Citation

Radanov P, Sturzenegger M, Di Stefano G. Orthopade 1994; 23(4): 282-286.

Vernacular Title

Vorhersage der Erholung nach HWS-Distorsion (Schleudertrauma der HWS) mit initial

Affiliation

Psychiatrische Universitätspoliklinik, Bern.

Copyright

(Copyright © 1994, Holtzbrinck Springer Nature Publishing Group)

DOI

unavailable

PMID

7970685

Abstract

The purpose of the present study was to investigate the predictive relationship between psychosocial factors and the course of recovery in patients with whiplash injury. A non-selected sample of 117 subjects satisfying to a clear definition of the syndrome was assessed early after trauma (mean 7.4 +/- 4.2 days) and again at 3, 6, and 12 months. Initial evaluation included subjective complaints (including timing of symptom onset and initial pain intensity) and a large number of psychosocial factors (e.g., self-ratings of well-being, personal and family history, personality traits, and cognitive functioning). Rate of recovery was assessed at follow-ups. One year after initial trauma patients were divided in two groups (recovered and still symptomatic) and compared with regard to initial findings. Finally, a regression analysis was performed with all baseline variables, employing groups (recovered vs symptomatic) as factor variables. Patients who remained symptomatic at 1 year had significantly higher ratings of initial neck pain and headache, displayed a greater variety of subjective complaints, higher scores on the scale "nervousness" from the personality inventory, worse well-being score and poorer performance with regard to focussed attention. According to the regression analysis the following set of initial variables was in significant relationship with poor recovery at 1 year: higher age, complaint of sleep disturbances at initial investigation, and higher intensity of initial neck pain and headache.

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