Sullivan Michael J L, Hall Erin, Bartolacci Rosita, Sullivan Maureen E, Adams Heather
Dalhousie University Pain Research Centre, Halifax, Canada.
Pain Res Manag. 2002 Fall;7(3):120-6. doi: 10.1155/2002/502984.
To describe the pattern of perceived cognitive deficits in patients with whiplash injury, to examine the relation between perceived cognitive deficits and disability, and to examine the determinants of perceived cognitive deficits in patients with whiplash injury.
A total of 81 individuals participated in the study. There were 29 patients (13 men, 16 women) with a diagnosis of whiplash, grade I or II. Patients with work-related soft-tissue injuries (n=24) and nonclinical controls (n=28) were included as comparison groups.
Participants completed measures of perceived cognitive deficits, pain severity, depression, anxiety and pain-related disability.
Both patient groups scored significantly higher than the nonpatient control group on the measure of perceived cognitive deficits, but did not differ significantly from each other. Perceptions of cognitive deficits were significantly correlated with pain-related disability. A hierarchical regression examining the relative contribution of anxiety, depression and pain showed that only anxiety and depression contributed significant unique variance to the prediction of perceived cognitive deficits.
The potential benefits of focusing interventions on the management of anxiety and depression in the rehabilitation of patients with whiplash injuries are discussed.
描述挥鞭样损伤患者认知缺陷感知模式，研究认知缺陷感知与残疾之间的关系，并探讨挥鞭样损伤患者认知缺陷感知的决定因素。
共有81人参与本研究。其中有29例诊断为I级或II级挥鞭样损伤的患者（13名男性，16名女性）。将患有与工作相关的软组织损伤的患者（n = 24）和非临床对照者（n = 28）作为比较组。
参与者完成了认知缺陷感知、疼痛严重程度、抑郁、焦虑以及与疼痛相关的残疾的测量。
在认知缺陷感知测量中，两个患者组的得分均显著高于非患者对照组，但两组之间无显著差异。认知缺陷感知与疼痛相关残疾显著相关。一项检验焦虑、抑郁和疼痛相对贡献的分层回归分析表明，只有焦虑和抑郁对认知缺陷感知的预测有显著的独特方差贡献。
讨论了在挥鞭样损伤患者康复中，将干预重点放在焦虑和抑郁管理上的潜在益处。
