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Whiplash-associated disorders – predicting disability from a process-oriented perspective of coping

Per Lindberg

Department of Public Health and Caring Sciences/Section of Caring Sciences, Uppsala University, Uppsala, Sweden

Objective: To describe the coping process over time for patients with whiplash-associated disorders (WAD).

Design: The study was conducted by following patients prospectively for 12 months.

Settings: The orthopaedic clinic at a university hospital.

Subjects: Fifty-three patients out of 59 had complete data-sets.

Main outcome measures: Two measures were used: the Pain Disability Index (PDI) and the Coping Strategies Questionnaire (CSQ).

Results: The results showed that the proportion of variance in disability shared with coping increased over time.

Conclusion: The importance of coping as an explanatory factor for disability increased during the one year follow-up. Thus, coping has a crucial role for disability. The possibility of a positive long-term outcome could therefore be improved by teaching patients to use active and adaptive coping strategies shortly after an accident.

Clinical Rehabilitation, Vol. 17, No. 1, 101-107 (2003)
DOI: 10.1191/0269215503cr566oa


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