Table 7 Studies examining the relationship between poor mental health and knee pain
From: Are depression, anxiety and poor mental health risk factors for knee pain? A systematic review
Author (year) | Study design | Assessment of general mental health | Assessment of pain | Results | Conclusion | Quality score |
|---|---|---|---|---|---|---|
O’Reilly (1998) | Cross-sectional | SF-36 Questionnaire – Mental Health Component | Knee pain on most days for at least a month (in the past year) | Mental health score (<61): OR: 2.1 95% CI: 1.7-2.6 | Lower mental health scores were associated with increased odds of knee pain. | 45 |
Knee pain: Median (IQR): 72(56–84) | ||||||
No knee pain: Median (IQR): 76(64–88). P < 0.001 | ||||||
Matsudaira (2011) | Cross-sectional | SF36 subscale | Self reported knee pain in past month or in the past year | Knee pain and mental health: Not significant (Data not provided) | There was no association found between knee pain and general mental health. | 82 |
Harcombe (2010) | Cross-sectional | Mental Health Inventory-5 (MHI-5) | Self-reported knee pain lasting for more than a day in the month | Knee pain and mental health: OR (95% CI)= 0.96 (0.90 to 1.02); p value=0.194 | There was no association between self-reported knee pain and mental health. | 73 |
Standardised Nordic Questionnaires for MSDs and Brief Symptom Inventory diagram showing the area of the body | ||||||
Davis (1992) | Cross-sectional | Psychological Wellbeing: NHANES General Wellbeing Index | Pain on most days lasting one month in the past year or knee pain on active or passive motion during the examination | Psychological wellbeing (score ≤70 & reference group >94) | Psychological wellbeing was associated with knee pain among participants with and without radiographic OA. | 45 |
OA and No OA: OR (95% CI)= 1.4 (1.0 to 2.0) | ||||||
OA ± Pain: OR (95% CI)= 3.7 (1.8 to 7.6) | ||||||
Pain ± OA: OR (95% CI)= 3.2 (2.1 to 5.0) |