Peolsson Michael, Gerdle Björn
Department of Rehabilitation Medicine, INR, Faculty of Health Sciences, Linköping, Sweden.
J Rehabil Med. 2004 Jan;36(1):28-35. doi: 10.1080/11026480310015530.
There are few studies of the way patients with chronic whiplash-associated disorders cope with pain and other aspects of the condition. This study analyses: (a) gender differences in coping strategies; (b) whether the patients can be sub-grouped based on their coping strategies and whether the sub-groups differ clinically; and (c) the relative importance of background variables, symptoms and coping for quality of life.
A descriptive study.
A total of 275 consecutive chronic patients with whiplash-associated disorders referred to a university hospital.
A questionnaire covering background data, pain in different regions, symptoms not directly related to pain, Beck depression inventory, a Coping Strategy Questionnaire, a Life Satisfaction checklist (LiSat-11), SF-36 Health Survey and EuroQol instrument.
Three groups of patients were identified with respect to coping. Whether or not active coping strategies were used had little influence on health-related quality of life. When regressing health-related quality of life items, the following regressors were the most important: degree of depression, number of not directly pain-related symptoms, and catastrophizing cognitions influenced by pain intensities.
A mixture of symptoms (pain and depression) and coping (catastrophizing) seem to be interwoven and explain patients' health-related quality of life. These characteristics should be assessed when planning rehabilitation.
关于慢性挥鞭样损伤相关疾病患者应对疼痛及该病症其他方面的方式的研究较少。本研究分析：(a)应对策略中的性别差异；(b)患者是否可根据其应对策略进行分组，以及这些亚组在临床上是否存在差异；(c)背景变量、症状及应对方式对生活质量的相对重要性。
一项描述性研究。
共有275名连续转诊至某大学医院的慢性挥鞭样损伤相关疾病患者。
一份涵盖背景数据、不同部位疼痛、与疼痛无直接关联的症状、贝克抑郁量表、应对策略问卷、生活满意度清单（LiSat - 11）、SF - 36健康调查及欧洲五维度健康量表的问卷。
就应对方式而言，识别出三组患者。是否采用积极应对策略对健康相关生活质量影响甚微。在对健康相关生活质量项目进行回归分析时，以下预测变量最为重要：抑郁程度、与疼痛无直接关联的症状数量，以及受疼痛强度影响的灾难化认知。
症状（疼痛和抑郁）与应对方式（灾难化）似乎相互交织，并解释了患者的健康相关生活质量。在规划康复治疗时应评估这些特征。
