Investigating the prevalence of anxiety and depression in people living with patellofemoral pain in the UK: the Dep-Pf Study
Investigating the prevalence of anxiety and depression in people living with patellofemoral pain in the UK: the Dep-Pf Study
复制标题
调查英国髌股疼痛患者焦虑和抑郁的患病率：Dep-Pf 研究
DOI：
--
复制
发表时间：
2019
影响因子：
1.6
通讯作者：
K. Bannigan
中科院分区：
文献类型：
--
作者：
J. Wride;K. Bannigan
髌股关节疼痛（PFP）是一种常见的膝关节疾病，可引起膝盖骨周围或后面的疼痛，并因某些活动而加剧。传统上，它被视为一种自我限制的条件。最近的研究证明，情况并非如此，长期结果不佳的证据越来越多。虽然PFP治疗的证据基础及其病因学的理解正在改善，但它仍然是一种复杂且难以治疗的疾病。在许多身体状况下，已经表明焦虑和抑郁会对其管理和持续时间产生负面影响。目前还不清楚PFP中焦虑和抑郁的普遍程度。本研究旨在确定英国PFP患者焦虑和抑郁的患病率。方法采用网上横断面调查的方法进行调查。通过定制的社交媒体活动，采用改良的雪球抽样，招募了400名自我报告有PFP症状的参与者。合格标准为（i）年龄在18至44岁之间，（ii）自我报告的PFP症状（使用公认的标准）（iii）居住在英国。排除标准为既往髌骨脱位史或既往受累膝关节手术史。该调查记录了人口统计学信息、既往PFP和焦虑抑郁治疗、医院焦虑抑郁量表和膝关节前疼痛量表。获得普利茅斯大学伦理委员会的伦理批准。结果一半（49.5%; n=198）的受访者被归类为经历焦虑和20.8%（n=83）的经历抑郁。在这项研究中确定的焦虑和抑郁水平高于一般人群（分别为5.9-7.8%和3.3- 7.8%）。这反映了其他研究中报告的不同环境下的PFP和其他肌肉骨骼疾病（如骨关节炎和肩关节收缩）的结果。结论PFP患者的焦虑和抑郁症状较普通人群更为常见。这些发现支持需要更多的研究心理因素的影响，如焦虑和抑郁，在PFP。未来研究的一个关键领域将是确定这些心理因素是否会影响PFP患者的治疗结果。这是第一项研究调查的人生活在英国髌股关节疼痛的焦虑和抑郁的患病率。这项研究表明，焦虑和抑郁是非常常见的人生活与髌股疼痛。有必要进一步研究心理因素对髌股关节疼痛的影响。
Abstract Background and aims Patellofemoral pain (PFP) is a common knee condition causing pain around or behind the kneecap which is exacerbated by certain activities. Traditionally it has been viewed as a self-limiting condition. Recent research proves this is not the case and the evidence for poor long-term outcomes is growing. Whilst the evidence base for PFP treatment and the understanding of its aetiology is improving, it remains a complex and difficult to treat condition. In many physical conditions, it has been shown that anxiety and depression negatively affect both their management and duration. It is unclear how prevalent anxiety and depression are in PFP. This study aimed to identify the prevalence of anxiety and depression in people living with PFP in the UK. Methods In order to investigate this, a cross-sectional online survey was undertaken. Four hundred participants with self-reported symptoms of PFP were recruited through a tailored social media campaign, using modified snowball sampling. Eligibility criteria were (i) aged between 18 and 44, (ii) self-reported symptoms of PFP (using accepted criteria) (iii) resident in the UK. Exclusion criteria were previous history of patella dislocation or previous surgery to affected knee. The survey recorded demographic information, previous treatment for both PFP and anxiety and depression, the Hospital Anxiety and Depression Scale and the Anterior Knee Pain Scale. Ethical approval was gained from a University of Plymouth Ethics Committee. Results Half (49.5%; n=198) of respondents were classified as experiencing anxiety and 20.8% (n=83) as experiencing depression. The levels of anxiety and depression identified in this study are higher than those found in the general population (5.9–7.8% and 3.3–7.8%, respectively). This mirrors results which have been reported in other studies into PFP in different settings and with other musculoskeletal conditions, such as osteoarthritis and contracted shoulder. Conclusions Anxiety and depression are more common in people living with PFP than in the general population. These findings support the need for greater research into the effects of psychological factors, such as anxiety and depression, in PFP. A key area of future research will be to determine whether these psychological factors affect treatment outcomes in people living with PFP. Implications This is the first study to investigate the prevalence of anxiety and depression in people living with patellofemoral pain in the UK. This study shows that anxiety and depression are very common in people living with patellofemoral pain. The need for further work into the effects of psychological factors in patellofemoral pain is indicated.