Evidence map›Paper›PMID 41948463›Full record

ArticlePeerJ2026

Kinesiophobia and alexithymia in knee osteoarthritis: association with radiological severity.

Aysel Cinar Sayhan, Fethi Isnac, İsmail Gunes Gokmen, Tuba Uysal, Emine Burcu Comruk, Kubra Neslihan Kurt Oktay, Ozkan Yukselmis, Songul Ince, Mahmut Cakilli, Ebru Yilmaz and 1 more

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Article in PeerJ, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

11 authors.

Aysel Cinar SayhanDepartment of Physical Medicine and Rehabilitation, Bilecik Seyh Edebali University, Bilecik, Turkey.
Fethi IsnacDepartment of Physical Medicine and Rehabilitation, Fethiye State Hospital, Mugla, Turkey.
İsmail Gunes GokmenDepartment of Physical Medicine and Rehabilitation, Eskisehir City Hospital, Eskisehir, Turkey.
Tuba UysalDepartment of Physical Medicine and Rehabilitation, Tuzla State Hospital, Istanbul, Turkey.
Emine Burcu ComrukDepartment of Physical Medicine and Rehabilitation, Osmaniye State Hospital, Osmaniye, Turkey.
Kubra Neslihan Kurt OktayDepartment of Physical Medicine and Rehabilitation, University of Health Sciences, Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey.ORCID 0000-0002-1679-3856
Ozkan YukselmisDepartment of Physical Medicine and Rehabilitation, Diyarbakir Dagkapı State Hospital, Diyarbakir, Turkey.
Songul InceDepartment of Physical Medicine and Rehabilitation, Dinar State Hospital, Afyonkarahisar, Turkey.
Mahmut CakilliDepartment of Physical Medicine and Rehabilitation, Gaziantep Bossan Hospital, Gaziantep, Turkey.
Ebru YilmazDepartment of Physical Medicine and Rehabilitation, Antalya Medstar Hospital, Antalya, Turkey.
Emre UzunDepartment of Physical Medicine and Rehabilitation, Sakarya Training and Research Hospital, Sakarya, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pain and disability in knee osteoarthritis (KO) are influenced by both structural and psychosocial factors. However, the roles of kinesiophobia and alexithymia in KO remain poorly understood. Objective: To investigate the relationships among kinesiophobia, alexithymia, and radiographic severity in patients with KO. Methods: In this cross-sectional study, 109 adults with clinically and radiographically confirmed KO were recruited from two tertiary care centers. Demographic and clinical data were also collected. Pain intensity at rest and during movement was measured using the Visual Analog Scale (VAS), kinesiophobia with the Tampa Scale of Kinesiophobia (TSK), and alexithymia with the Toronto Alexithymia Scale (TAS). Radiographic severity was graded according to the Kellgren-Lawrence (KL) classification. Correlation and logistic regression analyses were conducted. Results: Kinesiophobia increased significantly with higher KL grade (r = 0.341, Conclusion: Higher radiological severity and greater movement-evoked pain are linked to increased fear of movement, whereas alexithymia appears less dependent on structural degeneration and more related to individual psychological factors. These results emphasize the interconnection between physical and psychosocial components in KOA and support a multidisciplinary, biopsychosocial approach that incorporates emotional assessment and fear-reduction strategies into routine management.

Indexed as

Affective SymptomsKinesiophobiaOsteoarthritis, KneeAgedCross-Sectional StudiesFemaleHumansMaleMiddle AgedPain MeasurementRadiographySeverity of Illness IndexAlexithymiaEmotional awarenessFear of movementKellgren–Lawrence classificationKinesiophobiaKnee osteoarthritisPain perceptionPsychosocial factorsRadiographic severityRehabilitation

Identifiers

PMID41948463
PMCPMC13052118

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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.