Evidence map›Paper›PMID 39387936›Full record

ArticleSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2024

The impact of somatic symptoms on kinesiophobia after esophagectomy among cancer patients: the mediating roles of intrusive rumination and avoidant coping.

Jinxiu Hu, Xiaomin Zhang, Tingting Fang, Hui Zhang, Ningning Kang, Jiangying Han

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Article in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 3 papers.

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3citing papers in PubMed
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3 · Its place in the literature

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3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Jinxiu Hu *Department of Thoracic Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Xiaomin Zhang *Department of Thoracic Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Tingting FangDepartment of Thoracic Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Hui ZhangDepartment of Thoracic Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Ningning KangDepartment of Thoracic Surgery, The First Affiliated Hospital of Anhui Medical University, Hefei, China.
Jiangying HanDepartment of Nursing, The First Affiliated Hospital of Anhui Medical University, Hefei, China. hanjy7228@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeKinesiophobia refers to an irrational fear of physical activities or functional exercise due to the fear of pain or reinjury. Cancer patients who undergo esophagectomy are prone to developing kinesiophobia, which adversely affects their disease prognosis and quality of life. Somatic symptoms are closely related to kinesiophobia, but the mechanisms underlying this relationship remain unclear. Therefore, the current study aimed to explore the chain-mediation roles of intrusive rumination and avoidant coping in the relationship between somatic symptoms and kinesiophobia in cancer patients who underwent esophagectomy.

methodsA cross-sectional study was conducted in China from February 2023 to December 2023. A total of 279 postesophagectomy cancer patients were evaluated using the Symptom Check List 90 (SCL-90), Event Related Rumination Inventory (ERRI), Medical Coping Modes Questionnaire (MCMQ), and Tampa Scale of Kinesiophobia (TSK-11).

resultsKinesiophobia was significantly positively correlated with somatic symptoms, intrusive rumination, and avoidant coping (p < 0.001). Somatic symptoms had a direct association with kinesiophobia (β = 0.280, 95% CI (0.200, 0.360), p < 0.001). Furthermore, our model showed that somatic symptoms had a significant indirect association with kinesiophobia through the separate mediating effects of intrusive rumination (β = 0.204, 95% CI (0.145, 0.267), p < 0.001) and avoidant coping (β = 0.049, 95% CI (0.019, 0.088), p < 0.001), as well as through the chain-mediated effects of intrusive rumination-avoidant coping (β = 0.026, 95% CI (0.012, 0.044), p < 0.001).

conclusionsThe findings of this study suggested that intrusive rumination and avoidant coping play separate and chain-mediated roles in the relationship between somatic symptoms and kinesiophobia in postesophagectomy cancer patients.

Indexed as

Adaptation, PsychologicalEsophagectomyFearQuality of LifeAdultAgedChinaCross-Sectional StudiesEsophageal NeoplasmsExerciseFemaleHumansKinesiophobiaMaleMiddle AgedPhobic DisordersAvoidant copingEsophageal cancerIntrusive ruminationKinesiophobiaSomatic symptoms

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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.