ArticlePhysical therapy2011
Depressive symptoms, anatomical region, and clinical outcomes for patients seeking outpatient physical therapy for musculoskeletal pain.
Article in Physical therapy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.
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Who cites it
22 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.
- Are Psychosocial Factors Associated With Patient-reported Outcome Measures in Patients With Rotator Cuff Tears? A Systematic Review.Clinical orthopaedics and related research · 2018Pooled it
- The relationship between pain and activity participation, quality of life and depression symptoms in traumatic hand injuries.Acta orthopaedica et traumatologica turcica · 2025Article
- Influence of Depression on Pain and Disability in Patients with Chronic Low Back Pain after Physical Therapy: A Secondary Analysis of a Randomized Controlled Trial.Depression and anxiety · 2024Article
- Cross-cultural adaptation and psychometric properties of the Mainland Chinese version of the manchester orofacial pain disability scale (MOPDS) among college students.BMC medical research methodology · 2023Article
- Sleep Quality Mediates the Effect of Sensitization-Associated Symptoms, Anxiety, and Depression on Quality of Life in Individuals with Post-COVID-19 Pain.Brain sciences · 2022Article
- The relationship between psychosocial factors and reported disability: the role of pain self-efficacy.BMC musculoskeletal disorders · 2022Article
- Higher psychological distress in patients seeking care for a knee disorder is associated with diagnostic discordance between health care providers: a secondary analysis of a diagnostic concordance study.BMC musculoskeletal disorders · 2021Article
- Optimal Screening for Prediction of Referral and Outcome (OSPRO) for Musculoskeletal Pain Conditions: Results From the Validation Cohort.The Journal of orthopaedic and sports physical therapy · 2018Observational
- Prediction of Persistent Musculoskeletal Pain at 12 Months: A Secondary Analysis of the Optimal Screening for Prediction of Referral and Outcome (OSPRO) Validation Cohort Study.Physical therapy · 2018Article
- Variables associated with sleep quality in chronic tension-type headache: A cross-sectional and longitudinal design.PloS one · 2018Article
- Sleep disturbances in tension-type headache and migraine.Therapeutic advances in neurological disorders · 2018Review
- Clinical course and prognosis of musculoskeletal pain in patients referred for physiotherapy: does pain site matter?BMC musculoskeletal disorders · 2017Article
- Preliminary Evaluation of a Modified STarT Back Screening Tool Across Different Musculoskeletal Pain Conditions.Physical therapy · 2016Article
- A value proposition for early physical therapist management of neck pain: a retrospective cohort analysis.BMC health services research · 2016Article
- Comparative Associations of Working Memory and Pain Catastrophizing With Chronic Low Back Pain Intensity.Physical therapy · 2016Article
- Economic Effects of Anti-Depressant Usage on Elective Lumbar Fusion Surgery.The archives of bone and joint surgery · 2016Article
- Psychological variables associated with foot function and foot pain in patients with plantar heel pain.Clinical rheumatology · 2015Article
- Assessing the influence of treating therapist and patient prognostic factors on recovery from axial pain.The Journal of manual & manipulative therapy · 2013Article
- Invited commentary on 'different minimal clinically important difference (MCID) scores lead to different clinical prediction rules for the Oswestry disability index when using the same sample of patients'.The Journal of manual & manipulative therapy · 2013Article
- Development of a cumulative psychosocial factor index for problematic recovery following work-related musculoskeletal injuries.Physical therapy · 2012Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundClinical guidelines advocate the routine identification of depressive symptoms for patients with pain in the lumbar or cervical spine, but not for other anatomical regions.
objectiveThe purpose of this study was to investigate the prevalence and impact of depressive symptoms for patients with musculoskeletal pain across different anatomical regions. Design This was a prospective, associational study.
methodsDemographic, clinical, depressive symptom (Symptom Checklist 90-Revised), and outcome data were collected by self-report from a convenience sample of 8,304 patients. Frequency of severe depressive symptoms was assessed by chi-square analysis for demographic and clinical variables. An analysis of variance examined the influence of depressive symptoms and anatomical region on intake pain intensity and functional status. Separate hierarchical multiple regression models by anatomical region examined the influence of depressive symptoms on clinical outcomes.
resultsPrevalence of severe depression was higher in women, in industrial and pain clinics, and in patients who reported chronic pain or prior surgery. Lower prevalence rates were found in patients older than 65 years and those who had upper- or lower-extremity pain. Depressive symptoms had a moderate to large effect on pain ratings (Cohen d=0.55-0.87) and a small to large effect on functional status (Cohen d=0.28-0.95). In multivariate analysis, depressive symptoms contributed additional variance to pain intensity and functional status for all anatomical locations, except for discharge values for the cervical region.
conclusionsRates of depressive symptoms varied slightly based on anatomical region of musculoskeletal pain. Depressive symptoms had a consistent detrimental influence on outcomes, except on discharge scores for the cervical anatomical region. Expanding screening recommendations for depressive symptoms to include more anatomical regions may be indicated in physical therapy settings.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.