Family Functioning and Kinesiophobia in Patients After Pacemaker Implantation: A Cross-Sectional Serial Mediation Study of Pain and Pain Catastrophizing
Supports family functioning pathways in kinesiophobia; hypothesis-generating and should not yet change practice.
Key Points
This study explores how family functioning relates to kinesiophobia in patients post-pacemaker implantation, focusing on pain and pain catastrophizing.
Cross-sectional design involving 211 patients who underwent permanent pacemaker implantation.
Data collected via questionnaires including Family APGAR Index, Numeric Rating Scale, Pain Catastrophizing Scale, and Tampa Scale for Kinesiophobia Heart.
Statistical analysis performed using Pearson correlation and serial mediation analysis with PROCESS macro version 4.0.
59.7% of patients displayed kinesiophobia.
Family functioning showed a negative correlation with kinesiophobia (r = -0.39, p < 0.001) and pain (r = -0.30, p < 0.001).
Significant serial indirect effect of family functioning on kinesiophobia through pain and pain catastrophizing (effect = -0.06, 95% CI: -0.14 to -0.01).