Kinezyofobi ile Fiziksel Aktiviteye Katılım Motivasyonu Arasındaki İlişkide Öz-Güvenin Aracı Rolü

Abstract

Kinezyofobi, bireylerin hareket etme ya da fiziksel aktiviteye katılma sürecinde ağrı, yaralanma veya rahatsızlık yaşama korkusuyla kaçınma davranışı geliştirmelerine neden olabilen önemli bir psikolojik değişkendir. Literatürde, kinezyofobinin fiziksel aktiviteye katılım motivasyonunu azaltabildiği, buna karşılık öz-güvenin bireylerin fiziksel etkinliklere yöneliminde destekleyici bir rol oynadığı belirtilmektedir. Bu bağlamda, kinezyofobi ile fiziksel aktiviteye katılım motivasyonu arasındaki ilişkinin açıklanmasında öz-güvenin aracı rolünün incelenmesi önemli görülmektedir. Bu araştırma, üniversite öğrencilerinde kinezyofobi ile fiziksel aktiviteye katılım motivasyonu arasındaki ilişkide öz-güvenin aracı rolünün belirlenmesi amacıyla yapılmıştır. Araştırmaya 122 kadın ve 124 erkek olmak üzere toplam 246 üniversite öğrencisi katılmıştır. Araştırmada veri toplama aracı olarak dört bölümden oluşan bir anket formu kullanılmıştır. Birinci bölümde kişisel bilgi formu, ikinci bölümde Tampa Kinezyofobi Ölçeği, üçüncü bölümde Fiziksel Aktiviteye Katılım Motivasyonu Ölçeği ve dördüncü bölümde Öz Güven Ölçeği yer almıştır. Verilerin analizinde SPSS programından yararlanılmış; frekans analizi ve güvenirlik katsayısı hesaplamaları yapılmıştır. Analizler %95 güven aralığında gerçekleştirilmiştir. Kinezyofobi ile fiziksel aktiviteye katılım motivasyonu arasındaki ilişkide öz-güvenin aracı etkisini test etmek amacıyla Process Macro 3.5 eklentisinin Model 4 yapısı kullanılmıştır. Araştırma sonucunda, kinezyofobinin fiziksel aktiviteye katılım motivasyonunu olumsuz yönde etkilediği ve bu ilişkide öz-güvenin kısmi aracı değişken olarak işlev gördüğü belirlenmiştir. Bu bulgu, fiziksel aktiviteye katılım motivasyonunun artırılmasına yönelik müdahalelerde öz-güveni geliştirmeye odaklanan uygulamaların önemli bir işleve sahip olabileceğini göstermektedir.

Keywords

• Kinezyofobi
• fiziksel aktiviteye katılım
• öz-güven

The Mediating Role of Self-Confidence in the Relationship Between Kinesiophobia and Motivation for Participation in Physical Activity

Abstract

Kinesiophobia is a significant psychological variable that can lead to avoidance behaviors due to fear of pain, discomfort, or other issues during the process of moving or participating in physical activity. Literature suggests that kinesiophobia can increase motivation for participation in physical activity, while conversely, it plays a role in maintaining self-confidence during physical activities. In this context, examining the role of self-confidence as a mediator in explaining kinesiophobia in relation to motivation for physical activity is considered important. This research was conducted to determine the mediating role of self-confidence in the relationships between kinesiophobia and motivation for participation in physical activity in universities. A total of 246 university students participated in the study, including 122 women and 124 men. A four-part questionnaire was used as a data collection tool. The first part consisted of a personal information formula, the second part the Tampa Kinesiophobia Scale, the third part the International Activity Participation Motivation Scale, and the fourth part the Self-Confidence Scale. SPSS software was used for data analysis; frequency analysis and reliability component planning were performed. Analyses were performed at a 95% confidence interval. To test the mediating intensity of self-confidence in the relationships between kinesiophobia and motivation for participation in physical activity, the Model 4 structure of the Process Macro 3.5 plugin was used. The study found that kinesiophobia negatively alters motivation for physical activity, and that self-confidence functions as a comprehensive mediator in this relationship. This finding suggests that motivation to focus on physical activity may have an important function in interventions that focus on self-confidence.

