Abstract:
OBJECTIVE:Psychological factors such as depression affect recovery after whiplash-associated disorders. This study examined the prevalence of pain-related emotions, such as frustration, anger, and anxiety, and their predictive value for postcrash pain recovery during a 1-year follow-up. METHODS:A population-based prospective cohort study design was used. Self-reported pain-related depression, anxiety, fear, anger, and frustration were assessed using 100-mm visual analog scales (VASs) at 6 weeks after crash in 2986 persons with traffic-related whiplash-associated disorder. Multivariable logistic regression was used to assess the relationship between the intensity of these pain-related emotions and pain recovery at 4 and 12 months after crash. Pain was measured at all time points on a 100-mm VAS, and pain recovery was defined as a score of 10 or lower. RESULTS:Pain-related frustration was the most intense, with a mean score of 52. Only 3% of the cohort reported having no pain-related frustration, and 4% reported no pain-related anxiety. Multivariable logistic regression models revealed that each pain-related emotion increased the risk of failing to recover (odds ratios for each point increase on the 100-mm VAS), ranging from 1.011 to 1.015. Specifically, with each 10-point increase in pain-related emotion, the odds of failing to achieve pain recovery at 4 months was increased by 14% (p < .001) for depression, 15% (p < .001) for anxiety, 11% (p < .001) for fear, 12% (p < .001) for anger, and 11% (p < .001) for frustration. CONCLUSIONS:These findings suggest that it may be beneficial for health care providers to address emotional status related to pain in the first few weeks after a whiplash injury.
journal_name
Psychosom Medjournal_title
Psychosomatic medicineauthors
Carroll LJ,Liu Y,Holm LW,Cassidy JD,Côté Pdoi
10.1097/PSY.0b013e31822f991asubject
Has Abstractpub_date
2011-10-01 00:00:00pages
708-15issue
8eissn
0033-3174issn
1534-7796pii
PSY.0b013e31822f991ajournal_volume
73pub_type
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-200001000-00006
更新日期:2000-01-01 00:00:00
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journal_title:Psychosomatic medicine
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journal_title:Psychosomatic medicine
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/01.psy.0000195881.01317.d9
更新日期:2006-01-01 00:00:00
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-199901000-00013
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更新日期:2005-07-01 00:00:00
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-199103000-00006
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journal_title:Psychosomatic medicine
pub_type: 杂志文章,评审
doi:10.1097/01.psy.0000078188.74020.cc
更新日期:2003-07-01 00:00:00
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journal_title:Psychosomatic medicine
pub_type: 杂志文章,多中心研究
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/PSY.0b013e3181bc7739
更新日期:2009-11-01 00:00:00
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journal_title:Psychosomatic medicine
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doi:10.1097/00006842-198509000-00007
更新日期:1985-09-01 00:00:00
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doi:10.1097/PSY.0b013e3182108412
更新日期:2011-04-01 00:00:00
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更新日期:2005-09-01 00:00:00
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doi:10.1097/01.psy.0000195967.51768.ea
更新日期:2006-01-01 00:00:00
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更新日期:2005-05-01 00:00:00
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doi:10.1097/PSY.0b013e3181a6177c
更新日期:2009-07-01 00:00:00
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doi:10.1097/PSY.0000000000000622
更新日期:2018-10-01 00:00:00
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更新日期:2018-11-01 00:00:00
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doi:10.1097/PSY.0b013e3182689460
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pub_type: 杂志文章,评审
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journal_title:Psychosomatic medicine
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journal_title:Psychosomatic medicine
pub_type: 杂志文章,评审
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更新日期:2007-12-01 00:00:00
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更新日期:2017-10-01 00:00:00
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journal_title:Psychosomatic medicine
pub_type: 杂志文章,多中心研究,随机对照试验
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更新日期:2007-01-01 00:00:00
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-198303000-00009
更新日期:1983-03-01 00:00:00
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pub_type: 杂志文章
doi:10.1097/PSY.0b013e31825ff1de
更新日期:2012-09-01 00:00:00
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-198108000-00004
更新日期:1981-08-01 00:00:00
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journal_title:Psychosomatic medicine
pub_type: 杂志文章
doi:10.1097/00006842-200103000-00006
更新日期:2001-03-01 00:00:00