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Cited by 272

The DOI matches its Crossref record; 96 of the 96 references it cites were found in a registry or an index.

The Development of Persistent Pain and Psychological Morbidity After Motor Vehicle Collision: Integrating the Potential Role of Stress Response Systems Into a Biopsychosocial Model

McLean, Samuel A., Clauw, Daniel J., Abelson, James L., Liberzon, Israel·2005·Psychosomatic Medicine

Abstract

OBJECTIVES: Persistent pain and psychological sequelae are common after motor vehicle collision (MVC), but their etiology remains poorly understood. Such common sequelae include whiplash-associated disorders (WAD), fibromyalgia, and posttraumatic stress disorder (PTSD). Increasing evidence suggests that these disorders share overlapping epidemiologic and clinical features. A model is proposed in which central neurobiological systems, including physiologic systems and neuroanatomical structures involved in the stress response, are an important substrate for the development of all 3 disorders and interact with psychosocial and other factors to influence chronic symptom development. METHODS: Epidemiologic and clinical characteristics regarding the development of these disorders after MVC are reviewed. Evidence suggesting a role for stress response systems in the development of these disorders is presented. RESULTS: Contemporary evidence supports a model of chronic symptom development that incorporates the potential for interactions between past experience, acute stress responses to trauma, post-MVC behavior, and cognitive/psychosocial consequences to alter activity within brain regions which process pain and to result in persistent pain, as well as psychological sequelae, after MVC. Such a model incorporates factors identified in prior biopsychosocial theories and places them in the landscape of our rapidly developing understanding of stress systems and CNS pain-modulating pathways. CONCLUSION: New models are needed to stimulate deeper examination of the interacting influences of initial tissue damage, acute pain, psychosocial contingencies, and central stress pathways during chronic symptom development after MVC. Deeper understanding could contribute to improved treatment approaches to reduce the immense personal and societal burdens of common trauma-related disorders.

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Metadata

Authors
McLean, S. A., Clauw, D. J., Abelson, J. L., & Liberzon, I.
Venue
Psychosomatic Medicine
Published
2005-09
Volume
67
Issue
5
Pages
783-790
ISSN
0033-3174 (ISSN-L)
OpenAlex
W2028921193
Cited by
272
References
96
FWCI
7.46
Type
journal article
Language
en
Open access
closed

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CoChat. (2026). Citation check: The Development of Persistent Pain and Psychological Morbidity After Motor Vehicle Collision: Integrating the Potential Role of Stress Response Systems Into a Biopsychosocial Model. https://app.cochat.ai/papers/10.1097/01.psy.0000181276.49204.bb
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McLean, S. A., Clauw, D. J., Abelson, J. L., & Liberzon, I. (2005). The Development of Persistent Pain and Psychological Morbidity After Motor Vehicle Collision: Integrating the Potential Role of Stress Response Systems Into a Biopsychosocial Model. Psychosomatic Medicine. https://doi.org/10.1097/01.psy.0000181276.49204.bb

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.