Ferrari Robert
Department of Medicine and Department of Rheumatic Diseases, University of Alberta, 13-103 Clinical Sciences Building, Edmonton, Alberta, T6G 2P4, Canada,
Clin Rheumatol. 2015 May;34(5):975-9. doi: 10.1007/s10067-014-2693-0. Epub 2014 Jun 3.
The objectives of this paper are to to measure levels of perceived injustice in whiplash victims and determine the relationship to recovery at 6-month post-injury. Consecutive acute whiplash patients completed the Injustice Experience Questionnaire, at presentation, and also 3- and 6-month post-injury. At each of these two follow-up points, participants were examined for recovery. Of an initial 134 participants, 130 participants were followed up at 3 months and 124 at 6 months. At the 3-month follow-up, 62 % (80/130) of participants reported recovery from their injuries. At 6 months, 80 % (99/124) reported recovery. The initial Injustice Experience Questionnaire score was low, with a mean score of 6.0 ± 1.0 (range 5-10) out of a maximum of 48. The mean score at 3-month follow-up had increased in the cohort to 7.4 ± 1.6 (range 5-11). At 6-month post-injury, the mean of the Injustice Experience Questionnaire score for the cohort who still reported lack of recovery (25/124 participants) was 15.0 ± 6.0 (range 5-31), while that for the recovered group remained low at 8.2 ± 3.9 (range 5-11). In the primary care setting, a significant proportion of whiplash patients who have not recovered by 3-month post-injury subsequently develop higher levels of perceived injustice by 6-month post-injury. The development of high levels of perceived injustice at 6-month post-injury appears to follow the development of chronic pain and a lack of recovery at 3 months and, at that point, becomes a risk factor for lack of recovery thereafter.
本文的目的是测量挥鞭伤患者感知到的不公正程度，并确定其与受伤后6个月恢复情况的关系。连续的急性挥鞭伤患者在就诊时、受伤后3个月和6个月完成了《不公正经历问卷》。在这两个随访点的每一个点，对参与者进行恢复情况检查。最初的134名参与者中，130名在3个月时接受了随访，124名在6个月时接受了随访。在3个月的随访中，62%（80/130）的参与者报告受伤已恢复。在6个月时，80%（99/124）的参与者报告已恢复。最初的《不公正经历问卷》得分较低，最高分为48分，平均分为6.0±1.0（范围为5 - 10）。在3个月随访时，该队列的平均得分增加到7.4±1.6（范围为5 - 11）。在受伤后6个月，仍报告未恢复的队列（25/124名参与者）的《不公正经历问卷》平均得分为15.0±6.0（范围为5 - 31），而恢复组的得分仍较低，为8.2±3.9（范围为5 - 11）。在初级保健环境中，相当一部分在受伤后3个月未恢复的挥鞭伤患者在受伤后6个月会出现更高水平的感知不公正。受伤后6个月高水平感知不公正的出现似乎与慢性疼痛的发展以及3个月时未恢复有关，并且在那个时候成为此后未恢复的一个风险因素。
