Stressful events and coping related to acute and sub-acute whiplash-associated disorders.
In: Disability & Rehabilitation, Jg. 39 (2017-03-15), Heft 6, S. 578-585
academicJournal
Zugriff:
PurposeTo describe daily stressors affecting and coping strategies employed by individuals with whiplash-associated disorders (WAD) immediately to one month (acute) and three to four months (sub-acute) after injury events using a daily coping assessment. Levels of pain, anxiety, depressed mood and activity are also compared between phases.MethodA descriptive prospective design with a content analysis approach was used. Participants completed daily coping assessments for one week during both acute and sub-acute phases. Main measure was whiplash-associated disorders-daily coping assessment (WAD-DCA).ResultsNine participants used words describing recovery in the sub-acute phase; 31 described stressful events during both phases. Most frequently reported stressors were related to “symptoms”, “emotions” and “occupations/studies”. These were equally reported during both phases. Cognitive coping strategies were employed more often during the sub-acute phase (p = 0.008). The only behavioral strategy that increased in prevalence over time was the “relaxed” strategy (p = 0.001). Anxiety levels declined over time (p = 0.022).ConclusionThe reported stressors were largely uniform across both acute and sub-acute phases; however, the use of cognitive coping strategies increased over time. The WAD-DCA captures individual stressors and coping strategies employed during a vulnerable phase of rehabilitation and can thus provide information that is useful to clinical practice. Implications for rehabilitationThe WAD-DCA provides valuable information for clinical practice when employed during early phases of whiplash-associated disorder development.Reported stressors during the acute and sub-acute phases are essentially the same, whereas cognitive coping strategies grow in prevalence over time.Tailored treatments in early phases of whip-lash associated disorders may benefit from strategies aimed at matching patient-specific stressors with contextually adapted coping strategies. [ABSTRACT FROM PUBLISHER]
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Stressful events and coping related to acute and sub-acute whiplash-associated disorders.
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Autor/in / Beteiligte Person: | Pettersson, Susanne ; Bring, Annika ; Åsenlöf, Pernilla |
Zeitschrift: | Disability & Rehabilitation, Jg. 39 (2017-03-15), Heft 6, S. 578-585 |
Veröffentlichung: | 2017 |
Medientyp: | academicJournal |
ISSN: | 0963-8288 (print) |
DOI: | 10.3109/09638288.2016.1152607 |
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