastrophism (r: 0.578, p < 0.001), and sensitization-associated symptoms (r: 0.450, p < 0.001). The stepwise regression analysis revealed that 38.1% of kinesiophobia variance was explained by catastrophism (r2 adj: 0.329, B = 0.416, t = 8.377, p < 0.001) and sensitizationassociated symptoms (r2 adj: 0.381, B = 0.130, t = 3.585, p < 0.001). Kinesiophobia levels were associated with catastrophism and sensitization-associated symptoms in previously hospitalized COVID-19 survivors with post-COVID pain. Identification of patients at a higher risk of developing a higher level of kinesiophobia, associated with post-COVID pain symptoms, could lead to better therapeutic strategies.

 Autoría: Manuel Herrero-Montes, César Fernández-de-las-Peñas, Diego Ferrer-Pargada, Sheila Izquierdo-Cuervo, Beatriz Abascal-Bolado, Juan Antonio Valera-Calero and Paula Paras-Bravo

 Fuente: Diagnostics (Basel), 2023, 13(5), 847

 Editorial: MDPI

 Fecha de publicación: 23/02/2023

 Nº de páginas: 14

 Tipo de publicación: Artículo de Revista

 DOI: 10.3390/diagnostics13050847

 ISSN: 2075-4418

 Proyecto español: FEDER

 Url de la publicación: https://doi.org/10.3390/diagnostics13050847

Autoría

FÉRNANDEZ DE LAS PEÁS, CÉSAR

FERRER PARGADA, DIEGO

IZQUIERDO CUERVO, SHEILA

ABASCAL BOLADO, BEATRIZ

VALERA CALERO, JUAN ANTONIO