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The effect of depressive symptoms on the association between radiographic osteoarthritis and knee pain: a cross-sectional study

2013Artigo científico Acesso aberto
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dc.contributor.authorPereira, D.
dc.contributor.authorSevero, M.
dc.contributor.authorBarros, H.
dc.contributor.authorBranco, Jaime
dc.contributor.authorBranco, Jaime
dc.contributor.authorSantos, R. A.
dc.contributor.authorRamos, E.
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionCentro de Estudos de Doenças Crónicas (CEDOC)
dc.contributor.pblBioMed Central (BMC)
dc.date.accessioned2017-10-17T22:00:35Z
dc.date.available2017-10-17T22:00:35Z
dc.date.issued2013
dc.description.abstractBackground: The progressive nature of knee osteoarthritis (OA) leads to not only to physical but also to psychosocial decline; this aspect can influence knee pain experience, manifestations and inevitably diagnostic accuracy. To analyze the role of depressive symptoms on the association between radiographic OA and knee pain, understanding the ability of knee pain symptoms to find out individuals with radiographic OA. Methods: Data on 663 subjects was obtained by interview using a structured questionnaire on social, demographic, behavioural and clinical data. Painful knee was assessed regarding having pain: ever, in the last year, in the last 6 months and in the last month. Using factor analysis, participants were graded using a knee pain score, with higher scores representing more symptomatology. Depressive symptoms were evaluated with the Beck Depressive Inventory (BDI), and radiographic knee OA was classified using the Kellgren Lawrence (KL) scale; those with KL >= 2 were considered as having radiographic OA. Results: Knee pain was reported by 53.2\% of those with radiographic KL >= 2 and by 33.2\% of those with radiographic KL < 2. The prevalence of depressive symptoms (BDI > 14) was 19.9\% among participants with radiographic KL >= 2 and 12.6\% among those with radiographic KL < 2 (p = 0.01). The association of knee pain with radiographic knee OA was higher in higher pain scores and in participants without depressive symptoms. Among participants with BDI <= 14 the likelihood ratio to identify patients with radiographic knee OA increased with increased pain scores: 1.02 for score 1; 2.19 for score 2 and 7.34 when participants responded positively to all pain questions (score 3). Among participants with depressive symptoms (BDI > 14) likelihood ratios were 0.51, 1.92, 1.82, respectively. The results were similar for both genders. Conclusions: Knee pain scores increased ability to identify participants with radiographic KL >= 2 in both sexes. However, the presence of depressive symptoms impairs the ability of knee pain complaints to identify patients with radiographic OA.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent256126
dc.identifier.doi10.1186/1471-2474-14-214
dc.identifier.issn1471-2474
dc.identifier.otherPURE: 284832
dc.identifier.otherPURE UUID: d673bcf3-50c8-4e2e-a3b4-e2af67e65095
dc.identifier.otherresearchoutputwizard: 39904
dc.identifier.otherPubMed: 23875806
dc.identifier.otherWOS: 000322314300001
dc.identifier.otherScopus: 84880334534
dc.identifier.urihttp://hdl.handle.net/10362/24259
dc.language.isoeng
dc.peerreviewedyes
dc.subjectKnee
dc.subjectCHINESE
dc.subjectRadiographic OA
dc.subjectDISABILITY
dc.subjectUNITED-STATES
dc.subjectOsteoarthritis
dc.subjectPRIMARY-CARE
dc.subjectPOPULATION
dc.subjectPREVALENCE
dc.subjectRECOMMENDATIONS
dc.subjectCRITERIA
dc.subjectSTATISTICS NOTES
dc.subjectDepressive symptoms
dc.subjectMYOCARDIAL-INFARCTION
dc.subjectPain
dc.subjectDepressive symptoms
dc.subjectKnee
dc.subjectOsteoarthritis
dc.subjectPain
dc.subjectRadiographic OA
dc.titleThe effect of depressive symptoms on the association between radiographic osteoarthritis and knee pain: a cross-sectional studyen
dc.typejournal article
degois.publication.issueNA
degois.publication.titleBMC Musculoskeletal Disorders
degois.publication.volume14
dspace.entity.typePublication
person.familyNameBranco
person.givenNameJaime
person.identifier.ciencia-idB612-E5C3-60DC
person.identifier.orcid0000-0001-7024-4375
person.identifier.scopus-author-id8417815400
rcaap.rightsopenAccess
relation.isAuthorOfPublication4caea9f3-40dd-4c95-98ec-0120509287c0
relation.isAuthorOfPublication.latestForDiscovery4caea9f3-40dd-4c95-98ec-0120509287c0

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