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 elderly Chinese primary care patients.
BACKGROUND Pain and depression are common in old age but the reciprocal relationship between pain and depression has not been established in a single study . Moreover , few studies have addressed this issue in a primary care setting . The purpose s of this study were to examine the reciprocal relationship between pain and depression and to identify whether social support , functional disability or social functioning mediated the link between pain and depression among Hong Kong Chinese elderly primary care patients . METHOD Subjects were 318 patients assessed by a trained assessor with MDS-HC at baseline and these subjects were r and omly selected from attendants of three r and omly selected elderly health centers in Hong Kong . These patients were re-assessed one year after baseline evaluation . RESULTS Multiple regression analyses revealed that pain at baseline significantly predicted depression at 12-month follow-up assessment when age , gender , martial status , education , and depression at baseline were adjusted for , but depression at baseline was not associated with pain at 12-months after baseline measure while controlling for age , gender , martial status , education , and pain at baseline . However , depression did predict the onset of pain . Moreover , social support , physical disability or social functioning did not mediate the impact of pain on depression . CONCLUSIONS These data suggest that pain is an important predictor of  depression in elderly primary care patients . Therefore , aged care service practitioners must take this risk factor into consideration in their preventive intervention and treatment for psychological well-being
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 .