Daily stressors in patients with acute whiplash associated disorders

  title={Daily stressors in patients with acute whiplash associated disorders},
  author={Annika Bring and Anne Soderlund and Elisabet Wasteson and Pernilla {\AA}senl{\"o}f},
  journal={Disability and Rehabilitation},
  pages={1783 - 1789}
Purpose: Stressors in acute whiplash associated disorders (WAD), as reported on a daily basis, have hitherto been neglected in research. The primary aim of this study was to describe the most stressful daily situation or event reported by individuals with acute WAD within a month of a whiplash trauma. Another aim was to describe the meaning and significance of these daily stressors, i.e. primary appraisal. Method: A descriptive design with a content analysis approach was used. 260 WAD-daily… 

Stressful events and coping related to acute and sub-acute whiplash-associated disorders

The reported stressors were largely uniform across both acute and sub-acute phases; however, the use of cognitive coping strategies increased over time.

The clinical course over the first year of Whiplash Associated Disorders (WAD): pain-related disability predicts outcome in a mildly affected sample

The MILD sample was less affected in all study variables compared to the MOD/SEV sample, and a good prognosis over the first year is expected for the majority of individuals with WAD grade I or II who decline treatment due to mild symptoms.

Qualitative Evidence in Pain

The review shows that patients describe that pain seriously affects their life situation, and it is hard to get recognition for this, and patients’ expectations for health care are not met; they often describe resignation and disappointment.

Influence of vestibular rehabilitation on neck pain and cervical range of motion among patients with whiplash-associated disorder: a randomized controlled trial.

NECK pain intensity and CROM was not influenced by vestibular rehabilitation, and the programme did not appear to increase pain or decrease neck motion, as initially thought.

Non-rigid registration of cervical spine MRI volumes

A new non-rigid multi-modal registration algorithm using the sum of conditional variance (SCV) with partial volume interpolation (PVI) similarity measure and Gauss-Newton (GN) optimization for the accurate registration of multi- modal cervical spine MRI volumes is proposed.

Herstel van whiplash volgens de patiënt: bijdrage van kwalitatief onderzoek

Hoewel evidence-based medicine (EBM) de integratie beoogt van het best beschikbare wetenschappelijke bewijs met individuele geneeskundige expertise en de waarden en verwachtingen van patiënten9, wordt aan dit laatste aspect nog betrekkelijk weinig aandacht in richtlijnen over whiplash.



Daily hassles and stress vulnerability in patients with a whiplash-associated disorder

WAD patients appear to be more vulnerable and react with more distress than healthy people to all kinds of stressors, and stress responses probably play an important role in the maintenance or deterioration of whiplash-associated complaints.

Coping Patterns and Their Relation to Daily Activity, Worries, Depressed Mood, and Pain Intensity in Acute Whiplash-Associated Disorders

Early identification of situational- and individual-specific stressors, appraisals and coping efforts as measured by the WAD-DCA may contribute to the understanding of the coping process in the acute stage of WAD and its possible impact on recovery and adjustment.

Whiplash and post-traumatic stress disorder.

  • J. Jaspers
  • Psychology, Medicine
    Disability and rehabilitation
  • 1998
The psychotherapeutic treatment of patients with chronic whiplash complaints and PTSD should be aimed primarily at coping with the trauma and not at the chronic pain complaints.

Psychologic Processes in Daily Life With Chronic Whiplash: Relations of Posttraumatic Stress Symptoms and Fear-of-pain to Hourly Pain and Uptime

This study supports the relationship between psychological trauma responses and pain, suggesting behavioral (avoidance) pathways and effects on pain perception through fear-of-pain, and reinforces the need to evaluate traumatic stress as a factor in recovery from WAD.

Daily assessment of coping in patients with gastrointestinal cancer

Significant positive correlations between the occurrence of stressful events and the use of coping strategies were demonstrated between ‘Somatic Aspects’ and ‘Acceptance’/‘Direct Action’, and between ’Social Aspects' and ’Seeking Social Support’.