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Title: Long-term functioning following whiplash injury: the role of social support and personality traits
Authors: Nijs, Jo
Inghelbrecht, Els
Daenen, Liesbeth
Hachimi-Idrissi, Said
Hens, Luc
Roussel, Nathalie
Cras, Patrick
Bernheim, Jan
Issue Date: 2011
Source: CLINICAL RHEUMATOLOGY, 30 (7). p. 927-935
Abstract: Transition from acute whiplash injury to either recovery or chronicity and the development of chronic whiplash-associated disorders (WAD) remains a challenging issue for researchers and clinicians. The roles of social support and personality traits in long-term functioning following whiplash have not been studied concomitantly. The present study aimed to examine whether social support and personality traits are related to long-term functioning following whiplash. One hundred forty-three subjects, who had experienced a whiplash injury in a traffic accident 10-26 months before the study took place, participated. The initial diagnoses were a 'sprain of the neck' (ICD-9 code 847.0); only the outcome of grades I-III acute WAD was studied. Long-term functioning was considered within the biopsychosocial model: it was expressed in terms of disability, functional status, quality of life and psychological well-being. Participants filled out a set of questionnaires to measure the long-term functioning parameters (i.e. the Neck Disability Index, Medical Outcome Study Short-Form General Health Survey, Anamnestic Comparative Self-Assessment measure of overall well-being and the Symptom Checklist-90) and potential determinants of long-term functioning (the Dutch Personality Questionnaire and the Social Support List). The results suggest that social support (especially the discrepancies dimension of social support) and personality traits (i.e. inadequacy, self-satisfaction and resentment) are related to long-term functioning following whiplash injury (Spearman rho varied between 0.32 and 0.57; p < 0.01). Within the discrepancy dimension, everyday emotional support, emotional support during problems, appreciative support and informative support were identified as important correlates of long-term functioning. Future prospective studies are required to confirm the role of social support and personality traits in relation to long-term functioning following whiplash. For such studies, a broad view of long-term functioning within the biopsychological model should be applied.
Notes: [Nijs, J; Daenen, L] Vrije Univ Brussel, Fac Phys Educ & Physiotherapy, Dept Human Physiol, BE-1050 Brussels, Belgium [Nijs, J; Daenen, L; Roussel, N] Artesis Univ Coll, Dept Hlth Care Sci, Div Musculoskeletal Physiotherapy, Antwerp, Belgium [Nijs, J] Univ Hosp Brussels UZ Brussel, Dept Phys Med & Physiotherapy, Brussels, Belgium [Inghelbrecht, E; Hens, L; Bernheim, J] Vrije Univ Brussel, Fac Med & Pharm, Dept Human Ecol, BE-1050 Brussels, Belgium [Daenen, L; Cras, P] Univ Antwerp, Fac Med, Dept Neurol, B-2020 Antwerp, Belgium [Hachimi-Idrissi, S] Vrije Univ Brussel, Dept Crit Care Med, Res Grp, BE-1050 Brussels, Belgium [Hachimi-Idrissi, S] Vrije Univ Brussel, Dept Cerebral Resuscitat, Res Grp, BE-1050 Brussels, Belgium [Willems, B] Prov Hogesch Limburg, Hasselt, Belgium
Keywords: Biopsychosocial; Chronic pain; Personality; Quality of life; Recovery; Social support; Whiplash
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ISSN: 0770-3198
e-ISSN: 1434-9949
DOI: 10.1007/s10067-011-1712-7
ISI #: 000292042600007
Category: A1
Type: Journal Contribution
Appears in Collections:Research publications

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