Servicio de Medicina Física y Rehabilitación, Hospital La Fe, 46026 Valencia, Spain.
Grupo de Investigación en Medicina Física y Rehabilitación, Instituto de Investigación Sanitaria La Fe (IISLAFE), 46026 Valencia, Spain.
Int J Environ Res Public Health. 2021 Apr 26;18(9):4575. doi: 10.3390/ijerph18094575.
The main objective of this research is to determine the psychosocial differences between patients with knee pain or early osteoarthritis (EOA) and healthy subjects at risk of developing osteoarthritis. The secondary objective is to determine how psychosocial factors might influence pain and social participation in patients with EOA. A cross-sectional study was performed. Participants were divided according to the presence of pain or EOA. Pain intensity both at rest and walking, psychological variables such as anxiety and depression, and social participation were evaluated. A total of 105 participants were included (64 with knee pain and 41 without pain), with a mean age of 51.42 ± 5.92 (35 men and 70 women). Patients with knee pain had higher levels of anxiety (MD = -2.35; < 0.01; = 0.66) and depression (MD = -2.45; < 0.01; = 0.87), regardless of the presence of EOA. In addition, patients with higher depression levels had lower levels of social participation. The results revealed a relationship between the psychological variables, anxiety and depression, with knee pain and the onset of symptomatic OA, as well as an influence of depression levels on social participation. Improving these psychological characteristics may be useful in delaying the onset of symptomatic OA and enhancing social participation.
本研究的主要目的是确定膝痛或早期骨关节炎（EOA）患者与有骨关节炎发病风险的健康受试者之间的心理社会差异。次要目的是确定心理社会因素如何影响 EOA 患者的疼痛和社会参与度。进行了一项横断面研究。参与者根据是否存在疼痛或 EOA 进行分组。评估了静息和行走时的疼痛强度、焦虑和抑郁等心理变量以及社会参与度。共纳入 105 名参与者（64 名有膝痛，41 名无疼痛），平均年龄为 51.42 ± 5.92 岁（35 名男性，70 名女性）。有膝痛的患者焦虑（MD = -2.35；<0.01； = 0.66）和抑郁（MD = -2.45；<0.01； = 0.87）水平更高，无论是否存在 EOA。此外，抑郁程度较高的患者社会参与度较低。研究结果表明，心理变量焦虑和抑郁与膝痛和有症状 OA 的发生有关，以及抑郁水平对社会参与度的影响。改善这些心理特征可能有助于延缓有症状 OA 的发生并提高社会参与度。
