Alberta Centre for Injury Control and Research, School of Public Health, University of Alberta, Edmonton, Alberta, T6G 2E1, Canada.
J Rehabil Med. 2010 Jan;42(1):66-73. doi: 10.2340/16501977-0466.
Positive expectations predict better outcomes for a variety of health conditions including recovery from whiplash-associated disorders, but we know little about which individuals have negative expectations, and therefore may be at risk for poor whiplash-associated disorders recovery.
We assessed expectations for global recovery in a population-based cohort of 6015 individuals with traffic-related whiplash-associated disorders. We used multinomial logistic regression analysis to model factors associated with expecting to recover slowly, or not recover at all, as opposed to expecting to recover quickly.
Depressive symptomatology, lower education, lower income, male gender, younger age, being a passenger in the vehicle, history of neck pain, and greater initial pain (greater percentage of body in pain, greater intensity of neck pain and presence of low back and/or headache pain) were associated with poor expectations for recovery.
A number of demographic, socioeconomic and injury-related factors were associated with expectations for recovery in whiplash-associated disorders. Two of the strongest associated factors were depressive symptomatology and initial neck pain intensity. These results support using a biopsychosocial approach to evaluate expectancies and their influence on important health outcomes.
积极的期望可预测多种健康状况的更好结果，包括从与挥鞭样损伤相关的疾病中康复，但我们对哪些人有消极的期望知之甚少，而这些人可能有与挥鞭样损伤相关的疾病恢复不良的风险。
我们评估了在基于人群的 6015 例与交通相关的与挥鞭样损伤相关的疾病患者中对整体康复的期望。我们使用多项逻辑回归分析来对与预期恢复缓慢或根本无法恢复而不是预期快速恢复相关的因素进行建模。
抑郁症状、教育程度较低、收入较低、男性、较年轻、作为车辆乘客、颈部疼痛史以及初始疼痛较大（疼痛的身体比例较大、颈部疼痛的强度较大以及存在下背部和/或头痛疼痛）与康复的不良期望相关。
许多人口统计学、社会经济学和损伤相关因素与挥鞭样损伤相关疾病的康复期望相关。两个最强的相关因素是抑郁症状和初始颈部疼痛强度。这些结果支持采用生物心理社会方法来评估预期及其对重要健康结果的影响。
