Psychosocial stress, cognitive performance and disability after common whiplash

J Psychosom Res. 1993 Jan;37(1):1-10. doi: 10.1016/0022-3999(93)90118-y.

Abstract

The relationship between psychosocial stress, cognitive performance and disability was assessed in 97 randomly selected common whiplash patients. Patients were investigated early after injury (mean 7.2 days, SD = 3.8) and again at 6 months. Assessment included different aspects of psychosocial stress, negative affectivity, personality traits and attentional functioning. At 6 months six patients (7%) showed partial or complete disability (disabled group) while 91 patients went back to work at pre-injury levels (non-disabled group). However, 26 patients from the latter group at 6 months were still symptomatic. The disabled and non-disabled groups did not differ with respect to psychosocial stress, negative affectivity and personality traits as assessed at baseline. At 6 months no significant differences were found between the disabled group and 26 symptomatic patients from the non-disabled group with respect to any of the assessed factors. The disabled group showed a combination of the following variables as assessed at baseline: greater age, initial neck pain intensity, initial back pain, blurred vision, and anxiety but less dizziness, sensitivity to noise and neurotic or behavioural problems in childhood.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attention*
  • Depression / complications
  • Depression / psychology
  • Disability Evaluation
  • Disabled Persons / psychology*
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Neuropsychological Tests
  • Personality Inventory
  • Rehabilitation, Vocational / psychology
  • Stress, Psychological / complications*
  • Whiplash Injuries / psychology*
  • Whiplash Injuries / rehabilitation