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Clinical rehabilitation · Feb 2003
Whiplash-associated disorders--predicting disability from a process-oriented perspective of coping.
- Anne Söderlund and Per Lindberg.
- Department of Public Health and Caring Sciences/Section of Caring Sciences, Uppsala University, Uppsala, Sweden. anne.soderlund@pubcare.uu.se
- Clin Rehabil. 2003 Feb 1; 17 (1): 101-7.
ObjectiveTo describe the coping process over time for patients with whiplash-associated disorders (WAD).DesignThe study was conducted by following patients prospectively for 12 months.SettingsThe orthopaedic clinic at a university hospital.SubjectsFifty-three patients out of 59 had complete data-sets.Main Outcome MeasuresTwo measures were used: the Pain Disability Index (PDI) and the Coping Strategies Questionnaire (CSQ).ResultsThe results showed that the proportion of variance in disability shared with coping increased over time.ConclusionThe importance of coping as an explanatory factor for disability increased during the one year follow-up. Thus, coping has a crucial role for disability. The possibility of a positive long-term outcome could therefore be improved by teaching patients to use active and adaptive coping strategies shortly after an accident.
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