The role of fear of physical movement and activity in chronic fatigue syndrome

Objective: To examine beliefs in relation to avoidance of activity in chronic fatigue syndrome (CFS) patients. Methods: The first phase consisted of modifying an existing chronic pain measure of kinesiophobia—fear of physical movement and activity—and validating it on the CFS population [Tampa Scale...

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Veröffentlicht in:Journal of psychosomatic research 2002-06, Vol.52 (6), p.485-493
Hauptverfasser: Silver, A, Haeney, M, Vijayadurai, P, Wilks, D, Pattrick, M, Main, C.J
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container_end_page 493
container_issue 6
container_start_page 485
container_title Journal of psychosomatic research
container_volume 52
creator Silver, A
Haeney, M
Vijayadurai, P
Wilks, D
Pattrick, M
Main, C.J
description Objective: To examine beliefs in relation to avoidance of activity in chronic fatigue syndrome (CFS) patients. Methods: The first phase consisted of modifying an existing chronic pain measure of kinesiophobia—fear of physical movement and activity—and validating it on the CFS population [Tampa Scale of Kinesiophobia-Fatigue (TSK-F); n=129; test–retest: r=.89, P
doi_str_mv 10.1016/S0022-3999(01)00298-7
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Methods: The first phase consisted of modifying an existing chronic pain measure of kinesiophobia—fear of physical movement and activity—and validating it on the CFS population [Tampa Scale of Kinesiophobia-Fatigue (TSK-F); n=129; test–retest: r=.89, P&lt;.001; α=.68]. Subscales of Illness Beliefs ( α=.78) and Beliefs about Activity ( α=.70) were identified. The second phase consisted of evaluating whether behavioural persistence was predicted by the TSK-F ( n=33). Participants were asked to ride an exercise bike for as long as they felt able. Results: Analyses indicated that behavioural persistence did not correlate with maximal heart rate or resting heart rate, level of tiredness, symptom severity, illness identity or emotional distress. However, the TSK-F did correlate highly with distance travelled and added a significant 15% of the variance in distance after adjustments for gender and physical functioning (PF). The TSK-F Beliefs about Activity subscale appears to be the predictive factor, explaining 12% of the variance in excise performance or rather 12% of the avoidance of exercise. Conclusion: Beliefs about Activity appear to be an important variable in predicting behaviour and avoidance of exercise. As avoidance has been suggested as a key to the maintenance of symptoms, disability and distress in CFS patients, this research has important theoretical, clinical and research implications.</description><identifier>ISSN: 0022-3999</identifier><identifier>EISSN: 1879-1360</identifier><identifier>DOI: 10.1016/S0022-3999(01)00298-7</identifier><identifier>PMID: 12069873</identifier><identifier>CODEN: JPCRAT</identifier><language>eng</language><publisher>England: Elsevier Inc</publisher><subject>Adult ; Avoidance ; Beliefs ; Chronic fatigue syndrome ; Culture ; Disease concept ; Exercise ; Exercise - psychology ; Fatigue Syndrome, Chronic - psychology ; Fear ; Female ; Humans ; Male ; Patients ; Physical activity ; Prediction of exercise performance</subject><ispartof>Journal of psychosomatic research, 2002-06, Vol.52 (6), p.485-493</ispartof><rights>2002 Elsevier Science Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c392t-6d2744a3fc7af25f6e16f9f4eb3ef9061bf395808a13491b39afd0e9216684993</citedby><cites>FETCH-LOGICAL-c392t-6d2744a3fc7af25f6e16f9f4eb3ef9061bf395808a13491b39afd0e9216684993</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022399901002987$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3536,27903,27904,30979,65309</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12069873$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Silver, A</creatorcontrib><creatorcontrib>Haeney, M</creatorcontrib><creatorcontrib>Vijayadurai, P</creatorcontrib><creatorcontrib>Wilks, D</creatorcontrib><creatorcontrib>Pattrick, M</creatorcontrib><creatorcontrib>Main, C.J</creatorcontrib><title>The role of fear of physical movement and activity in chronic fatigue syndrome</title><title>Journal of psychosomatic research</title><addtitle>J Psychosom Res</addtitle><description>Objective: To examine beliefs in relation to avoidance of activity in chronic fatigue syndrome (CFS) patients. Methods: The first phase consisted of modifying an existing chronic pain measure of kinesiophobia—fear of physical movement and activity—and validating it on the CFS population [Tampa Scale of Kinesiophobia-Fatigue (TSK-F); n=129; test–retest: r=.89, P&lt;.001; α=.68]. Subscales of Illness Beliefs ( α=.78) and Beliefs about Activity ( α=.70) were identified. The second phase consisted of evaluating whether behavioural persistence was predicted by the TSK-F ( n=33). Participants were asked to ride an exercise bike for as long as they felt able. Results: Analyses indicated that behavioural persistence did not correlate with maximal heart rate or resting heart rate, level of tiredness, symptom severity, illness identity or emotional distress. However, the TSK-F did correlate highly with distance travelled and added a significant 15% of the variance in distance after adjustments for gender and physical functioning (PF). The TSK-F Beliefs about Activity subscale appears to be the predictive factor, explaining 12% of the variance in excise performance or rather 12% of the avoidance of exercise. Conclusion: Beliefs about Activity appear to be an important variable in predicting behaviour and avoidance of exercise. As avoidance has been suggested as a key to the maintenance of symptoms, disability and distress in CFS patients, this research has important theoretical, clinical and research implications.