Physiotherapy · 2026
Accuracy of screening for symptoms of anxiety and depression among patients with osteoarthritis in private physiotherapy practices.
СтатьяНаблюдательное исследованиеНазвание и аннотация: Перевод в очереди
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Vancampfort Davy, Van Assche Dieter, Brunner Emanuel, Dankaerts Wim, Stubbs Brendon, Bervoets Chris, McGrath Ryan L, Van Damme Tine
Аннотация
OBJECTIVES: This study compares the accuracy of physiotherapists screening for symptoms of anxiety and depression in patients with osteoarthritis using the Patient Health Questionnaire-2 (PHQ-2) for depression and the Generalized Anxiety Disorder-2 (GAD-2) for anxiety versus Numeric Rating Scales (NRS).
DESIGN: Observational cross-sectional study.
SETTING: Private physiotherapy practices.
PARTICIPANTS: Forty physiotherapists with a median age of 33 (interquartile range, IQR 27-49) years; 23 male; median of 9 (5-21) years of experience, assessed 146 newly referred patients with osteoarthritis with a median age 55 (47-67) years; 23 male; median illness duration 120 (30-240) months, after two weeks of treatment.
MAIN OUTCOME MEASURES: Patients reported anxiety and depression levels using the Generalized Anxiety Disorder-7 (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9), respectively. Physiotherapists screened for anxiety and depression using the GAD-2, PHQ-2, and NRS for anxiety and depression. Area under the curve (AUC) values, calculated using DeLong's method, were used to compare the accuracy of the screening tools.
RESULTS: The prevalence of at least mild, at least moderate, and severe anxiety was 67%, 32%, and 3%, respectively, while the prevalence of at least mild, at least moderate, and severe depression was 69%, 37%, and 4%. The brief screening tools demonstrated higher accuracy than the NRS in all cases except for severe depression.
CONCLUSIONS: Physiotherapists should incorporate brief anxiety and depression screening tools, rather than NRS, into routine mental health assessments for patients with osteoarthritis to facilitate timely interventions including referrals to specialists. CONTRIBUTION OF THE PAPER.
DESIGN: Observational cross-sectional study.
SETTING: Private physiotherapy practices.
PARTICIPANTS: Forty physiotherapists with a median age of 33 (interquartile range, IQR 27-49) years; 23 male; median of 9 (5-21) years of experience, assessed 146 newly referred patients with osteoarthritis with a median age 55 (47-67) years; 23 male; median illness duration 120 (30-240) months, after two weeks of treatment.
MAIN OUTCOME MEASURES: Patients reported anxiety and depression levels using the Generalized Anxiety Disorder-7 (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9), respectively. Physiotherapists screened for anxiety and depression using the GAD-2, PHQ-2, and NRS for anxiety and depression. Area under the curve (AUC) values, calculated using DeLong's method, were used to compare the accuracy of the screening tools.
RESULTS: The prevalence of at least mild, at least moderate, and severe anxiety was 67%, 32%, and 3%, respectively, while the prevalence of at least mild, at least moderate, and severe depression was 69%, 37%, and 4%. The brief screening tools demonstrated higher accuracy than the NRS in all cases except for severe depression.
CONCLUSIONS: Physiotherapists should incorporate brief anxiety and depression screening tools, rather than NRS, into routine mental health assessments for patients with osteoarthritis to facilitate timely interventions including referrals to specialists. CONTRIBUTION OF THE PAPER.