Title
Patients with chronic whiplash-associated disorders. Relationship between clinical and psychological factors and functional health status
Author
Schmitt, M.A.
van Meeteren, N.L.
de Wijer, A.
van Genderen, F.R.
van Graaf, Y.D.
Helders, P.J.
TNO Kwaliteit van Leven
Publication year
2009
Abstract
Schmitt MA, van Meeteren NL, de Wijer A, van Genderen FR, van der Graaf Y, Helders PJ: Patients with chronic whiplash-associated disorders: Relationship between clinical and psychological factors and functional health status. Am J Phys Med Rehabil 2009;88:231-238. Objectives: To examine the relative contribution of cervical impairments and psychosocial factors to perceived disability among people with chronic whiplash-associated disorders. Design: A total of 86 patients with chronic whiplash-associated disorders participated in this observational, cross-sectional study. All patients were presented to outpatient physical therapy clinics. All patients completed the neck disability index. Depression, anxiety, and catastrophizing were measured with the Hospital Anxiety and Depression scale and the pain coping and cognition list, respectively. Cervical function was assessed by measuring the active range of motion. Stepwise and hierarchical regression analysis was used to estimate the contribution of cervical impairment and psychosocial functions to the variance in neck disability. Results: Depressive symptomatology and catastrophizing explained 61% of the variance in neck disability index scores. Catastrophizing explained 57% of the variance in neck disability index scores and 15% of the variance in the sum scores of active cervical rotations. Conclusions: Catastrophizing explained the variance in both perceived neck disability and, to a lesser extent, active range of cervical motion, which suggests that pain-related catastrophizing plays an important role in the physical complaints of patients with chronic whiplash-associated disorders when referred to a physical therapist. Copyright © 2009 by Lippincott Williams & Wilkins.
Subject
Health
Neck disability
Neck function
Psychosocial factors
Whiplash injury
Adult
Aged
Anxiety
Cognition
Coping behavior
Cross-sectional study
Depression
Hospital Anxiety and Depression Scale
Major clinical study
Neck injury
Observational study
Outpatient
Pain
Physiotherapist
Pysiotherapy
Range of motion
Regression analysis
Social psychology
Symptomatology
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DOI
https://doi.org/10.1097/phm.0b013e318198b684
TNO identifier
279999
ISSN
0894-9115
Source
American Journal of Physical Medicine and Rehabilitation, 88 (3), 231-238
Document type
article