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Kinesiophobia in Breast Cancer Survivors and its Relationship with Quality of Life, Comorbidity, and other clinical parameters
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Original Article
VOLUME: 54 ISSUE: 2
P: 198-205
2021

Kinesiophobia in Breast Cancer Survivors and its Relationship with Quality of Life, Comorbidity, and other clinical parameters

Acta Haematol Oncol Turc 2021;54(2):198-205
DOI: 10.5505/aot.2021.38243
İsmihan Sunar 1
Veli Sunar 2
1. Aydın State Hospital, Rheumatology Clinic, Aydın, Turkey
2. Aydın Atatürk State Hospital, Medical Oncology Clinic, Aydın, Turkey
3.
No information available.
No information available
Received Date: 2020-12-13T15:56:35
Accepted Date: 2021-08-11T08:35:45
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Abstract

INTRODUCTION

This cross-sectional study aims to determine the frequency of kinesiophobia in breast cancer survivors and evaluate its relationship with mainly quality of life and comorbidities, also fatigue, lymphedema, and depression.

METHODS

This study included 54 women with breast cancer who were followed in remission in Aydın Atatürk State Hospital Medical Oncology Clinic between November-December 2020. Clinicopathological characteristics of the patients were recorded. Kinesiophobia was assessed using the Turkish version of Tampa Scale for Kinesiophobia (TSK). Lymphedema was evaluated with bilateral upper extremity measurements. Depressive status and quality of life were determined using the Beck Depression Inventory (BDI) and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Version 3.0 (EORTC QLQ-C30 v3). Comorbidities were assessed using the Charlson Comorbidity Index (CCI) while fatigue was evaluated by 10 cm visual analogue scale (VAS). The relationship between the TSK and CCI, BDI, VAS-F, EORTC-30 were investigated.

RESULTS

The mean age of patients was 52.11±11.10 years. Of the patients, 36 (66.7%) had kinesiophobia based on having TSK scores above 37. The rate to recieve adjuvant radiotherapy was higher in kinesiophobic group. Kinesiophobic patients had statistically significantly lower global health, physical functioning, and emotional functioning scores and higher depression and VAS-fatigue scores. Kinesiophobic patients also had higher financial difficulty and higher sypmtom scale scores. Comorbidities and presence of lymphedema did not differ between groups (p>0.05). All EORTC QLQ-30 sub-parameter scores except financial difficulty and symptom severity had negative significant correlations with TSK scores while VAS-fatigue, BDI, EORTC QLQ-30 symptom scale and financial difficulties showed significant positive correlations. TSK score was not associated with comorbidity.

DISCUSSION AND CONCLUSION

Kinesiophobia is rather high in breast cancer survivors and has correlations with worse quality of life and higher depression and fatigue scores. These patients should be trained and encouraged for an active life style.