{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T15:42:53Z","timestamp":1765294973128,"version":"3.37.3"},"reference-count":58,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,4,20]],"date-time":"2018-04-20T00:00:00Z","timestamp":1524182400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100007602","name":"Programme Grants for Applied Research","doi-asserted-by":"publisher","award":["RP\u2010PG\u20100407\u201010386"],"award-info":[{"award-number":["RP\u2010PG\u20100407\u201010386"]}],"id":[{"id":"10.13039\/501100007602","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2018,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objectives<\/jats:title><jats:p>The aims of the present study was to examine the associations between the severity of pain and anxiety in a community population reporting joint pain, and to investigate the management of joint pain in the presence of comorbid anxiety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A population survey was carried out of people aged \u226545\u00a0years, registered with eight general practices in Cheshire, Shropshire and Staffordshire, UK. Respondents were asked to report pain intensity in their hands, hips, knees and feet (on a numerical rating scale), anxiety symptoms (Generalized Anxiety Disorder seven\u2010item [GAD\u20107] scale) and guideline\u2010recommended treatments used to manage pain. Clinical anxiety was defined by a GAD\u20107 score of 10 or more.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>A total of 11,222 respondents with joint pain were included in the analysis, with 1,802 (16.1%) reporting clinical anxiety. Respondents reporting more severe pain were more likely to report clinical anxiety (severe versus mild pain, odds ratio [OR] 5.36, 95% confidence interval [CI] 4.56 to 6.31). The number of pain sites was also positively associated with clinical anxiety (four versus one site; OR 3.64, 95% CI 3.09 to 4.30). Those with clinical anxiety were less likely to undertake general fitness exercises (OR 0.60, 95% CI 0.52 to 0.70), but more likely to diet (OR 1.43, 95% CI 1.21 to 1.69), use walking aids (OR 1.53, 95% CI 1.32 to 1.77) and assistive devices (OR 1.24, 95% CI 1.04 to 1.49), and more likely to use opioids (OR 1.34, 95% CI 1.18 to1.52).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Anxiety is common among patients presenting to primary care with joint pain. Patients with anxiety are likely to manage their joint pain differently to those without. Case\u2010finding to identify and treat anxiety would be appropriate in this population, with caution about opioid prescribing and consideration of exercise as an intervention.<\/jats:p><\/jats:sec>","DOI":"10.1002\/msc.1243","type":"journal-article","created":{"date-parts":[[2018,4,20]],"date-time":"2018-04-20T07:54:18Z","timestamp":1524210858000},"page":"353-362","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Relationship of anxiety with joint pain and its management: A population survey"],"prefix":"10.1002","volume":"16","author":[{"given":"Lauren A.","family":"Barnett","sequence":"first","affiliation":[{"name":"Research Institute for Primary Care and Health Sciences Keele University  Keele Staffordshire ST5 5BG UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark G.","family":"Pritchard","sequence":"additional","affiliation":[{"name":"Research Institute for Primary Care and Health Sciences Keele University  Keele Staffordshire ST5 5BG UK"},{"name":"Royal Stoke University Hospital  Stoke\u2010on\u2010Trent Staffordshire"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0432-7783","authenticated-orcid":false,"given":"John J.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Research Institute for Primary Care and Health Sciences Keele University  Keele Staffordshire ST5 5BG UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ebenezer K.","family":"Afolabi","sequence":"additional","affiliation":[{"name":"Research Institute for Primary Care and Health Sciences Keele University  Keele Staffordshire ST5 5BG UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelvin P.","family":"Jordan","sequence":"additional","affiliation":[{"name":"Research Institute for Primary Care and Health Sciences Keele University  Keele Staffordshire ST5 5BG UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma L.","family":"Healey","sequence":"additional","affiliation":[{"name":"Research Institute for Primary Care and Health Sciences Keele University  Keele Staffordshire ST5 5BG UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew G.","family":"Finney","sequence":"additional","affiliation":[{"name":"Research Institute for Primary Care and Health Sciences Keele University  Keele Staffordshire ST5 5BG UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolyn A.","family":"Chew\u2010Graham","sequence":"additional","affiliation":[{"name":"Research Institute for Primary Care and Health Sciences Keele University  Keele Staffordshire ST5 5BG UK"},{"name":"Collaboration for Leadership in Applied Health Research and Care  West Midlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christian D.","family":"Mallen","sequence":"additional","affiliation":[{"name":"Research Institute for Primary Care and Health Sciences Keele University  Keele Staffordshire ST5 5BG UK"},{"name":"Collaboration for Leadership in Applied Health Research and Care  West Midlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krysia S.","family":"Dziedzic","sequence":"additional","affiliation":[{"name":"Research Institute for Primary Care and Health Sciences Keele University  Keele Staffordshire ST5 5BG UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,4,20]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-010-1547-7"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e318185c510"},{"issue":"11","key":"e_1_2_7_4_1","first-page":"53","article-title":"Consensus statement on generalized anxiety disorder from the International Consensus Group on Depression and Anxiety","volume":"62","author":"Ballenger J. 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