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 .
Prevalence and correlates of musculoskeletal pain in Chinese elderly and the impact on 4-year physical function and quality of life.
OBJECTIVE To examine the prevalence , correlates and prospect i ve impact of musculoskeletal pain on physical and psychological function in a population health survey of elderly Chinese men and women . STUDY DESIGN Cohort study . METHODS Four thous and men and women , aged 65 years and over , living in the community in Hong Kong took part in this study . A question naire to determine demographics , socio-economic status , medical history , smoking , alcohol intake and level of physical activity was administered by an interviewer . Participants were asked about the presence of pain in the back , neck , hip and knee in the past 12 months . They were re-interviewed after 4 years of follow-up to document physical performance measures , psychological function and occurrence of falls , fractures and mortality . RESULTS Overall , back pain was most prevalent ( 48 % ) , followed by knee ( 31 % ) , neck ( 22.5 % ) and hip ( 8.9 % ) pain ; the values was nearly twice as high in women compared with men for all sites . The presence of pain was not correlated with age , but was associated with various measures of socio-economic status as well as comorbidities . Baseline prevalence of pain was related to physical performance and quality -of-life measures , and fracture incidence after 4 years of follow-up . CONCLUSION Musculoskeletal pain is prevalent among elderly men and women , being much higher in the latter , giving rise to considerable functional and psychological impairments . Osteoporosis and osteoarthritis are likely to be the main underlying causes . The condition may be considered part of the frailty syndrome , and in this context , prevention and management represent major public health challenges
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 .