{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:16:52Z","timestamp":1791389812318,"version":"4.3.3"},"reference-count":47,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T00:00:00Z","timestamp":1682640000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["81970225"],"award-info":[{"award-number":["81970225"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Our recent study has demonstrated that kinesiophobia is common in Chinese inpatients with chronic heart failure (CHF). Symptoms of heart failure (HF), coping mode, self\u2010efficacy for exercise (SEE), and social support have been reported to be associated with kinesiophobia. However, little is known about the relationships between these four variables and kinesiophobia in older patients with CHF.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>To test a model of influencing factors of kinesiophobia in older CHF patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A cross\u2010sectional design was conducted from January 2021 to October 2021. The general information questionnaire, the Chinese version of the Tampa Scale for Kinesiophobia Heart (TSK\u2010SV Heart\u2010C), Symptom Status Questionnaire\u2010Heart Failure, SEE, the Medical Coping Modes Questionnaire,\u00a0and Social Support Rating Scale were used. Spearman correlation analysis and structural equation model (SEM) were performed for data analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 270 older patients with CHF were recruited. Symptom status of HF (<jats:italic>r<\/jats:italic>\u2009=\u20090.455, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01), avoidance coping mode (<jats:italic>r<\/jats:italic>\u2009=\u20090.393,\u00a0<jats:italic>p<\/jats:italic>\u2009&lt;.01), and yielding coping mode (<jats:italic>r<\/jats:italic>\u2009=\u20090.439, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01) were positively correlated with kinesiophobia, while SEE\u00a0(<jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.530, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01), facing coping mode (<jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.479, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01), and social support (<jats:italic>r<\/jats:italic>\u2009=\u2009\u22120.464, <jats:italic>p<\/jats:italic>\u2009&lt;\u2009.01) were negatively correlated with kinesiophobia. SEM analysis showed that social support could affect kinesiophobia through the mediating variables of symptom status of HF, avoidance coping mode, and exercise self\u2010efficacy.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Symptoms of HF, coping mode, SEE, and social support may play role in kinesiophobia in older CHF patients. We should pay more attention to the synergies among these four variables in the improvement of kinesiophobia.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.24024","type":"journal-article","created":{"date-parts":[[2023,4,28]],"date-time":"2023-04-28T07:13:58Z","timestamp":1682666038000},"page":"729-736","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Influencing factors of kinesiophobia in older patients with chronic heart failure: A structural equation model"],"prefix":"10.1002","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6288-5268","authenticated-orcid":false,"given":"Jingwen","family":"Qin","sequence":"first","affiliation":[{"name":"Department of Cardiology Affiliated Hospital of Yangzhou University, Yangzhou University Yangzhou Jiangsu China"},{"name":"School of Nursing Yangzhou University Yangzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juanjuan","family":"Xiong","sequence":"additional","affiliation":[{"name":"Department of Cardiology Affiliated Hospital of Yangzhou University, Yangzhou University Yangzhou Jiangsu China"},{"name":"School of Nursing Yangzhou University Yangzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Cardiac surgery Nanjing Drum Hospital, The Affiliated Hospital of Nanjing University Medical School Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xue","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Cardiology Affiliated Hospital of Yangzhou University, Yangzhou University Yangzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ya","family":"Gao","sequence":"additional","affiliation":[{"name":"Department of Cardiology Affiliated Hospital of Yangzhou University, Yangzhou University Yangzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Cardiology Affiliated Hospital of Yangzhou University, Yangzhou University Yangzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guixiang","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Cardiology Affiliated Hospital of Yangzhou University, Yangzhou University Yangzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaizheng","family":"Gong","sequence":"additional","affiliation":[{"name":"Department of Cardiology Affiliated Hospital of Yangzhou University, Yangzhou University Yangzhou Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,4,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/cvr\/cvac013"},{"issue":"6","key":"e_1_2_10_3_1","first-page":"553","article-title":"Report on cardiovascular health and diseases in China 2021: an updated summary","volume":"37","author":"The Writing Committee of the Report on Cardiovascular Health and Diseases in China","year":"2022","journal-title":"Chin Circ J"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cardfail.2017.09.014"},{"issue":"3","key":"e_1_2_10_5_1","first-page":"369","article-title":"Associations of lifestyles with major chronic diseases in Chinese adults: evidence from the China Kadoorie Biobank","volume":"42","author":"Pang YJ","year":"2021","journal-title":"Zhonghua Liu Xing Bing Xue Za Zhi"},{"issue":"6","key":"e_1_2_10_6_1","first-page":"28","article-title":"Investigation and analysis of phase I cardiac rehabilitation in 25 hospitals in Guangdong Province","volume":"19","author":"Cao XC","year":"2012","journal-title":"J Nurs"},{"issue":"1","key":"e_1_2_10_7_1","first-page":"32","article-title":"Investigation about the patients' demands for cardiac rehabilitation","volume":"37","author":"Liu JY","year":"2017","journal-title":"J