TY  - JOUR
PY  - 2001//
TI  - The association between neck pain intensity, physical functioning, depressive symptomatology and time-to-claim-closure after whiplash
JO  - Journal of clinical epidemiology
A1  - Cote, P. E.
A1  - Hogg-Johnson, S.
A1  - Cassidy, J. David
A1  - Carroll, L.
A1  - Frank, J. W.
SP  - 275
EP  - 286
VL  - 54
IS  - 3
N2  - Time-to-claim-closure is a common outcome in cohort studies of whiplash injuries. However, its relationship to health recovery is unknown. We investigated the association between neck pain, physical functioning, depressive symptomatology and time-to-claim-closure in a Saskatchewan cohort of 5398 whiplash claimants in 1994-1995. Participants were surveyed five times over 1 year. In 1995, the insurance system changed from tort to no-fault, eliminating compensation for pain and suffering. Under tort, a 10-point increase in pain reduced the claim-closure rate by 13-24% while a 10-point increase in physical functioning increased it by 17%. Depressive symptomatology reduced the claim-closure rate by 37%. Under no-fault, a 10-point increase in pain reduced the claim-closure rate by 18% while a 10-point increase in physical functioning increased it by 10-35%. The presence of depressive symptomatology reduced the claim-closure rate by 36%. The results suggests lower pain, better function and the absence of depressive symptoms are strongly associated with faster time-to-claim-closure and recovery after whiplash, independent of the insurance system.<p />  <p>Language: en</p>
LA  - en
SN  - 0895-4356
UR  - http://dx.doi.org/
ID  - ref1
ER  -