非专业人士对康复的期望和对鞭打伤的信念：澳大利亚人和新加坡人之间的跨文化比较。

Laypersons' expectations of recovery and beliefs about whiplash injury: a cross-cultural comparison between Australians and Singaporeans.

机构信息

Division of Physiotherapy, School of Health and Rehabilitation Sciences, University of Queensland, St Lucia, Australia.

出版信息

Eur J Pain. 2013 Sep;17(8):1234-42. doi: 10.1002/j.1532-2149.2012.00265.x. Epub 2012 Dec 17.

DOI:10.1002/j.1532-2149.2012.00265.x

PMID:23255308

Abstract

BACKGROUND

Beliefs and expectations are thought to influence outcome following whiplash injury. Studies have proposed a link between rates of chronic whiplash and laypersons' expectations about outcome following a motor vehicle accident. The prevalence of chronic whiplash is relatively high in Australia and apparently low in Singapore. This study's objectives were to compare laypersons' beliefs and expectations of recovery of whiplash injury in Brisbane and Singapore and to assess the effect of demographic factors on whiplash beliefs.

METHODS

A cross-sectional study using online surveys was conducted on adult Internet users in Brisbane (Australia) and Singapore. The 14-item whiplash beliefs questionnaire (WBQ) was used to evaluate whiplash beliefs. Two additional items assessed expectations of recovery. Individual items of WBQ, WBQ score and expectations of recovery were analysed. Stratified analysis was performed to adjust for sampling bias due to quota sampling.

RESULTS

A total of 402 participants from Singapore and 411 participants from Brisbane, Australia, completed the survey. While participants from Singapore demonstrated slightly more negative whiplash beliefs than participants from Brisbane [t(811) = -5.72; p < 0.0001], participants from both samples were similar in their expectations of quick recovery and return to normal activities following whiplash injury. Only gender had a significant effect on whiplash beliefs [estimated marginal means of WBQ score for men = 21.5; standard error (SE) = 0.20; women = 22.5; SE = 0.20; F(1,810) = 11.2; p = 0.001].

CONCLUSIONS

Laypersons' expectations of recovery and beliefs about whiplash injury in Brisbane and Singapore were generally similar and mostly positive. Our results demonstrate that cultural differences reflected by laypersons' beliefs may not reflect the differences in prevalence of chronic whiplash between countries.

摘要

背景

信念和期望被认为会影响挥鞭样损伤后的结果。研究提出了慢性挥鞭样损伤的发生率与民众对机动车事故后结果的预期之间存在联系。慢性挥鞭样损伤在澳大利亚的发病率相对较高，而在新加坡则较低。本研究的目的是比较布里斯班和新加坡民众对挥鞭样损伤恢复的信念和期望，并评估人口统计学因素对挥鞭样损伤信念的影响。

方法

采用横断面研究，在布里斯班（澳大利亚）和新加坡的成年互联网用户中进行在线调查。使用 14 项挥鞭样损伤信念问卷（WBQ）评估挥鞭样损伤信念。另外两项评估对恢复的期望。分析 WBQ 的各个项目、WBQ 评分和对恢复的期望。由于配额抽样导致的抽样偏差进行分层分析。

结果

共有 402 名来自新加坡和 411 名来自澳大利亚布里斯班的参与者完成了调查。尽管新加坡参与者的挥鞭样损伤信念略低于布里斯班参与者[（811）t 检验=-5.72；p<0.0001]，但两个样本的参与者对挥鞭样损伤后快速恢复和恢复正常活动的期望相似。只有性别对挥鞭样损伤信念有显著影响[男性的 WBQ 评分估计边际均值为 21.5；标准误（SE）为 0.20；女性为 22.5；SE 为 0.20；F（1,810）=11.2；p=0.001]。