Identify, describe and produce an evidence map of studies investigating psychosocial factors association with, or effect on, clinical outcomes for people with knee osteoarthritis. Scoping review of interventional and observational studies was performed. Medline (Ovid), Embase (Ovid), Cumulated Index in Nursing and Allied Health Literature, PsycInfo and Web of Science were searched on the 15th May 2023. Screening, data extraction and analysis was performed by two independent researchers. Extracted information included characteristics of studies plus which psychosocial factors were used to investigate association with, or effect on, clinical outcome(s). Descriptive statistics summarized the study design, temporal trend, geographic distribution, frequency of each psychosocial factor and whether associations/effects were observed. 23,065 records were screened, with 108 studies selected. Eighty-two percent of studies (n = 89/108) were cross-sectional in design. Number of studies increased over time and spanned 28 countries. Most research originated from the Americas region (55 %, 59/108). Twenty-four psychosocial factors (11 psychological, 13 social) were identified. Depression (47 %, n = 48/102) and education (28 %, n = 29/102) were the most frequently reported psychological and social factors, respectively. Psychological factors were often reported to have an association with/effect on pain (81 %, n = 71/88) and physical function (75 %, n = 56/74). Social factors were less frequently reported to have an association with or effect on pain (57 %, n = 46/81) and physical function (50 %, n = 18/36). Psychosocial factors are often associated with clinical outcomes for people with knee osteoarthritis. High-quality longitudinal studies examining a wide range of psychosocial factors across diverse cultural and geographical settings are key to continue informing the development of biopsychosocial models of care.

中文翻译：

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膝骨关节炎的心理社会因素：证据范围审查和未来机会


识别、描述并生成调查心理社会因素与膝骨关节炎患者临床结果相关或影响的研究证据图。对介入性和观察性研究进行了范围审查。 Medline (Ovid)、Embase (Ovid)、Cumulated Index in Nursing and Allied Health Documentation、PsycInfo 和 Web of Science 于 2023 年 5 月 15 日进行检索。筛选、数据提取和分析由两名独立研究人员进行。提取的信息包括研究特征以及用于调查与临床结果的关联或影响的心理社会因素。描述性统计总结了研究设计、时间趋势、地理分布、每个心理社会因素的频率以及是否观察到关联/效应。筛选了 23,065 条记录，选择了 108 项研究。百分之八十二的研究 (n = 89/108) 采用横断面设计。随着时间的推移，研究数量不断增加，涵盖 28 个国家。大多数研究源自美洲地区（55%，59/108）。确定了 24 个心理社会因素（11 个心理因素，13 个社会因素）。抑郁症（47%，n = 48/102）和教育程度（28%，n = 29/102）分别是最常报告的心理和社会因素。据报道，心理因素经常与疼痛（81 %，n = 71/88）和身体功能（75 %，n = 56/74）相关/产生影响。较少报道社会因素与疼痛（57%，n = 46/81）和身体功能（50%，n = 18/36）相关或对其产生影响。心理社会因素通常与膝骨关节炎患者的临床结果相关。 高质量的纵向研究检查不同文化和地理环境中的广泛心理社会因素，是继续为生物心理社会护理模型的发展提供信息的关键。