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 .
Reciprocal relationship between pain and depression in older adults: evidence from the English Longitudinal Study of Ageing.
BACKGROUND Previous cross-sectional studies have shown an association between pain and depression , but it is unclear which comes first . Our objectives were to determine the temporal relationship between pain and depression , and to investigate whether these two syndromes share predictors . METHODS A 2-year , population -based , prospect i ve , observational study of 3654 older adults aged 65 and above selected from the English Longitudinal Study of Ageing Waves 1 and 2 .  Pain , 8-item CES-D , socio-economic variables , health indicators , and social support were assessed . RESULTS Logistic regression analyses revealed that pain at baseline was an independent predictor of becoming depressed 2 years later and depression at baseline was a predictor of developing pain at 2 years . Individuals with mobility disability and poor sight were at risk of becoming depressed as well as developing pain . Moreover , older age , poor sight and mobility disability were common predictors for pain and depression after baselines of both syndromes were adjusted . CONCLUSION Individuals who develop pain or depression are at risk for developing the other , with a spiraling risk of pain and depression . Because pain and depression share predictors , individuals who are at high risk of developing these two outcomes can be identified by aged care service practitioners
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 .