ArticleJournal of pain research2023
Pain Catastrophizing, Kinesiophobia and Exercise Adherence in Patients After Total Knee Arthroplasty: The Mediating Role of Exercise Self-Efficacy.
Article in Journal of pain research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Intervention to improve kinesiophobia in patients with coronary artery disease: a systematic review and meta-analysis of randomized controlled trials.BMC cardiovascular disorders · 2026Pooled it
- Barriers and facilitators to rehabilitation exercise adherence in older adults with hip fractures: a mixed-methods systematic review.BMC geriatrics · 2026Pooled it
- Motor imagery enhances early rehabilitation in patients with high kinesiophobia after total knee arthroplasty: a randomized controlled trial.Journal of rehabilitation medicine · 2025Trial
- The Analgesic Efficacy of Liposomal Bupivacaine in Adductor Canal Block Following Knee Arthroplasty: A Single-Center, Prospective, Randomized and Controlled Clinical Trial.Drug design, development and therapy · 2025Trial
- Exploring home-based rehabilitation experiences after reverse total shoulder arthroplasty: a health belief model-guided qualitative study.BMC musculoskeletal disorders · 2026Article
- Long term biopsychosocial outcomes and their associations after total knee arthroplasty in individuals with knee osteoarthritis.Scientific reports · 2026Article
- Development and Validation of a Machine Learning-Based Prediction of Chronic Postsurgical Pain Following Total Hip and Knee Arthroplasty: An Exploratory Study.Pain research & management · 2026Article
- Experiences and Perceptions of Patients Participating in Prehabilitation and Early Rehabilitation for Hip and Knee Arthroplasty: A Systematic Review and Narrative Synthesis of Qualitative Evidence.Patient preference and adherence · 2026Review
- User personas for exercise rehabilitation behaviors in older patients with stable chronic obstructive pulmonary disease: a qualitative study.Frontiers in public health · 2026Article
- Network analysis of kinesiophobia and fear of progression and their association with cardiac rehabilitation adherence in post-CABG patients.Frontiers in cardiovascular medicine · 2026Article
- Latent Profiles of Early Personal Mastery and Their Association with Out-of-Hospital Rehabilitation Exercise Adherence One Month After Hip Arthroplasty: A Single-Centre Prospective Observational Study.Patient preference and adherence · 2026Article
- Indirect association of kinesiophobia with physical activity through pain self-efficacy in older women with primary osteoporosis.Frontiers in public health · 2026Observational
- Post-traumatic growth and rehabilitation adherence in lower extremity fracture patients: a parallel mediation model.Frontiers in psychology · 2026Article
- Investigating the dynamic relationship between joint function outcomes and kinesiophobia following total knee arthroplasty.Frontiers in psychology · 2026Article
- Pain catastrophizing, kinesiophobia, and exercise adherence in postoperative cardiovascular surgery patients: the mediating role of exercise self-efficacy.Journal of rehabilitation medicine · 2025Article
- Patient-specific psychological characteristics and personality structure affect post-operative outcomes and readiness to return to sport following medial patellofemoral ligament reconstruction.Journal of experimental orthopaedics · 2025Article
- Examination of the Relationship Between Pain Intensity, Pain Perceptions, and Kinesiophobia in Patients with Non-Specific Chronic Musculoskeletal Pain.Muscles (Basel, Switzerland) · 2025Article
- Exercise self-efficacy in older adults with metabolic-associated fatty liver disease: A latent profile analysis.Sports medicine and health science · 2025Article
- Beyond Low Back Pain! The Influence of Physical Activity on Mental Health, Reflected in the Functionality of People with Low Back Pain.Healthcare (Basel, Switzerland) · 2025Article
- Article
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Purpose: To examine whether exercise self-efficacy mediates the contributions of pain catastrophizing and kinesiophobia to exercise adherence in patients after total knee arthroplasty. Patients and Methods: A cross-sectional study design was conducted. A total 211 post-total knee arthroplasty patients were recruited from three orthopedics units of a tertiary hospital in China. Participants were invited to complete questionnaires on pain catastrophizing, kinesiophobia, exercise self-efficacy, and exercise adherence. Mplus 8.3 software was used to construct mediation models. Results: Pain catastrophizing and kinesiophobia were negatively correlated with exercise adherence (r = -0.509, r = -0.605, p < 0.001 respectively), while exercise self-efficacy were positively associated with exercise adherence (r = 0.799, p < 0.001). The results found exercise self-efficacy mediated the correlations of pain catastrophizing and kinesiophobia with exercise adherence after adjusting for demographic and clinical covariates. Pain catastrophizing indirectly affected patients' exercise adherence through its effect on exercise efficacy (indirect effect: -0.412), while Kinesiophobia is directly associated with exercise adherence and also indirectly through exercise self-efficacy (direct effect: -0.184, indirect effect: -0.415). Conclusion: Patients after total knee arthroplasty who have high levels of psychological distress (pain catastrophizing and kinesiophobia) are vulnerable to be non-adherent to exercise behaviors. Exercise self-efficacy explains the effects of pain catastrophizing and kinesiophobia on exercise adherence and may be a key target for measures to improve exercise behaviors in patients after total knee arthroplasty.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.