心理因素与慢性挥鞭样损伤相关性疾病的发展：系统评价。
Psychological Factors and the Development of Chronic Whiplash-associated Disorder(s): A Systematic Review.
机构信息
Menzies Health Institute Queensland.
Recover Injury Research Centre, NHMRC CRE in Recovery Following Road Traffic Injury, The University of Queensland, Herston, Australia.
出版信息
Clin J Pain. 2018 Aug;34(8):755-768. doi: 10.1097/AJP.0000000000000597.
OBJECTIVES
To assess which psychological factors are important in the development of chronic whiplash symptoms.
METHODS
Searches were conducted across PubMed, CINAHL, Scopus, and PsychINFO up until March 2017. Studies were included if they investigated psychological prognostic factors in association with recovery from a whiplash injury. Studies also had to be prospective, cohort, follow-up or observational studies, have a 6 month follow-up and published in English. Quality assessments were conducted by 2 independent reviewers. Thirty-one articles were included investigating 34 psychological factors.
RESULTS
Poor expectations of recovery, posttraumatic stress symptoms and passive coping emerged as the most consistent prognostic factors of chronic neck pain and/or disability after a whiplash injury. Anxiety, travel anxiety, depression, personality, precollision distress, general psychological distress, and avoidance behavior were not associated with chronic whiplash problems.
目的
评估哪些心理因素在慢性颈痛症状的发展中起重要作用。
方法
截至 2017 年 3 月，对 PubMed、CINAHL、Scopus 和 PsychINFO 进行了检索。如果研究调查了与挥鞭样损伤恢复相关的心理预后因素，则将其纳入研究。研究还必须是前瞻性、队列研究、随访或观察性研究，具有 6 个月的随访期，且用英文发表。由 2 名独立评审员进行质量评估。纳入了 31 篇研究，共调查了 34 个心理因素。
结果
在挥鞭样损伤后，对恢复的不良预期、创伤后应激症状和被动应对方式是慢性颈痛和/或残疾的最一致的预后因素。焦虑、旅行焦虑、抑郁、人格、碰撞前痛苦、一般心理困扰和回避行为与慢性颈痛问题无关。
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