We found a strong level of evidence for a relationship between depression and knee pain , limited evidence for no relationship between anxiety and knee pain , and minimal evidence for no relationship between poor mental health and knee pain .
Conclusions Despite the heterogeneity of the included studies , these data show that depression plays a significant role in knee pain , and that a biopsychosocial approach to the management of this condition is integral to optimising outcomes for knee pain
Background While it is recognized that psychosocial factors are important in the development and progression of musculoskeletal pain and disability , no systematic review has specifically focused on examining the relationship between psychosocial factors and knee pain .
We aim ed to systematic ally review the evidence to determine whether psychosocial factors , specifically depression , anxiety and poor mental health , are risk factors for knee pain .
Work and neck pain: A prospective study of psychological, social, and mechanical risk factors
& NA ; To determine the impact of occupational psychological/social and mechanical factors on  neck pain , a prospect i ve cohort study with a follow‐up period of 2 years was conducted with a sample of Norwegian employees . The following design s were tested : ( i ) cross‐sectional analyses at baseline ( n = 4569 ) and follow‐up ( n = 4122 ) , ( ii ) prospect i ve analyses with baseline predictors , ( iii ) prospect i ve analyses with average exposure over time [ ( T1 + T2)/2 ] as predictor , and ( iv ) prospect i ve analyses with measures of change in exposure from T1 to T2 as predictors . A total of 2419 employees responded to both the baseline and follow‐up question naire . Data were analyzed using ordinal logistic regression . After adjustment for age , sex , neck pain at T1 , and other exposure factors that had been estimated to be confounders , the most consistent risk factors were role conflict ( highest OR 2.97 , 99 % CI : 1.29–6.74 ) and working with arms raised to or above shoulder level ( highest OR 1.37 , 99 % CI : 1.05–1.78 ) . The most consistent protective factors were empowering leadership ( lowest OR 0.53 , 99 % CI : 0.35–0.81 ) and decision control ( lowest OR 0.60 , 99 % CI : 0.36–1.00 ) . Hence , psychological and social factors are important precursors of neck pain , along with mechanical factors . Although traditional factors such as quantitative dem and s and decision control play a part in the etiology of neck pain at work , in this study several new factors emerged as more important
We found a strong level of evidence for a relationship between depression and knee pain , limited evidence for no relationship between anxiety and knee pain , and minimal evidence for no relationship between poor mental health and knee pain .
Conclusions Despite the heterogeneity of the included studies , these data show that depression plays a significant role in knee pain , and that a biopsychosocial approach to the management of this condition is integral to optimising outcomes for knee pain
Background While it is recognized that psychosocial factors are important in the development and progression of musculoskeletal pain and disability , no systematic review has specifically focused on examining the relationship between psychosocial factors and knee pain .
We aim ed to systematic ally review the evidence to determine whether psychosocial factors , specifically depression , anxiety and poor mental health , are risk factors for knee pain .