Pain catastrophizing, kinesiophobia, and exercise adherence in postoperative cardiovascular surgery patients: the mediating role of exercise self-efficacy.
Jingfang Wang, Yufang Chen
PMID 41292302WHAT IT FOUND
In post-cardiac surgery patients, fear of movement and pain catastrophizing linked to lower exercise adherence.
Exercise self-efficacy partially mediated these links, especially for fear of movement, suggesting confidence-building may buffer against avoidance.
Key findings
01Pain catastrophizing and kinesiophobia were negatively correlated with exercise self-efficacy and exercise adherence.
02Exercise self-efficacy partially mediated the relationship between pain catastrophizing and exercise adherence, accounting for 8.26% of the total effect.
03Exercise self-efficacy partially mediated the relationship between kinesiophobia and exercise adherence, accounting for 66.33% of the total effect.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The cross-sectional design means we cannot say that low self-efficacy causes poor adherence, only that they are related at one point in time. Participants were recruited from a single hospital in China using convenience sampling, so results may not apply to other populations or healthcare settings. The study excluded patients with depression, anxiety, or other conditions that interfere with communication, so findings may not apply to those with significant mental health comorbidities.
Declared interests
The authors have no conflicts of interest to declare.
The easy way to misread this
Do not assume that improving self-efficacy will definitely increase adherence. This study shows a statistical association at one point in time, not that changing self-efficacy causes a change in behaviour.
Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →