LEVEL OF ANXIETY AND DEPRESSION AMONG KNEE OSTEOARTHRITIS PATIENTS AND ITS IMPACT ON THEIR PHYSICAL FUNCTION

Introduction: OA is a common type of arthritis which is mostly occurred in elder people which were having more than 50 year age. Evidence base practices showed that psychological factors e.g anxiety and depression contributed in functional limitation and pain in knee osteoarthritis patents. KOA is the major cause of disability particularly in geriatric population. KOA is also leading reason for psychological variables (anxiety and depression) while limiting physical activities among knee osteoarthritis patients. Aim Of The Study:  The purpose of our study was to determine the level of anxiety and depression among knee osteoarthritis patients and its impact on their physical functions.

Methods: our study was a cross sectional survey in which a non-probability sampling technique was used. Data were collected from 169 knee osteoarthritis diagnosed patients from tertiary care hospitals of Peshawar. Data were collected using questionnaires, including western Ontario and Macmaster osteoarthritis index (WOMAC) , center of epidemiologic studies depression scale (CES-D scale) and beck anxiety inventory (BAI). The study duration for this study was 6 months.
Results: our result indicates that both anxiety and depression are significantly associated with physical function in a patient with knee OA (P=0.005). The results of our study also shows that there was no significant association of anxiety (p=0.385) and depression (p=0.271) with pain intensity.

Conclusions: The patients were properly assessed by 3 questionnaires through which we concluded that both the psychological factors i-e anxiety and depression are significantly associated with impaired physical function in those patients which were having knee osteoarthritis.
KEYWORDS: Knee osteoarthritis, anxiety, depression, functional limitation.

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