scholarly journals Association between severity of depressive symptoms and chronic knee pain in Korean adults aged over 50 years: a cross-sectional study using nationally representative data

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e032451
Author(s):  
Su-Bin Han ◽  
Sook-Hyun Lee ◽  
In-Hyuk Ha ◽  
Eun-Jung Kim
Keyword(s):  
Depressive Symptoms ◽  
Knee Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Strong Association ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Chronic Knee Pain ◽  
Depressed Group

ObjectivesTo identify the association between the presence and severity of depressive symptoms and those of chronic knee pain.DesignA retrospective cross-sectional study.ParticipantsWe used data from the sixth Korea National Health and Nutrition Examination Survey (KNHANES VI-2) performed in 2014. Overall, 7550 patients were included in the KNHANES VI-2.Outcome measuresParticipants were asked whether they had chronic knee pain, and each answer was either ‘yes’ or ‘no’. Patient Health Questionnaire-9 (PHQ-9) was used as a screening tool for depressive symptoms, and PHQ-9 scores of 10 or higher was classified as the depressed group. In total, 527 patients reported that they had pain in their knee, of whom 91 also had depressive symptoms.ResultsThe prevalence of chronic knee pain in the Korean population aged over 50 years was 19.8%. Multiple logistic regression was conducted after adjustment for sex, age, smoking, alcohol drinking, education level, household income, physical activity, sleep duration and comorbidity. The analysis revealed a significant association between depressive symptoms and chronic knee pain (adjusted OR=2.333, p<0.001). In contrast, the severity of depressive symptoms was linearly correlated with the intensity of chronic knee pain (p for trend <0.001). In participants with no chronic knee pain (Numerical Rating Scale; NRS=0) or mild chronic knee pain (NRS=1–4), the prevalence of moderate and severe depressive symptoms was 3.4% and 0.6%, respectively. However, in those with severe chronic knee pain (NRS=8–10), there was a higher prevalence of moderate and severe depressive symptoms (10.1% and 5.8%, respectively) (p<0.001).ConclusionsA strong association was observed between the presence and severity of depressive symptoms and the presence of chronic knee pain. The association became stronger with higher levels of depressive symptoms, indicating a positive correlation between depressive symptoms severity and chronic knee pain.

scholarly journals Clinical Outcome of Cooled Radiofrequency Ablation in Chronic Knee Pain Osteoarthritis: An Initial Experience from Nepal

2021 ◽  
Vol 19 (1) ◽  
pp. 175-178
Author(s):  
Anuj Jung Rayamajhi ◽  
Pawan Kumar Hamal ◽  
Rupesh Kumar Yadav ◽  
Nabin Pokhrel ◽  
Prashanta Paudel ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Knee Pain ◽  
Ultrasound Guidance ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Numeric Rating Scale ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Chronic Knee Pain ◽  
Numerical Rating

Background: Cooled Radiofrequency ablation is a newer technique for management of chronic knee pain in osteoarthritis. The aim of the study is to evaluate the clinical outcomes in patients with chronic osteoarthritis in terms of pain scores for first six months of cooled radiofrequency ablation using ultrasound guidance. Methods: A cross-sectional study with retrospective review of database was evaluated to analyze the change in the Numerical Rating Scale from baseline scores at 1 day, 1 month and 6 months after the Cooled Radiofrequency ablation of genicular nerves around knee in patients with chronic knee osteoarthritis. Results: Median age was 71 years [ 61-73 years (IQR: 25-75)] with more female preponderance. Numerical Rating Scale (Mean ± S.D.) was significantly less at 1 day (1.87 ± 1.22), 1 month (3.03 ± 0.99) and 6 months (3.37 ± 1.098) from baseline values (6.77 ± 1.00). No soreness and numbness were noted.Conclusions: Cooled Radiofrequency using Ultrasound guidance for management of knee pain in chronic osteoarthritis is promising and reduces Numerical Rating Score significantly from baseline at 1 month and 6 months respectively.Keywords: Cooled radiofrequency ablation; genicular nerve; numeric rating scale

Association of depressive symptoms with allodynia in patients with migraine: A cross-sectional study

