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Stressful events and coping related to acute and sub-acute whiplash-associated disorders

PETTERSSON S; BRING A; ASENLOF P
DISABIL REHABIL , 2017, vol. 39, n° 6, p. 578-585
Doc n°: 185194
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638288.2016.1152607
Descripteurs : CC4 - TRAUMATISMES - RACHIS CERVICAL, CC1 - ETUDES GENERALITES - RACHIS CERVICAL

Purpose To 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. Method A 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). Results Nine
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). Conclusion The 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 rehabilitation The 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.

Langue : ANGLAIS

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