Keywords

• Kinesiophobia
• participation in physical activity
• self-confidence

References

1. Akın, A. (2007). Öz-Güven ölçeği'nin geliştirilmesi ve psikometrik özellikleri. Abant İzzet Baysal Üniversitesi Eğitim Fakültesi Dergisi, 7(2).
2. Ardern, C. L., Österberg, A., Tagesson, S., Gauffin, H., Webster, K. E., & Kvist, J. (2014). The impact of psychological readiness to return to sport and recreational activities after anterior cruciate ligament reconstruction. British journal of sports medicine, 48(22), 1613-1619.
3. Ardern, C. L., Taylor, N. F., Feller, J. A., & Webster, K. E. (2013). A systematic review of the psychological factors associated with returning to sport following injury. British journal of sports medicine, 47(17), 1120-1126.
4. Bandura, A. (1997). Self-efficacy: The exercise of control (Vol. 11). Freeman.
5. Biddle, S. J., & Asare, M. (2011). Physical activity and mental health in children and adolescents: a review of reviews. British journal of sports medicine, 45(11), 886-895.
6. Bull, F.C., Al-Ansari, S.S., Biddle, S., Borodulin, K., Buman, M.P., Cardon, G., & Willumsen, J.F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British journal of sports medicine, 54(24), 1451-1462.
7. De Baets, L., Meulders, A., Van Damme, S., Caneiro, J. P., & Matheve, T. (2023). Understanding discrepancies in a person's fear of movement and avoidance behavior: a guide for musculoskeletal rehabilitation clinicians who support people with chronic musculoskeletal pain. journal of orthopaedic & sports physical therapy, 53(5), 307-316.
8. Deci, E. L., Olafsen, A. H., & Ryan, R. M. (2017). Self-determination theory in work organizations: The state of a science. Annual review of organizational psychology and organizational behavior, 4, 19-43.