Nantong Univ"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2016.01.036"},{"issue":"3","key":"e_1_2_10_9_1","first-page":"35","article-title":"Kinesiophobia: a new view of chronic pain behaviour","volume":"1","author":"Kori SH","year":"1990","journal-title":"Pain Manag"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/10547738221081230"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2011.12.107"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.2340\/16501977-0942"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1054773821990263"},{"issue":"10","key":"e_1_2_10_14_1","first-page":"1803","article-title":"Coping style and quality of life of ovarian cancer patients: the moderating role of fear of progression","volume":"47","author":"Guo TT","year":"2020","journal-title":"Mod Prev Med"},{"issue":"19","key":"e_1_2_10_15_1","first-page":"24","article-title":"Status of postoperative kinesiophobia among breast cancer patients and its influencing factors","volume":"35","author":"Zhang SL","year":"2020","journal-title":"J Nurs Sci"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-021-01194-8"},{"issue":"6","key":"e_1_2_10_17_1","first-page":"72","article-title":"Application of walking exercise method based on timing theory in elderly patients with chronic heart failure","volume":"38","author":"Li Y","year":"2021","journal-title":"Med J Chin PLA"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1126\/science.3399889"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02886375"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-94318-x"},{"issue":"23","key":"e_1_2_10_21_1","first-page":"4413","article-title":"Mediating effect of self\u2010efficacy in the relationship between social support and fear of progression among CHF patients","volume":"48","author":"Du PJ","year":"2021","journal-title":"Mod Prev Med"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-020-01783-9"},{"key":"e_1_2_10_23_1","volume-title":"Medical Psychology","author":"Jiang QJ","year":"2004"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.23.2.207"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.592"},{"key":"e_1_2_10_26_1","volume-title":"Structural Equation Models: The Conduction and Application of AMOS (Version 2)","author":"Wu ML","year":"2010"},{"issue":"11","key":"e_1_2_10_27_1","first-page":"1637","article-title":"Reliability and validity test of Chinese version of the Tampa Scale for Kinesiophobia Heart","volume":"19","author":"Lei MJ","year":"2019","journal-title":"Chin Nurs Manage"},{"issue":"8","key":"e_1_2_10_28_1","first-page":"1245","article-title":"Participation in exercise rehabilitation of patients with coronary heart disease and the influencing factors","volume":"21","author":"Wu JQ","year":"2021","journal-title":"Chin Nurs Manage"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0000000000000102"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006842-198711000-00007"},{"issue":"1","key":"e_1_2_10_31_1","first-page":"22","article-title":"Report of 701 cases of the Medical Coping Style Questionnaire","volume":"9","author":"Shen XH","year":"2000","journal-title":"Chin J Behav Med Brain Sci"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-200005000-00007"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2008.09.003"},{"issue":"2","key":"e_1_2_10_34_1","first-page":"98","article-title":"Theoretical basis and research application of Social Support Rating Scale","author":"Xiao SY","year":"1994","journal-title":"J Clin Psychiatry"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.3724\/SP.J.1042.2014.00731"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10741-016-9581-4"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2021.05.005"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hrtlng.2014.08.006"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2016.03.022"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-013-2277-4"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-018-4542-3"},{"key":"e_1_2_10_42_1","article-title":"Mediating role of hope between social support and self\u2010management among Chinese liver transplant recipients: a multi\u2010center cross\u2010sectional study","author":"Zhang D","year":"2022","journal-title":"Clin Nurs Res"},{"issue":"5","key":"e_1_2_10_43_1","first-page":"20","article-title":"Influencing factors of exercise participation in elderly patients with chronic heart failure: a qualitative study","volume":"30","author":"Qin JW","year":"2022","journal-title":"Pract J Cardio Cereb Pneumal Vasc Dise"},{"issue":"12","key":"e_1_2_10_44_1","first-page":"64","article-title":"Relationship between coping style and sports psychological fatigue:moderating effects of two types of social support","volume":"40","author":"Guo YJ","year":"2017","journal-title":"J\u00a0Beijing Sport Univ"},{"key":"e_1_2_10_45_1","unstructured":"MaXR.Study on the Influencing Factors of Family Exercise Behavior and Intervention in Patients With Heart Failure. Master. Nanjing Medical University;2017."},{"key":"e_1_2_10_46_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurjcn\/zvab134"},{"key":"e_1_2_10_47_1","doi-asserted-by":"publisher","DOI":"10.1080\/07853890.2022.2049860"},{"key":"e_1_2_10_48_1","doi-asserted-by":"publisher","DOI":"10.1080\/09593985.2019.1630875"}],"container-title":["Clinical Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/clc.24024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T06:09:19Z","timestamp":1692252559000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/clc.24024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,28]]},"references-count":47,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1002\/clc.24024"],"URL":"https:\/\/doi.org\/10.1002\/clc.24024","archive":["Portico"],"relation":{},"ISSN":["0160-9289","1932-8737"],"issn-type":[{"value":"0160-9289","type":"print"},{"value":"1932-8737","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,28]]},"assertion":[{"value":"2022-09-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-05","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-04-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}