Cephalalgia ◽  
2016 ◽  
Vol 36 (11) ◽  
pp. 1077-1081 ◽  
Author(s):  
Marcelo D Mendonça ◽  
André Caetano ◽  
Miguel Viana-Baptista ◽  
Keyword(s):  
Depressive Symptoms ◽  
Strong Association ◽  
Depression Scale ◽  
Episodic Migraine ◽  
Cross Sectional Study ◽  
Multiple Regression Model ◽  
Sectional Study ◽  
Cross Sectional ◽  
Therapeutic Implications ◽  
Demographic Questionnaire

Aims Migraine and depression have a strong association. We aimed to determine whether this relationship was particularly evident in migraineurs with allodynia. Methods A cross-sectional study was carried out of 98 consecutive patients with episodic migraine presenting for their first evaluation in an outpatient clinic. The participants completed a demographic questionnaire, the Allodynia Symptom Checklist and the Hospital Anxiety and Depression Scale (HADS). Results Among the migraineurs, 75 (77%) reported allodynia. Allodynia was associated with higher median HADS-Anxiety (9 vs. 6, p = 0.038) and HADS-Depression (6 vs. 4, p = 0.014) scores. In a multiple regression model, the HADS-Depression scores were independently associated with allodynia (odds ratio 1.236, 95% confidence interval 1.046–1.461). An increased severity of allodynia correlated with higher depression scores ( r = 0.224; p = 0.027). Conclusion Anxious and depressive symptoms are more common in migraineurs with allodynia than in those without allodynia. Further studies are necessary to clarify the relationship between depressive symptoms and allodynia, as well as its therapeutic implications in migraine.

scholarly journals Association between telecommuting environment and low back pain among Japanese telecommuting workers: A cross-sectional study

2021 ◽  
Author(s):  
Ryutaro Matsugaki ◽  
Keiji Muramatsu ◽  
Seiichiro Tateishi ◽  
Tomohisa Nagata ◽  
Mayumi Tsuji ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Cross Sectional Study ◽  
Mixed Effects ◽  
Low Back ◽  
Sectional Study ◽  
Cross Sectional ◽  
Numerical Rating

Objectives: We evaluated the relationship between telecommuting environment and low back pain (LBP) among desk-based workers in Japan. Methods: This cross-sectional study included 3,663 desk-based, telecommuting workers. LBP was assessed using a 0 to 10 numerical rating scale. The telecommuting environment was evaluated using subjective questions. Mixed-effects logistic regression analysis was used. Results: Mixed-effects logistic model results revealed that not having a place or room to concentrate on work, desk not well-lit enough for work, not having enough space on the desk to work, not having enough legroom, and not having comfortable temperature and humidity conditions in the workspace were significantly associated with higher odds of LBP. Conclusions: Our findings suggest that telecommuting environment is associated with the prevalence of LBP.

scholarly journals Biopsychosocial factors and global perceived effect scale on the subject with chronic pain: an analytic cross-sectional study

2020 ◽  
pp. 1-5
Author(s):  
Graziella Cristina Roque ◽  
Tiago Tsunoda del Antonio ◽  
Fabrício José Jassi ◽  
Thais Cristina Chaves
Keyword(s):  
Chronic Pain ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Pain Catastrophizing ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Fear Avoidance Beliefs ◽  
The Subject

Background: Chronic pain is an emotional and sensorial experience that triggers functional incapacity guided especially by the biopsychosocial changes, that lead to its aggravation directly affecting the recovery of the patient. Objective: To verify the presence of biopsychosocial factors in the subject with chronic pain on the physiotherapeutic care undergone in a clinical physiotherapy school. Method: A cross-sectional study, conducted in the physiotherapy clinic of the Health Sciences Center of the Universidade Estadual do Norte do Paraná, in which were evaluated 26 subjects with chronic pain through the Pain Numerical Rating Scale; Hospital Anxiety and Depression Scale; Pain Catastrophizing Scale; Fear Avoidance Beliefs Questionnaire; and Global Perceived Effect Scale. The statistical analysis had significance value of P≤0.05. Results: Even with reduction of pain intensity with P=0.04, the values do not indicate clinically relevant difference. The global perceived effect scale does not indicate a significant improvement of the subjects; however this is justified because the treatment does not address biopsychosocial aspects, being a technical approach. Conclusion: The treatment of chronic pain associated with a biopsychosocial approach would be the most indicated in clinical practice.

