Coping in patients with chronic whiplash-associated disorders: a descriptive study
Open accessAbstract
OBJECTIVE: There are few studies of the way patients with chronic whiplash-associated disorders cope with pain and other aspects of the condition. This study analyses: (a) gender differences in coping strategies; (b) whether the patients can be sub-grouped based on their coping strategies and whether the sub-groups differ clinically; and (c) the relative importance of background variables, symptoms and coping for quality of life. DESIGN: A descriptive study. PATIENTS: A total of 275 consecutive chronic patients with whiplash-associated disorders referred to a university hospital. METHODS: A questionnaire covering background data, pain in different regions, symptoms not directly related to pain, Beck depression inventory, a Coping Strategy Questionnaire, a Life Satisfaction checklist (LiSat-11), SF-36 Health Survey and EuroQol instrument. RESULTS: Three groups of patients were identified with respect to coping. Whether or not active coping strategies were used had little influence on health-related quality of life. When regressing health-related quality of life items, the following regressors were the most important: degree of depression, number of not directly pain-related symptoms, and catastrophizing cognitions influenced by pain intensities. CONCLUSION: A mixture of symptoms (pain and depression) and coping (catastrophizing) seem to be interwoven and explain patients' health-related quality of life. These characteristics should be assessed when planning rehabilitation.
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The overall poor quality of life of the patients in this study, according to the SF-36, was consistent with previously published pain studies but distinctively lower than the Swedish population norm.
“The overall poor quality of life of the patients in this study, according to the SF-36, was consistent with previously published pain studies [67–69] but distinctively lower than the Swedish population norm [38].”
From Chronic pain and sex-differences; women accept and move, while men feel blue (2017) · cites this paper as [68]
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- Authors
- Peolsson, M., & Gerdle, B.
- Affiliations
- Linköping University (SE)
- Venue
- Journal of Rehabilitation Medicine
- Publisher
- Medical Journals Sweden AB
- Published
- 2004-01-01
- Volume
- 36
- Issue
- 1
- Pages
- 28-35
- ISSN
- 1650-1977 (ISSN-L)
- OpenAlex
- W1968871076
- Cited by
- 60
- References
- 37
- Citations by year
- 2021: 1 · 2020: 5 · 2018: 3 · 2017: 4 · 2016: 3 · 2015: 4 · 2014: 1 · 2013: 5 · 2012: 5
- FWCI
- 1.50
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Rehabilitation Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Automotive and Human Injury Biomechanics
- Health Sciences › Medicine › Epidemiology › Traumatic Brain Injury Research
- Keywords
- chronic whiplash-associated disorders, coping strategies, health-related quality of life, pain catastrophizing, depression, gender differences, active coping, rehabilitation planning
- MeSH terms
- Adaptation, Psychological, Adolescent, Adult, Chronic Disease, Female, Humans, Male, Middle Aged, Quality of Life, Sex Factors, Whiplash Injuries, Sickness Impact Profile
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