Catastrophizing and Causal Beliefs in Whiplash

Buitenhuis, Jan; Jong, de Peter; Jaspers, Jan; Groothoff, Johan W.

doi:10.1097/brs.0b013e318183c6ca

Cited by 67 publications

(47 citation statements)

References 37 publications

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“…Our healthy control data were likewise similar to that previously reported [180,362,363]. The psychological profile of our whiplash participants is also consistent, with high levels of psychological distress [8,67], moderate post traumatic stress symptoms [364] and levels of pain catastrophizing [247] evident.…”

Section: Discussionsupporting

confidence: 75%

“…This is supported by empirical evidence suggesting that functional improvement occurs in both physical symptoms (reduced pain intensity) and psychological symptoms (reduced fear avoidance) with programs directed towards graded exposure [250,265]. There is interest in emerging psychological factors in WAD, such as perceived injustice [264,266], self efficacy [8] and beliefs and attitudes regarding expected recovery [247,267,268]. Their influence on pain and recovery are yet to be fully determined.…”

Section: Psychological Features In Wadmentioning

confidence: 78%

“…Posttraumatic stress symptoms and chronic pain often coexist [240][241][242][243], with higher levels of posttraumatic stress symptoms also related to pain and disability [227,228]. Pain catastrophization also results in greater disability for individuals with chronic pain, irrespective of physical impairment [247,248,343,344]. Due to the relationship between these psychological factors and pain and disability in WAD, it is important to determine if they will improve with effective modulation of pain is, or whether other treatment strategies are required.…”

Section: Psychological Featuresmentioning

confidence: 99%

“…Catastrophization is defined as a negative orientation towards noxious stimuli [245], or actual or threatened pain [246]; and is associated with enhanced pain reports, disability [247,248]. It correlates significantly with anxiety, fear and depression [246].…”

Section: Psychological Features In Wadmentioning

confidence: 99%

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Whiplash associated disorders: A prospective investigation of the effects of cervical medial branch radiofrequency neurotomy on sensory, motor and psychological Features

Smith¹

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Whiplash injury results in persistent pain and disability for a significant number of individuals. Clinically, these individuals present with a complex presentation of physical features (including central hyperexcitability and motor dysfunction) and psychological manifestations (e.g. psychological distress, pain catastrophization and posttraumatic stress symptoms) that may be resistant to conservative care. Understanding this complex symptom presentation is made challenging by the inability of current diagnostic imaging techniques to clearly identify potential pathoanatomical causes for these symptoms. Nevertheless, anatomical structures contributing to chronic whiplash associated disorders (WAD) have been identified in clinical and basic science research. These results provide further knowledge of processes underlying chronic WAD. The finding that peripheral nociception is one of the drivers of central hyperexcitability, motor dysfunction and psychological manifestations in chronic WAD is a vital step forward towards more effective management for this difficult patient group, allowing healthcare providers to provide patients with appropriate treatment options, especially when conservative therapy has failed.

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Section: Discussionsupporting

confidence: 75%

Section: Psychological Features In Wadmentioning

confidence: 78%

Section: Psychological Featuresmentioning

confidence: 99%

Section: Psychological Features In Wadmentioning

confidence: 99%

See 2 more Smart Citations

Whiplash associated disorders: A prospective investigation of the effects of cervical medial branch radiofrequency neurotomy on sensory, motor and psychological Features

Smith¹

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“…Buitenhuis et al (2008) showed, for example, that the belief system concerning one's neck pain is prognostic for recovery. They describe dysfunctional causal beliefs to be the attribution of the acute neck pain to severe, neural, or irreparable causes.…”

Section: Introductionmentioning

confidence: 99%

Correlation between expectations of recovery and injury severity perception in whiplash-associated disorders

Ferrari

Louw

2011

J. Zhejiang Univ. Sci. B

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Abstract:Objective: To assess the correlation between expectations of recovery and whiplash patients' perceptions of injury severity using a simplified instrument. Expectations of recovery have been shown to predict rate of recovery from whiplash injury in population-based studies. The perception of having more severe pathology or more ominous diagnostic labels has also been associated with a worse prognosis. Methods: Consecutive patients with whiplashassociated disorder grade 1 or 2, presenting in the acute stage to a primary care centre, were asked "do you think that your injury will…" with response options "get better soon; get better slowly; never get better; don't know." Injury severity perception (ISP) was measured with a numerical rating scale which ranged from 0-10, on which subjects were asked to rate how severe (in terms of damage) they thought their injury was. The anchors were labeled "no damage" (0) and "severe, and maybe permanent damage" (10). The primary outcome measure was the correlation between the subject's ISP score and expectation of recovery. Results: A total of 94 subjects (34 males, 60 females, and mean age (40.6±10.0) years, range 19-60 years) were included. The initial responses to expectation of recovery were: get better soon (29/94); get better slowly (22/94); never get better (11/94); don't know (32/94). The mean ISP score was 4.9±1.7 (range 2-9 out of 10). There was a high correlation between expectations and ISP scores (Spearman's rank correlation coefficient 0.68). Those who expected to recover soon and those who expected to get better slowly had the lowest ISP scores. Conclusions: The more slowly whiplash patients expect to recover, or the less sure they are of recovery, the more severe their initial perceptions of injury.

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Pain‐catastrophizing and fear‐avoidance beliefs as mediators between post‐traumatic stress symptoms and pain following whiplash injury – A prospective cohort study

Andersen

Karstoft

Brink

et al. 2016

European Journal of Pain

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The present study adds important knowledge about the development of psychological distress and pain after whiplash injury. The finding, that PCS and FA mediated the effect of PTSS on pain intensity is a novel finding with important implications for prevention and management of whiplash-associated disorders. WHAT DOES THIS STUDY ADD?: The study confirms the mechanisms as outlined in the fear-avoidance model and the mutual maintenance model. The study adds important knowledge of pain-catastrophizing and fear-avoidance beliefs as mediating mechanisms in the effect of post-traumatic stress on pain intensity. Hence, cognitive behavioural techniques targeting avoidance behaviour and catastrophizing may be beneficial preventing the development of chronic pain.

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Catastrophizing and Causal Beliefs in Whiplash

Cited by 67 publications

References 37 publications

Whiplash associated disorders: A prospective investigation of the effects of cervical medial branch radiofrequency neurotomy on sensory, motor and psychological Features

Whiplash associated disorders: A prospective investigation of the effects of cervical medial branch radiofrequency neurotomy on sensory, motor and psychological Features

Correlation between expectations of recovery and injury severity perception in whiplash-associated disorders

Pain‐catastrophizing and fear‐avoidance beliefs as mediators between post‐traumatic stress symptoms and pain following whiplash injury – A prospective cohort study

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