{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T12:26:16Z","timestamp":1787401576723,"version":"build-2736575974"},"reference-count":40,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:00:00Z","timestamp":1787011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Frozen shoulder (FS), commonly known as adhesive capsulitis, is a disabling musculoskeletal condition frequently accompanied by psychological distress. This meta-analysis aimed to evaluate the association between FS and depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>For this meta-analysis, a systematic literature search of EMBASE, PubMed, and the Cochrane Library was conducted through 2025 using the keywords \u201cfrozen shoulder\u201d, \u201cadhesive capsulitis\u201d and \u201cdepression.\u201d Data regarding study characteristics, participant information, and depression-related outcomes were extracted. Depressive symptoms were assessed using the Hospital Anxiety and Depression Scale (HADS). Pooled odds ratios (ORs), mean differences (MDs), and corresponding 95% confidence intervals (CIs) were calculated. Statistical heterogeneity and potential publication bias were also assessed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Nine studies including 122,378 participants met the inclusion criteria. The pooled prevalence of depression among patients with FS was 25.5% (95% CI: 16.7\u201336.8%). Patients with FS showed significantly higher odds of depression compared with individuals without FS (OR\u2009=\u20092.15, 95% CI: 1.57\u20132.94). In addition, FS patients had significantly higher HADS-D scores (MD\u2009=\u20092.97, 95% CI: 0.66\u20135.28). Substantial heterogeneity was observed across studies, while no significant publication bias was detected.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>FS is associated with an increased risk of depression. These findings emphasize the importance of incorporating psychological assessment and management into the clinical care of patients with FS to improve overall outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538127261477947","type":"journal-article","created":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:08:02Z","timestamp":1787065682000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The association between depression and frozen shoulder: A systematic review and meta-analysis"],"prefix":"10.1177","author":[{"given":"Yi-Chuan","family":"Chan","sequence":"first","affiliation":[{"name":"Changhua Christian Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shu-Han","family":"Chuang","sequence":"additional","affiliation":[{"name":"Changhua Christian Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tai-Yuan","family":"Chuang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan"},{"name":"Department of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Jie","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan"},{"name":"Department of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shun-Jen","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan"},{"name":"Department of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9729-6375","authenticated-orcid":false,"given":"Yu-Pin","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Wan Fang Hospital, Taipei Medical University, Taipei, Taiwan"},{"name":"Department of Orthopedics, School of Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,8,18]]},"reference":[{"key":"e_1_3_3_2_2","first-page":"297","article-title":"Adhesive capsulitis: diagnosis and management","volume":"99","author":"Ramirez J","year":"2019","unstructured":"Ramirez J. Adhesive capsulitis: diagnosis and management. Am Fam Physician 2019; 99: 297\u2013300.","journal-title":"Am Fam Physician"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.64719\/pb.4384"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2474-13-238"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.331.7530.1453"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.08.023"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.55.12.907"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/ard.31.1.69"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/acr.21938"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780300815"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2023.01.033"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/1758573216676786"},{"key":"e_1_3_3_13_2","first-page":"243","article-title":"Factors associated with pain, disability and quality of life in patients suffering from frozen shoulder","volume":"4","author":"Bagheri F","year":"2016","unstructured":"Bagheri F, Ebrahimzadeh MH, Moradi A, et al. Factors associated with pain, disability and quality of life in patients suffering from frozen shoulder. Arch Bone Jt Surg 2016; 4: 243\u2013247.","journal-title":"Arch Bone Jt Surg"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.4414\/smw.2020.20188"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-007-0291-2"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.3233\/BMR-171010"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/13548506.2013.873814"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.4103\/ijpvm.IJPVM_212_17"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asmr.2022.04.001"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000001070"},{"key":"e_1_3_3_21_2","unstructured":"Cho CH Seo Hj Fau - Bae K-C Bae Kc Fau - Lee K-J et al. The impact of depression and anxiety on self-assessed pain disability and quality of life in patients scheduled for rotator cuff repair. (1532-6500 (Electronic))."},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000100"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3999(01)00296-3"},{"key":"e_1_3_3_26_2","unstructured":"Wells GA Shea B O\u2019Connell D et al. The Newcastle-Ottawa Scale (NOS) for assessing the quality of nonrandomised studies in meta-analyses. 2000."},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1002\/jrsm.12"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.0006-341X.2000.00455.x"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s12306-017-0488-6"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2012.04.001"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1097\/HRP.0000000000000198"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291714000841"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1002\/hbm.23235"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1097\/PR9.0000000000001139"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1590\/1413-78522015230200791"},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcot.2014.09.008"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00127-015-1027-0"},{"key":"e_1_3_3_38_2","doi-asserted-by":"publisher","DOI":"10.1177\/0020764018776349"},{"key":"e_1_3_3_39_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-024-06186-5"},{"key":"e_1_3_3_40_2","doi-asserted-by":"publisher","DOI":"10.1186\/s40634-021-00394-3"},{"key":"e_1_3_3_41_2","doi-asserted-by":"publisher","DOI":"10.1002\/pri.2056"}],"container-title":["Journal of Back and Musculoskeletal Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538127261477947","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10538127261477947","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538127261477947","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,22]],"date-time":"2026-08-22T11:52:37Z","timestamp":1787399557000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10538127261477947"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,18]]},"references-count":40,"alternative-id":["10.1177\/10538127261477947"],"URL":"https:\/\/doi.org\/10.1177\/10538127261477947","relation":{},"ISSN":["1053-8127","1878-6324"],"issn-type":[{"value":"1053-8127","type":"print"},{"value":"1878-6324","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,18]]},"article-number":"10538127261477947"}}