Michael Peolsson1, Björn Gerdle. 1. Department of Rehabilitation Medicine, INR, Faculty of Health Sciences, Linköping, Sweden.
Abstract
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.
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.
Authors: Graciela S Rovner; Katharina S Sunnerhagen; Ann Björkdahl; Björn Gerdle; Björn Börsbo; Fredrik Johansson; David Gillanders Journal: PLoS One Date: 2017-04-25 Impact factor: 3.240
Authors: Nicole von Steinbuechel; Katrin Rauen; Fabian Bockhop; Amra Covic; Ugne Krenz; Anne Marie Plass; Katrin Cunitz; Suzanne Polinder; Lindsay Wilson; Ewout W Steyerberg; Andrew I R Maas; David Menon; Yi-Jhen Wu; Marina Zeldovich Journal: J Clin Med Date: 2021-05-28 Impact factor: 4.241