scholarly journals Prevalence of Pruritus in Cutaneous Lupus Erythematosus: Brief Report of a Multicenter, Multinational Cross-Sectional Study

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Dominik Samotij ◽  
Justyna Szczęch ◽  
Carolyn J. Kushner ◽  
Mohammad Rafiqul Mowla ◽  
Aleksandra Dańczak-Pazdrowska ◽  
...  
Keyword(s):  
Lupus Erythematosus ◽  
Clinical Characteristics ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Cutaneous Lupus Erythematosus ◽  
Connective Tissue Diseases ◽  
Well Being ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional

Pruritus is an important symptom frequently accompanying various inflammatory skin conditions. Some recent data have indicated that it may also be associated with autoimmune connective tissue diseases, including systemic sclerosis and dermatomyositis; however, studies on the prevalence and clinical characteristics of pruritus in CLE are limited. We have performed a multinational, prospective, cross-sectional study in order to assess the prevalence and intensity of pruritus in adult patients suffering from various subtypes of CLE. After developing a questionnaire assessing various aspects of pruritus, we have surveyed 567 patients with cutaneous involvement during the course of LE regarding the presence and intensity of pruritus. Pruritus was present in 425 of all patients (75.0%) and was most frequently reported by subjects with acute CLE (82.1%), followed by chronic CLE (78.8%), subacute CLE (65.9%), and intermittent CLE (55.6%) (p<0.001). Based on the Numerical Rating Scale, the severity of itch was mild, moderate, and severe in 264 (62.1%), 98 (23.1%), and 63 (14.8%) patients, respectively. The highest mean pruritus intensity was reported by subjects with hypertrophic LE (5.1±3.0 points) followed by generalized discoid LE (3.6±3.0 points), subacute CLE (3.0±3.0 points), chilblain LE (3.0±1.0 points), localized discoid LE (2.6±2.0 points), intermittent CLE (2.6±3.0 points), acute CLE (2.5±1.2 points), and lupus erythematosus profundus (1.9±2.7 points). In conclusion, pruritus is a frequent phenomenon in CLE; however, in most patients it is of mild severity. Further studies are needed to better characterize its clinical characteristics and influence on patients’ well-being.

scholarly journals The Effect of Patellar Taping on Squat Depth and the Perception of Pain in People with Anterior Knee Pain

2013 ◽  
Vol 37 (1) ◽  
pp. 109-117 ◽  
Author(s):  
Amanda M. Clifford ◽  
Elaine Harrington
Keyword(s):  
Knee Pain ◽  
Anterior Knee Pain ◽  
Rating Scale ◽  
Sagittal Plane ◽  
Numerical Rating Scale ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Analysis System ◽  
Anterior Knee ◽  
Patellar Taping

Patellar taping is a treatment adjunct commonly used in the management of anterior knee pain. The aim of this cross sectional study was to investigate the effects of medial glide patellar taping on sagittal plane lower-limb joint kinematics and knee pain during a unilateral squat in a symptomatic population complaining of anterior knee pain. Ten participants with a history of unilateral or bilateral anterior knee pain were included in the study. Subjects were required to squat on the symptomatic leg under three conditions: placebo tape, patellar tape and no tape. Kinematic data was recorded using the CODA mpx64 motion analysis system and subjects’ pain was assessed using the Numerical Rating Scale. Patellar taping resulted in a significantly greater single-legged squat depth compared to placebo tape (p=0.008) and no tape (p=0.001) and a statistically significant reduction in pain during a squat compared to placebo tape (p=0.001) or no tape (p=0.001). Significant differences were not identified for maximum knee flexion in the patella taping compared to the no tape condition. This study may have significant clinical implications as participants reported less pain and alterations in sagittal plane movement following the application of patellar tape.

scholarly journals Stress and Depressive Symptoms among Undergraduate Medical Students of Different Professional Years at a Medical College in Northern India- A Cross-sectional Study

