The association between neck pain intensity, physical functioning, depressive symptomatology and time-to-claim-closure after whiplash
The association between neck pain intensity, physical functioning, depressive symptomatology and time-to-claim-closure after whiplash
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DOI：
10.1016/s0895-4356(00)00319-x
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发表时间：
2001-03-01
影响因子：
7.2
通讯作者：
Frank, JW
中科院分区：
文献类型：
--
作者：
Côté, P;Hogg-Johnson, S;Frank, JW
Time-to-claim-closure is a common outcome in cohort studies of whiplash injuries. However, its relationship to health recovery is unknown. We investigated the association between neck pain, physical functioning, depressive symptomatology and time-to-claim-closure in a Saskatchewan cohort of 5398 whiplash claimants in 1994-1995. Participants were surveyed five times over 1 year. In 1995, the insurance system changed from tort to no-fault, eliminating compensation for pain and suffering. Under tort, a 10-point increase in pain reduced the claim-closure rate by 13-24% while a 10-point increase in physical functioning increased it by 17%. Depressive symptomatology reduced the claim-closure rate by 37%. Under no-fault, a 10-point increase in pain reduced the claim-closure rate by 18% while a 10-point increase in physical functioning increased it by 10-35%. The presence of depressive symptomatology reduced the claim-closure rate by 36%. The results suggests lower pain, better function and the absence of depressive symptoms are strongly associated with faster time-to-claim-closure and recovery after whiplash, independent of the insurance system. (C) 2001 Elsevier Science Inc. All rights reserved.
