Is kinesiophobia associated with lymphedema, upper extremity function, and psychological morbidity in breast cancer survivors?

Özet

Objectives: This study aims to the effects of kinesiophobia on lymphedema, upper extremity function, depression/anxiety, and quality of lifein breast cancer survivors.Patients and methods: Between January 2015 and January 2016, a total of 81 breast cancer survivors (mean age 54.1±10.8 years;range 44 to 70 years) were included. Lymphedema was evaluated based on the circumference measurements. The Tampa Scale forKinesiophobia (TSK), the Quick Disabilities of Arm, Shoulder, and Hand (Q-DASH) Questionnaire, the Hospital Anxiety and DepressionScale (HADS), and the Short Form-36 (SF-36) were applied to all patients.Results: We found a significantly higher rate of lymphedema in the patients with kinesiophobia. Kinesiophobic patients had also significantlyhigher mean scores of TSK, Q-DASH, HADS-A, and HADS-D and lower mean scores of the SF-36 physical scores. Correlation analysisdemonstrated that presence of lymphedema, Q-DASH, HADS-A, and HADS-D scores were significantly associated with the TSK scores.Conclusion: Kinesiophobia increases the risk for lymphedema, depression/anxiety, and decreased upper extremity functioning in breastcancer survivors. Identifying kinesiophobia in breast cancer survivors, psychosocial providers may help to prevent undesirable effects ofkinesiophobia.