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Open AccessJournal ArticleDOI

Anxiety and its Impact on Osteoarthritis Pain: An Update

Ray Marks
- Vol. 1, Iss: 3
TLDR
It is concluded that more attention to this correlate in the research and clinical realm will enable a more favorable outlook for the osteoarthritic patient, regardless of joint site, or disease duration.
Abstract
Anxiety is a very common psychological syndrome occurring in the adult population either as a trait or specific condition, and/or in response to a variety of situations, especially adverse health conditions. This narrative review examines the extent to which anxiety may preside among adults with a diagnosis of osteoarthritis, regardless of site, and its linkage to the pain experience. Drawn from the English language peer reviewed work over the last 35 years, articles that focused on the topic of anxiety among cases with osteoarthritis were examined. Although very limited in quantity, these data showed, a sizable proportion of adults with osteoarthritis may present with comorbid anxiety problems, as well as excess anxiety in response to their situation. In most cases, those with any form of anxiety experience more pain, and have less optimal outcomes than those without anxiety. It is concluded that more attention to this correlate in the research and clinical realm will enable a more favorable outlook for the osteoarthritic patient, regardless of joint site, or disease duration.

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Citations
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Variables determining outcome in total hip replacement surgery

TL;DR: In this article, a general linear regression model was used to examine the association of anxiety with respect to the outcome of pain (VAS) and satisfaction and found that the preoperative EQ-5D anxiety/depression dimension was a strong predictor for pain relief, patient satisfaction, and cost-effectiveness with surgery.
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Predictors of Outcomes of Total Knee Replacement Surgery.

TL;DR: This paper identified clinically important predictors of attained pain/function post-total knee replacement (TKR) in a large prospective cohort of 1991 patients receiving primary TKR in south-west London from 2005 to 2008.
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Correlation of anxiety and chronic pain to grade of synovitis in patients with knee osteoarthritis.

TL;DR: Chronic pain is more present in late osteoarthritis, when synovitis is less pronounced, but it is statistically the same regardingsynovitis grade, i.e. whether it is early or late osteOarthritis.
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Anxiety, depression, and quality of life in patients with knee osteoarthritis before and after knee joint replacement

TL;DR: The role of psychological status on patient functioning and quality of life was evident, and their improvements after surgery were parallel.

Effect of ginger oil application on functional status among patients with severe osteoarthritis: a quasiexperimental clinical trial

TL;DR: Ginger oil application has the potential to relief pain, and accordingly, the overall functional status of patients with severe osteoarthritis.
References
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Journal ArticleDOI

The association of depression and anxiety with medical symptom burden in patients with chronic medical illness.

TL;DR: Accurate diagnosis of comorbid depressive and anxiety disorders in patients with chronic medical illness is essential in understanding the cause and in optimizing the management of somatic symptom burden.
Journal ArticleDOI

Factors associated with functional impairment in symptomatic knee osteoarthritis

TL;DR: Function in symptomatic knee OA is determined more by pain and obesity than by structural change, at least as seen on plain X-ray, which provides further support for interventions targeting anxiety and helplessness in knee Oa.
Journal ArticleDOI

Psychological Factors Affecting the Outcome of Total Hip and Knee Arthroplasty: A Systematic Review

TL;DR: Low preoperative mental health and pain catastrophizing have an influence on outcome after TKA, and with regard to the influence of other psychological factors and for hip patients, only limited, conflicting, or no evidence was found.
Journal ArticleDOI

Preoperative Pain Catastrophizing Predicts Pain Outcome after Knee Arthroplasty

TL;DR: It was found pain catastrophizing was the only consistent psychologic predictor of poor WOMAC pain outcome and an intervention focusing on pain catastrophicizing seems to have potential for improving pain outcome in patients prone to catastrophized pain.
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