9. Demir, G.T., & Cicioğlu, H.İ. (2018). Motivation Scale For Participation In Physical Activity (MSPPA): A study of validity and reliability. Fiziksel Aktiviteye Katılım Motivasyonu Ölçeği (FAKMÖ): Geçerlik ve güvenirlik çalışması. Journal of Human Sciences, 15(4), 2479-2492.
10. Fox, K. R., & Magnus, L. (2014). Self-esteem and self-perceptions in sport and exercise. In Routledge companion to sport and exercise psychology (pp. 34-48). Routledge.
11. George, D., & Mallery, P. (2024). IBM SPSS statistics 29 step by step: A simple guide and reference. routledge.
12. Gillison, F. B., Rouse, P., Standage, M., Sebire, S. J., & Ryan, R. M. (2019). A meta-analysis of techniques to promote motivation for health behaviour change from a self-determination theory perspective. Health psychology review, 13(1), 110-130.
13. Hagger, M. S., & Chatzisarantis, N. L. (2014). An integrated behavior change model for physical activity. Exercise and sport sciences reviews, 42(2), 62-69.
14. Hallal, P.C., Andersen, L.B., Bull, F.C., Guthold, R., Haskell, W., & Ekelund, U. (2012). Global physical activity levels: surveillance progress, pitfalls, and prospects. The lancet, 380(9838), 247-257.
15. Hanton, S., Mellalieu, S. D., & Hall, R. (2004). Self-confidence and anxiety interpretation: A qualitative investigation. Psychology of sport and exercise, 5(4), 477-495.
16. Hayes, A. F. (2018). Partial, conditional, and moderated moderated mediation: Quantification, inference, and interpretation. Communication monographs, 85(1), 4-40.
17. Ivarsson, A., Johnson, U., Andersen, M. B., Tranaeus, U., Stenling, A., & Lindwall, M. (2017). Psychosocial factors and sport injuries: meta-analyses for prediction and prevention. Sports medicine, 47(2), 353-365.
18. Kuś, M., & Knapık, A. (2021). Motives and barriers (kinesiophobia) for physical activity people training at the gym. Int J Health New Technol Soc Work, 16(1), 36-42.
19. Lundberg, M., Larsson, M., Ostlund, H., & Styf, J. (2006). Kinesiophobia among patients with musculoskeletal pain in primary healthcare. Journal of rehabilitation medicine, 38(1), 37-43.
20. MacKinnon, D. P., Fairchild, A. J., & Fritz, M. S. (2007). Mediation analysis. Annu. Rev. Psychol., 58(1), 593-614.
21. Maddison, R., & Prapavessis, H. (2005). A psychological approach to the prediction and prevention of athletic injury. Journal of Sport and Exercise Psychology, 27(3), 289-310.
22. Meijen, C., Brick, N., McCormick, A., Lane, A., Marchant, D., Marcora, S., ... & Robinson, D. (2023). Psychological strategies to resist slowing down or stopping during endurance activity: An expert opinion paper. Sport and Exercise Psychology Review, 18(1), 4-37.
23. Palit, S., Fillingim, R., & Bartley, E. (2019). (165) pain resilience moderates the relationships between fear-avoidance, functional performance, and movement-evoked pain in older adults with chronic low back pain. The Journal of Pain, 20(4), S17.
24. Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior research methods, 40(3), 879-891.
25. Rice, D., Nijs, J., Kosek, E., Wideman, T., Hasenbring, M. I., Koltyn, K., ... & Polli, A. (2019). Exercise-induced hypoalgesia in pain-free and chronic pain populations: state of the art and future directions. The journal of pain, 20(11), 1249-1266.
26. Rogers, A. H., & Farris, S. G. (2022). A meta‐analysis of the associations of elements of the fear‐avoidance model of chronic pain with negative affect, depression, anxiety, pain‐related disability and pain intensity. European Journal of Pain, 26(8), 1611-1635.
27. Ryan, R. M., & Deci, E. L. (2000). Intrinsic and extrinsic motivations: Classic definitions and new directions. Contemporary educational psychology, 25(1), 54-67.
28. Sagar, S.S., & Stoeber, J. (2009). Perfectionism, fear of failure, and affective responses to success and failure: The central role of fear of experiencing shame and embarrassment. Journal of sport and exercise psychology, 31(5), 602-627.
29. Saulicz, M., Saulicz, A., Myśliwiec, A., Knapik, A., Rottermund, J., & Saulicz, E. (2023). Effect of nordic walking training on physical fitness and Self-Assessment of health of people with chronic Non-Specific lower back pain. International Journal of Environmental Research and Public Health, 20(9), 5720.
30. Sedas, S. W. (2015). A program to develop resiliency, self-confidence, intrinsic motivation, and a sense of purpose in young adults. In 2015 ASEE Annual Conference & Exposition (pp. 26-89).
31. SH, K. (1990). Kinesiophobia: a new view of chronic pain behavior. Pain Manage, 3, 35-43.
32. Slepian, P. M., Ankawi, B., & France, C. R. (2020). Longitudinal analysis supports a fear-avoidance model that incorporates pain resilience alongside pain catastrophizing. Annals of Behavioral Medicine, 54(5), 335-345.
33. Standage, M., & Ryan, R. M. (2012). Self-determination theory and exercise motivation: Facilitating self-regulatory processes to support and maintain health and well-being. In Advances in motivation in sport and exercise, 3rd edition (pp. 233-270). Human Kinetics.
34. Vlaeyen, J. W., & Linton, S. J. (2000). Fear-avoidance and its consequences in chronic musculoskeletal pain: a state of the art. Pain, 85(3), 317-332.
35. Vlaeyen, J. W., Crombez, G., & Linton, S. J. (2016). The fear-avoidance model of pain. Pain, 157(8), 1588-1589.
36. Woodman, T. I. M., & Hardy, L. E. W. (2003). The relative impact of cognitive anxiety and self-confidence upon sport performance: A meta-analysis. Journal of sports sciences, 21(6), 443-457.
37. Yao, L., Guo, K., Guo, F., Li, D., Liu, Y., & Xiang, J. (2025). Relationship between physical exercise and subjective wellbeing in university students: the chain mediation role of self-identity and self-esteem. Frontiers in Psychology, 16, 1637779.
38. Yilmaz, Ö. T., Yakut, Y., Uygur, F., & Uluğ, N. (2011). Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve test-tekrar test güvenirliği. Fizyoterapi Rehabilitasyon, 22(1), 44-9.