Mediating effect of psychological flexibility between pain self-efficacy and kinesiophobia on patients with lumbar disc herniation
10.3969/j.issn.1671-8283.2025.02.006
- VernacularTitle:心理灵活性在腰椎间盘突出症患者疼痛自我效能感与恐动症的中介效应
- Author:
Yanxin XU
1
;
Lishan HUANG
;
Jing CHEN
;
Lin WANG
;
Xuan REN
;
Jiawen HUO
;
Rui LI
;
Aoxiang LUO
Author Information
1. 广东药科大学护理学院,广东 广州,510006
- Publication Type:Journal Article
- Keywords:
lumbar disc herniation;
kinesiophobia;
psychological flexibility;
pain self-efficacy;
mediating effect;
cross-sectional study
- From:
Modern Clinical Nursing
2025;24(2):48-54
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the mediating effect of psychological flexibility on the relationship between pain self-efficacy and kinesiophobia in patients with lumbar disc herniation(LDH),so as to provide references for relief from kinesiophobia of the patients.Methods Convenience sampling was used to select 256 patients with LDH as the research subjects from the Outpatient Department of Spinal Orthopaedics of a Grade IIIA hospital in Guangdong Province between May and December 2023.The subjects were surveyed with a general information questionnaire,the kinesiophobia assessment scale,psychological flexibility inventory for pain patients,and chronic pain self-efficacy scale.The mediation effect of psychological flexibility on pain self-efficacy and kinesiophobia was analysed using SPSS 26.0 and the PROCESS 3.5 macro.Results The scores for kinesiophobia,psychological flexibility and pain self-efficacy among the LDH patients were 31.66±4.73,55.26±11.06 and 68.14±17.48,respectively.Kinesiophobia was positively correlated with the psychological flexibility(r=0.545,P<0.001)and negatively correlated with the pain self-efficacy(r=-0.599,P<0.001).The psychological flexibility was negatively correlated with the pain self-efficacy(r=-0.510,P<0.001).Psychological flexibility partially mediated the relationship between pain self-efficacy and kinesiophobia,with a mediating effect of-0.045,accounting for 27.78%of the total effect.Conclusion The patients who have LDH and under conservative treatment exhibit a high level of kinesiophobia and with a moderate levels of pain self-efficacy and psychological flexibility.The medical staff can improve the self-efficacy and psychological flexibility of patients,so as to reduce kinesiophobia level and its incidence.
