Chulalongkorn Medical Journal


Background: Anxiety and depression is currently a leading health problem worldwide. The etiology of anxiety and depression involves multiple factors and the literature indicated that patients with osteoarthritis of the knee are likely to experience anxiety and depression. Objective: To study the prevalence of anxiety and depression and associated factors in patients with knee osteoarthritis. Methods: A total of 343 participants receiving treatment at the out-patient department (OPD) of Bang Bua Thong Hospital were recruited in line with the inclusion and exclusion criteria. The following four evaluation forms were used: 1) the demographic data questionnaire; 2) the Thai version of the Hospital Anxiety and Depression Scale (Thai HADS); 3) the Knee and Osteoarthritis Outcome Score (KOOS) Evaluation Form; and 4) the Thai version of the Exercise Addiction Inventory (Thai EAI). Results: This study found that 8.5% had anxiety alone, 13.1% had depression alone and 26.8% had anxiety and depression. Factors related to anxiety or depression included age, education, severe symptoms, chronic hypertension, diabetes, active knee exercise, walking, aerobic, bicyclinge, and stretching, physical therapy treatment for knee osteoarthritis, Thai traditional massage, KOOS, score of EAI. Conclusion: The study found that correlated factors included score of KOOS and score of the Thai version of the Exercise Addiction Inventory (Thai EAI) had correlations with anxiety or depression. The results of this study will be useful for patients with osteoarthritis to reduce the risk of anxiety and depression resulting in receiving treatment, care and choosing the right exercise methods.

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