Clinical Medicine Research

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The Prevalence of Depression and Its Relevance to Clinical and Radiological Characteristics among Older Adults with Knee Osteoarthritis

Received: 17 February 2014    Accepted:     Published: 10 March 2014
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Abstract

In this study we assessed the prevalence of depression and its relevance to pain intensity, functional status (health related disability) and radiographic severity in older adults with knee osteoarthritis (OA).One hundred and thirty-eight elderly (sixty-five years or older) patients with knee OA and 82 age and sex matched healthy controls were included into the study. Beck depression scale was used to assess depressive disorders in all participants. The pain intensity, functional status and radiographic severity in patients were assessed with a Visual Analogue Scale (VAS), the Western Ontario and Mc-Master Universities Osteoarthritis Index (WOMAC), and the Kellgren-Lawrence grading system,respectively. Depression was detected in 49.3% of patients and 12.3% of controls. In patients group whose BDI scores were ≥17, the scores of VAS, WOMAC, and radiographic severity were found to be statistically significantly higher, compared to the group whose BDI scores were <17. A positive correlation was detected between BDI score and VAS, WOMAC and radiological classification scores in patients with knee OA. In linear regression analysis, the most significant determinant for the level of depression was WOMAC score. The present study shows that depression is a commonly encountered comorbidity in older adults with knee OA. The level of depression was correlated with the severity of the disorder, especially in patients whose WOMAC score was high. Therefore, coexisting depression should be taken into account in the assessment and management of older patients with knee OA.

DOI 10.11648/j.cmr.20140302.14
Published in Clinical Medicine Research (Volume 3, Issue 2, March 2014)
Page(s) 25-30
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Knee Osteoarthritis, Disability, Depression, Pain

References
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Author Information
  • Department of Physical Medicine and Rehabilitation, Beyhekim Hospital, Konya, Turkey

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    Sami Küçükşen, Yılmaz Halim, Ali Yavuz Karahan, Sinan Bağçacı. (2014). The Prevalence of Depression and Its Relevance to Clinical and Radiological Characteristics among Older Adults with Knee Osteoarthritis. Clinical Medicine Research, 3(2), 25-30. https://doi.org/10.11648/j.cmr.20140302.14

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    ACS Style

    Sami Küçükşen; Yılmaz Halim; Ali Yavuz Karahan; Sinan Bağçacı. The Prevalence of Depression and Its Relevance to Clinical and Radiological Characteristics among Older Adults with Knee Osteoarthritis. Clin. Med. Res. 2014, 3(2), 25-30. doi: 10.11648/j.cmr.20140302.14

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    AMA Style

    Sami Küçükşen, Yılmaz Halim, Ali Yavuz Karahan, Sinan Bağçacı. The Prevalence of Depression and Its Relevance to Clinical and Radiological Characteristics among Older Adults with Knee Osteoarthritis. Clin Med Res. 2014;3(2):25-30. doi: 10.11648/j.cmr.20140302.14

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  • @article{10.11648/j.cmr.20140302.14,
      author = {Sami Küçükşen and Yılmaz Halim and Ali Yavuz Karahan and Sinan Bağçacı},
      title = {The Prevalence of Depression and Its Relevance to Clinical and Radiological Characteristics among Older Adults with Knee Osteoarthritis},
      journal = {Clinical Medicine Research},
      volume = {3},
      number = {2},
      pages = {25-30},
      doi = {10.11648/j.cmr.20140302.14},
      url = {https://doi.org/10.11648/j.cmr.20140302.14},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.cmr.20140302.14},
      abstract = {In this study we assessed the prevalence of depression and its relevance to pain intensity, functional status (health related disability) and radiographic severity in older adults with knee osteoarthritis (OA).One hundred and thirty-eight elderly (sixty-five years or older) patients with knee OA and 82 age and sex matched healthy controls were included into the study. Beck depression scale was used to assess depressive disorders in all participants. The pain intensity, functional status and radiographic severity in patients were assessed with a Visual Analogue Scale (VAS), the Western Ontario and Mc-Master Universities Osteoarthritis Index (WOMAC), and the Kellgren-Lawrence grading system,respectively. Depression was detected in 49.3% of patients and 12.3% of controls. In patients group whose BDI scores were ≥17, the scores of VAS, WOMAC, and radiographic severity were found to be statistically significantly higher, compared to the group whose  BDI scores were <17. A positive correlation was detected between BDI score and VAS, WOMAC and radiological classification scores in patients with knee OA. In linear regression analysis, the most significant determinant for the level of depression was WOMAC score. The present study shows that depression is a commonly encountered comorbidity in older adults with knee OA. The level of depression was correlated with the severity of the disorder, especially in patients whose WOMAC score was high. Therefore, coexisting depression should be taken into account in the assessment and management of older patients with knee OA.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - The Prevalence of Depression and Its Relevance to Clinical and Radiological Characteristics among Older Adults with Knee Osteoarthritis
    AU  - Sami Küçükşen
    AU  - Yılmaz Halim
    AU  - Ali Yavuz Karahan
    AU  - Sinan Bağçacı
    Y1  - 2014/03/10
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    DO  - 10.11648/j.cmr.20140302.14
    T2  - Clinical Medicine Research
    JF  - Clinical Medicine Research
    JO  - Clinical Medicine Research
    SP  - 25
    EP  - 30
    PB  - Science Publishing Group
    SN  - 2326-9057
    UR  - https://doi.org/10.11648/j.cmr.20140302.14
    AB  - In this study we assessed the prevalence of depression and its relevance to pain intensity, functional status (health related disability) and radiographic severity in older adults with knee osteoarthritis (OA).One hundred and thirty-eight elderly (sixty-five years or older) patients with knee OA and 82 age and sex matched healthy controls were included into the study. Beck depression scale was used to assess depressive disorders in all participants. The pain intensity, functional status and radiographic severity in patients were assessed with a Visual Analogue Scale (VAS), the Western Ontario and Mc-Master Universities Osteoarthritis Index (WOMAC), and the Kellgren-Lawrence grading system,respectively. Depression was detected in 49.3% of patients and 12.3% of controls. In patients group whose BDI scores were ≥17, the scores of VAS, WOMAC, and radiographic severity were found to be statistically significantly higher, compared to the group whose  BDI scores were <17. A positive correlation was detected between BDI score and VAS, WOMAC and radiological classification scores in patients with knee OA. In linear regression analysis, the most significant determinant for the level of depression was WOMAC score. The present study shows that depression is a commonly encountered comorbidity in older adults with knee OA. The level of depression was correlated with the severity of the disorder, especially in patients whose WOMAC score was high. Therefore, coexisting depression should be taken into account in the assessment and management of older patients with knee OA.
    VL  - 3
    IS  - 2
    ER  - 

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