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dc.contributor.authorMyrtveit, Solbjørg Makalanien_US
dc.contributor.authorCarstensen, Tinaen_US
dc.contributor.authorKasch, Helgeen_US
dc.contributor.authorØrnbøl, Evaen_US
dc.contributor.authorFrostholm, Lisbethen_US
dc.PublishedBMJ Open 2015, 5:e007239(3)eng
dc.description.abstractObjective: Individuals exposed to whiplash collisions have to cope with the stressful event as well as early physical symptoms. As in other chronic pain conditions, coping has been associated with outcome after whiplash. In this study, our aim was to examine whether initial coping preferences were associated with the development of chronic whiplash. Design: Prospective study. Setting: Primary care. Methods: 740 acute whiplash patients were recruited from emergency units and general practitioners after car collisions in Denmark. Within 10 days postinjury, participants were asked what they believed could help them get better. At 12-month follow-up, the level of neck pain and capability to work was obtained. Whether coping preferences (baseline) were associated with outcome was investigated using multiple regression analyses. Results: Persistent neck pain was most strongly associated with preferring medications (mean difference=1.24 (95% CI 0.67 to 1.82)) and sickness absence (mean difference=1.18 (95% CI 0.53 to 1.82)). Reduced work capability was most strongly associated with preferring medications (OR=3.53 (95% CI 2.13 to 5.86)), sickness absence (OR=3.05 (95% CI 1.80 to 5.17)) and being referred to a physiotherapist/chiropractor (OR=3.03 (95% CI 1.33 to 6.91)). Active coping was associated with better outcomes: Participants preferring to change their lifestyle were protected against reduced work capability (OR=0.11 (95% CI 0.01 to 0.78)). Individuals who wanted to keep living as usual only (no other preference reported) were protected against neck pain (mean difference −1.62 (95% CI −2.39 to −0.84)) and reduced work capability (OR=0.09 (95% CI 0.01 to 0.64)). Conclusions: A simple nine-item measure of coping preferences is associated with the development of chronic neck pain and reduced capability to work following whiplash trauma and may be used to identify individuals at risk of poor recovery.en_US
dc.publisherBMJ Publishing Groupeng
dc.relation.ispartof<a href="" target="blank">Risk factors for development and maintenance of chronic whiplash</a>
dc.rightsAttribution CC BY-NCeng
dc.titleInitial healthcare and coping preferences are associated with outcome 1 year after whiplash trauma: A multicentre 1-year follow-up studyen_US
dc.typePeer reviewed
dc.typeJournal article
dc.rights.holderCopyright 2015, British Medical Journal Publishing Group
dc.source.journalBMJ Open

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