2021 ◽  
Author(s):  
Abhinav Pandey ◽  
Achyut Kumar Pandey ◽  
Pankaj Sureka ◽  
Amit Singh ◽  
Sanjay Gupta
Keyword(s):  
Depressive Symptoms ◽  
Medical Students ◽  
Rating Scale ◽  
Cross Sectional Study ◽  
Poor Quality ◽  
Medical Institute ◽  
Sectional Study ◽  
Undergraduate Medical Students ◽  
Cross Sectional ◽  
Northern India

Introduction: Medical students are exposed to tremendous pressure, leading to stress, depression and other psychiatric disorder at increasingly higher rates. The stress and depression can affect their learning and can lead to poor quality of life. The students of different professional year may have differing reasons for being under stress and in depression. Assessing stress and depression in students of different professional years may provide better insights, and help policy makers plan appropriate interventions. Aim: To measure and compare the prevalence and severity of stress, various aspects of life affected by stress and depressive symptoms among medical students of various professional years. Materials and Methods: A cross-sectional study was conducted from February 2018 to January 2019; on 150 undergraduate medical students (50 each from 1st, 2nd and 3rd professional year) of a medical institute in Northern part of India. Mini International Neuropsychiatric Interview (MINI version 5) was used to screen for depression, Student’s Stress Dimension Questionnaire (SSDQ) was used to assess for stress prevalence and severity and to find the various aspects of life affected by stress and Hamilton Depression Rating Scale (HAM-D) was used to measure the severity of depressive symptoms. Chi-square test and one-way Analysis of Variance (ANOVA) was used to make the group comparisons. Results: Overall stress and depressive symptoms were present in 66.67% and 52% of the participants, respectively. The three groups also differed significantly in the total score of SSDQ (H=13.664, p<0.05) and HAM-D (H=11.352, p<0.05) with first professional year students having higher scores than second and third professional year students. Domain wise comparison of SSDQ also showed higher prevalence and severity of impaired domains in first professional year students. Conclusion: Special care must be taken of the medical students. Interventions addressing stress and depression should be initiated from first professional year students itself.

scholarly journals Psychological Impact among COVID-19 Positive Patients in a Tertiary Care Hospital: A Cross-sectional Study

2021 ◽  
Author(s):  
Poonam Bharti ◽  
Bimal Kumar Agrawal ◽  
Parul Gupta ◽  
Mohit Singla ◽  
LN Garg ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Marital Status ◽  
Rating Scale ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Anxiety Symptoms ◽  
Care Hospital ◽  
Sectional Study ◽  
Tertiary Care Centre ◽  
Cross Sectional

Introduction: Coronavirus Disease (COVID-19) outbreak is one of the biggest medical challenges to humankind in recent times, started from China in December 2019, and had spread to almost all the countries of the world. The social, psychological and economic fissures exposed by the pandemic resulted in mass disruption in human behaviour population. This is pushing them towards more stress. Aim: To analyse the anxiety and depressive symptoms in COVID-19 positive patients. Materials and Methods: A cross-sectional study was conducted on 325 COVID positive patients who were admitted in isolation ward in Tertiary Care Centre and were enrolled in this study, out of which 18 subjects refused to give the consent and 5 were already taking psychiatric medications and were excluded. Telephonic contact was not established with rest of the 5 patients. After ethical clearance, the anxiety and depressive symptoms were assessed by using Hamilton Anxiety Rating Scale (HAM-A) and Hamilton Depression Rating Scale (HAM-D). Results: Maximum patients belonged to age group of 21-40 years (54.9%). Maximum patients were males (70%). Almost 3/4th of the population 64% had depressive symptoms of different severity and 61% had anxiety symptoms. Significant association of anxiety symptoms was seen with gender (p=0.001) and marital status (p=0.002). No association with depressive symptoms was seen with gender (p=0.087) and marital status (p=0.399). Conclusion: COVID-19 had significant impact on the patients. More than half of the population had showed the psychological issues in the form of anxiety and depression. Males and married patients were affected more with both anxiety and depressive symptoms.

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