</description><subject>Adult</subject><subject>Avoidance</subject><subject>Beliefs</subject><subject>Chronic fatigue syndrome</subject><subject>Culture</subject><subject>Disease concept</subject><subject>Exercise</subject><subject>Exercise - psychology</subject><subject>Fatigue Syndrome, Chronic - psychology</subject><subject>Fear</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Patients</subject><subject>Physical activity</subject><subject>Prediction of exercise performance</subject><issn>0022-3999</issn><issn>1879-1360</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkE1LxDAQhoMo7vrxE5ScRA_VpGmTzklE_ALRg3oO2XTiRtpmTboL--_tfqBHT-8MPO8MPISccHbJGZdXb4zleSYA4Jzxi2GBKlM7ZMwrBRkXku2S8S8yIgcpfTHGJOTlPhnxfJgqJcbk5X2KNIYGaXDUoYmrnE2XyVvT0DYssMWup6arqbG9X_h-SX1H7TSGzlvqTO8_50jTsqtjaPGI7DnTJDze5iH5uL97v33Mnl8fnm5vnjMrIO8zWeeqKIxwVhmXl04ilw5cgROBDpjkEyegrFhluCiATwQYVzOEnEtZFQDikJxt7s5i-J5j6nXrk8WmMR2GedKKV0IUovwXLJWCEqpiAMsNaGNIKaLTs-hbE5eaM70yrtfG9UqnZlyvjWs19E63D-aTFuu_1lbxAFxvABx8LDxGnazHzmLtI9pe18H_8-IHsF6Ptg</recordid><startdate>20020601</startdate><enddate>20020601</enddate><creator>Silver, A</creator><creator>Haeney, M</creator><creator>Vijayadurai, P</creator><creator>Wilks, D</creator><creator>Pattrick, M</creator><creator>Main, C.J</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20020601</creationdate><title>The role of fear of physical movement and activity in chronic fatigue syndrome</title><author>Silver, A ; Haeney, M ; Vijayadurai, P ; Wilks, D ; Pattrick, M ; Main, C.J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c392t-6d2744a3fc7af25f6e16f9f4eb3ef9061bf395808a13491b39afd0e9216684993</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Avoidance</topic><topic>Beliefs</topic><topic>Chronic fatigue syndrome</topic><topic>Culture</topic><topic>Disease concept</topic><topic>Exercise</topic><topic>Exercise - psychology</topic><topic>Fatigue Syndrome, Chronic - psychology</topic><topic>Fear</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Patients</topic><topic>Physical activity</topic><topic>Prediction of exercise performance</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Silver, A</creatorcontrib><creatorcontrib>Haeney, M</creatorcontrib><creatorcontrib>Vijayadurai, P</creatorcontrib><creatorcontrib>Wilks, D</creatorcontrib><creatorcontrib>Pattrick, M</creatorcontrib><creatorcontrib>Main, C.J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of psychosomatic research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Silver, A</au><au>Haeney, M</au><au>Vijayadurai, P</au><au>Wilks, D</au><au>Pattrick, M</au><au>Main, C.J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The role of fear of physical movement and activity in chronic fatigue syndrome</atitle><jtitle>Journal of psychosomatic research</jtitle><addtitle>J Psychosom Res</addtitle><date>2002-06-01</date><risdate>2002</risdate><volume>52</volume><issue>6</issue><spage>485</spage><epage>493</epage><pages>485-493</pages><issn>0022-3999</issn><eissn>1879-1360</eissn><coden>JPCRAT</coden><abstract>Objective: To examine beliefs in relation to avoidance of activity in chronic fatigue syndrome (CFS) patients. 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The TSK-F Beliefs about Activity subscale appears to be the predictive factor, explaining 12% of the variance in excise performance or rather 12% of the avoidance of exercise. Conclusion: Beliefs about Activity appear to be an important variable in predicting behaviour and avoidance of exercise. As avoidance has been suggested as a key to the maintenance of symptoms, disability and distress in CFS patients, this research has important theoretical, clinical and research implications.</abstract><cop>England</cop><pub>Elsevier Inc</pub><pmid>12069873</pmid><doi>10.1016/S0022-3999(01)00298-7</doi><tpages>9</tpages></addata></record>
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source MEDLINE; Elsevier ScienceDirect Journals; Applied Social Sciences Index & Abstracts (ASSIA)
subjects Adult
Avoidance
Beliefs
Chronic fatigue syndrome
Culture
Disease concept
Exercise
Exercise - psychology
Fatigue Syndrome, Chronic - psychology
Fear
Female
Humans
Male
Patients
Physical activity
Prediction of exercise performance
title The role of fear of physical movement and activity in chronic fatigue syndrome
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