RT Journal Article T1 Association of Kinesiophobia with Catastrophism and Sensitization-Associated Symptoms in COVID-19 Survivors with Post-COVID Pain A1 Herrero Montes, Manuel A1 Fernández de las Peñas, César A1 Ferrer Pargada, Diego A1 Izquierdo Cuervo, Sheila A1 Abascal Bolado, Beatriz A1 Valera Calero, Juan Antonio A1 Paras Bravo, Paula AB Pain symptoms after the acute phase of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) are present in almost 50% of COVID-19 survivors. The presence of kinesiophobia is a risk factor which may promote and perpetuate pain. This study aimed to investigate variables associated with the presence of kinesiophobia in a sample of previously hospitalized COVID-19 survivors exhibiting post-COVID pain. An observational study was conducted in three urban hospitals in Spain, including one hundred and forty-six COVID-19 survivors with post-COVID pain. Demographic (age, weight, height), clinical (intensity and duration of pain), psychological (anxiety level, depressive level, sleep quality), cognitive (catastrophizing), sensitization-associated symptoms, and health-related quality of life variables were collected in 146 survivors with post-COVID pain, as well as whether they exhibited kinesiophobia. Stepwise multiple linear regression models were conducted to identify variables significantly associated with kinesiophobia. Patients were assessed a mean of 18.8 (SD 1.8) months after hospital discharge. Kinesiophobia levels were positively associated with anxiety levels (r: 0.356, p < 0.001), depression levels (r: 0.306, p < 0.001), sleep quality (r: 0.288, p < 0.001), catastrophism (r: 0.578, p < 0.001), and sensitization-associated symptoms (r: 0.450, p < 0.001). The stepwise regression analysis revealed that 38.1% of kinesiophobia variance was explained by catastrophism (r2 adj: 0.329, B = 0.416, t = 8.377, p < 0.001) and sensitization-associated symptoms (r2 adj: 0.381, B = 0.130, t = 3.585, p < 0.001). Kinesiophobia levels were associated with catastrophism and sensitization-associated symptoms in previously hospitalized COVID-19 survivors with post-COVID pain. Identification of patients at a higher risk of developing a higher level of kinesiophobia, associated with post-COVID pain symptoms, could lead to better therapeutic strategies. PB MDPI SN 2075-4418 YR 2023 FD 2023-02-23 LK https://hdl.handle.net/20.500.14352/103532 UL https://hdl.handle.net/20.500.14352/103532 LA eng NO Herrero-Montes, M.; Fernández-de-las-Peñas, C.; Ferrer-Pargada, D.; Izquierdo-Cuervo, S.; Abascal-Bolado, B.; Valera-Calero, J.A.; Paras-Bravo, P. Association of Kinesiophobia with Catastrophism and Sensitization-Associated Symptoms in COVID-19 Survivors with Post-COVID Pain. Diagnostics 2023, 13, 847. https://doi.org/10.3390/diagnostics13050847 NO 2022 Descuento MDPI (This article belongs to the Special Issue Musculoskeletal and Neuropathic Pain in COVID-19: Diagnosis and Management Challenge) DS Docta Complutense RD 6 abr 2025