ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2025
Identifying potential action points for reducing kinesiophobia among atrial fibrillation patients: a network and DAG analysis.
Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- A Randomized, Double-Blind, Parallel-Controlled Trial: Addressing Kinesiophobia in Post-Meniscoplasty Patients Through Progressive Muscle Relaxation Training and Acupressure.Pain research & management · 2025Trial
- Mental Health Across the Atrial Fibrillation Continuum: Mechanisms, Outcomes, and Clinical Implications.Life (Basel, Switzerland) · 2026Review
- Time Perspective and Health Behaviors in Chronic Disease Patients: A Chain Mediation Model of Illness Perception via Temporal Self-Regulation Theory.Behavioral sciences (Basel, Switzerland) · 2025Article
- Mapping Connection and Direction Among Symptoms of Sleep Disturbance and Perceived Stress in Firefighters: Embracing the Network Analysis Perspective.Nature and science of sleep · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
purposeKinesiophobia is prevalent among patients with atrial fibrillation (AF), leading to a notable decrease in exercise tolerance and quality of life (QoL). AF-related kinesiophobia encompasses a complex cascade reaction, influenced by psycho-physiological and behavioral factors. To investigate the complex interconnections associated with kinesiophobia among AF patients and identify potential intervention points for its management.
methodsFrom June 2021 to November 2022, we collected data through paper surveys, using convenience sampling to invite patients with AF. 541 AF patients were included in this study. Data were collected using Tampa Scale for Kinesiophobia Heart (TSK-SV Heart), the Atrial Fibrillation Effect on Quality-of-Life (AFEQT), the Brief Illness Perception Questionnaire (BIPQ), and Medical Coping Modes Questionnaire (MCMQ), respectively. Network analysis and directed acyclic graphs (DAG) were used to visualize the intricate relationships of the factors.
resultsThe network structure identifies "Avoidance of Exercise" as a central node, which, alongside "Illness Perception" and "Resignation," acting as bridges that link and activate other factors of AF-related kinesiophobia. The DAG suggests that AF symptoms, located upstream, may act as a trigger, initiating a cascade effect impacting illness perception and coping styles.
conclusions"AF symptoms," along with psychological factors such as "illness perception," and "coping styles," may serve as potential action points to reduce AF-related kinesiophobia and ultimately improve the overall QoL for AF patients.
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