Cognitive determinants of pain and disability in patients with chronic whiplash-associated disorder: A cross-sectional observational study

Dave P. Thompson, Jacqueline A. Oldham, Martin Urmston, Steve R. Woby

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Objective: To delineate the relative extent to which specific cognitive factors are related to levels of pain and disability in patients with chronic whiplash-associated disorder. Design: Cross-sectional observation study. Setting: Three secondary care physiotherapy departments in the Greater Manchester region of the UK. Participants: All patients with chronic whiplash-associated disorder referred to the participating departments were invited to take part in the study. In total, 124 patients were invited to participate, and 63 (51%) agreed to do so. Complete data were available for 55 (44%) of those invited to participate in the study. Main outcome measures: Pain and disability, as assessed by the Neck Disability Index. Results: Cognitive factors were strongly related to levels of disability (R2 change=0.39, P
    Original languageEnglish
    Pages (from-to)151-159
    Number of pages8
    JournalPhysiotherapy
    Volume96
    Issue number2
    DOIs
    Publication statusPublished - Jun 2010

    Keywords

    • Catastrophising
    • Fear
    • Pain
    • Self-efficacy
    • Vigilance
    • Whiplash

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