| Whiplash-associated disorders: who gets depressed? Who stays depressed? | |
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MedLine Citation:
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PMID: 20127261 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Depression is common in whiplash-associated disorders (WAD). Our objectives were to identify factors associated with depressive symptomatology occurring in the initial stages of WAD, and to identify factors predicting the course of depressive symptoms. A population-based cohort of adults sustaining traffic-related WAD was followed at 6 weeks, 3, 6, 9, and 12 months. Baseline measures (assessed a median of 11 days post-crash) included demographic and collision-related factors, prior health, and initial post-crash pain and symptoms. Depressive symptomatology was assessed at baseline and at each follow-up using the Centre for Epidemiological Studies Depression Scale (CES-D). We included only those who participated at all follow-ups (n = 3,452; 59% of eligible participants). Using logistic regression, we identified factors associated with initial (post-crash) depression. Using multinomial regression, we identified baseline factors predicting course of depression. Courses of depression were no depression; initial depression that resolves, recurs or persists, and later onset depression. Factors associated with initial depression included greater neck and low back pain severity, greater percentage of body in pain, numbness/tingling in arms/hand, dizziness, vision problems, post-crash anxiety, fracture, prior mental health problems, and poorer general health. Predictors of persistent depression included older age, greater initial neck and low back pain, post-crash dizziness, vision and hearing problems, numbness/tingling in arms/hands, anxiety, prior mental health problems, and poorer general health. Recognition of these underlying risk factors may assist health care providers to predict the course of psychological reactions and to provide effective interventions. |
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Authors:
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Leah A Phillips; Linda J Carroll; J David Cassidy; Pierre Côté |
Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-02-02 |
Journal Detail:
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Title: European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society Volume: 19 ISSN: 1432-0932 ISO Abbreviation: Eur Spine J Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-06-17 Completed Date: 2011-01-25 Revised Date: 2011-07-28 |
Medline Journal Info:
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Nlm Unique ID: 9301980 Medline TA: Eur Spine J Country: Germany |
Other Details:
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Languages: eng Pagination: 945-56 Citation Subset: IM |
Affiliation:
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Department of Public Health Sciences, Alberta Centre for Injury Control and Research, School of Public Health, University of Alberta, 4075 RTF, 8308 114 St, Edmonton, AB, T6G 2E1, Canada. leah.phillips@ualberta.ca |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Age Distribution Anxiety Disorders / diagnosis, epidemiology, psychology Back Pain / epidemiology, psychology Cohort Studies Comorbidity Depressive Disorder / diagnosis, epidemiology*, psychology* Disability Evaluation Female Humans Male Neck Pain / epidemiology, psychology Neuropsychological Tests Pain Measurement Paresthesia / epidemiology, psychology Prevalence Prognosis Severity of Illness Index Whiplash Injuries / epidemiology*, psychology* |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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