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By accident: the prevention of chronic neck pain after a motor vehicle accident

Karoline Vangronsveld UGent (2010) PSYCHOLOGIE & GEZONDHEID. 38(2). p.76-84
abstract
Chronic neck pain is often the result of motor vehicle accidents, rear-end collisions in particular. A striking pattern of complaints often occurs after the accident. It is estimated that ca. 20% of patients with an acute neck pain episode develop chronic neck pain, also called 'chronic whiplash syndrome'. So far, studies focusing on medical predictors have not found conclusive evidence that biomedical factors contribute to the development and persistence of complaints. Bio-psychosocial models such as the Fear-Avoidance model and the Post-Traumatic Stress model seem more promising in explaining chronic complaints. The prevention of both acute and chronic pain and complaints after a motor vehicle accident is complex. Primary prevention is mostly focused on biomechanics, such as headrests and seatbelts. However, these type of studies are confronted with ethical boundaries and challenges in research. Secondary prevention seems to give promising results for two factors, being education and activation. Both factors are linked to catastrophic beliefs of patients about their pain and the possible harmfulness of being active. These catastrophic beliefs appear to be even more important when it comes to tertiary prevention, the treatment of chronic complaints after a motor vehicle accident. Catastrophic beliefs are elevated in people with chronic pain and need to be the primary target within interventions. However, research on the prevention of complaints lacks a sound theoretical framework and strong recommendations about the implementation of strategies cannot be made.
Please use this url to cite or link to this publication:
author
organization
alternative title
Per ongeluk : de preventie van chronische nekklachten na een auto-ongeval
year
type
journalArticle (original)
publication status
published
subject
keyword
POSTTRAUMATIC-STRESS-DISORDER, WHIPLASH-ASSOCIATED DISORDERS, FEAR-AVOIDANCE, BACK-PAIN, CONSEQUENCES, DISABILITY, INJURY, MUTUAL MAINTENANCE, MUSCULOSKELETAL PAIN, MULTIMODAL TREATMENT
journal title
PSYCHOLOGIE & GEZONDHEID
Psychol. Gezondh.
volume
38
issue
2
pages
76 - 84
Web of Science type
Article
Web of Science id
000277987400004
JCR category
PSYCHOLOGY
JCR impact factor
0.241 (2010)
JCR rank
69/72 (2010)
JCR quartile
4 (2010)
ISSN
1873-1791
DOI
10.1007/BF03089354
language
Dutch
UGent publication?
yes
classification
A1
copyright statement
I have transferred the copyright for this publication to the publisher
id
2003558
handle
http://hdl.handle.net/1854/LU-2003558
date created
2012-01-25 17:33:28
date last changed
2012-01-27 13:40:25
@article{2003558,
  abstract     = {Chronic neck pain is often the result of motor vehicle accidents, rear-end collisions in particular. A striking pattern of complaints often occurs after the accident. It is estimated that ca. 20\% of patients with an acute neck pain episode develop chronic neck pain, also called 'chronic whiplash syndrome'. So far, studies focusing on medical predictors have not found conclusive evidence that biomedical factors contribute to the development and persistence of complaints. Bio-psychosocial models such as the Fear-Avoidance model and the Post-Traumatic Stress model seem more promising in explaining chronic complaints. The prevention of both acute and chronic pain and complaints after a motor vehicle accident is complex. Primary prevention is mostly focused on biomechanics, such as headrests and seatbelts. However, these type of studies are confronted with ethical boundaries and challenges in research. Secondary prevention seems to give promising results for two factors, being education and activation. Both factors are linked to catastrophic beliefs of patients about their pain and the possible harmfulness of being active. These catastrophic beliefs appear to be even more important when it comes to tertiary prevention, the treatment of chronic complaints after a motor vehicle accident. Catastrophic beliefs are elevated in people with chronic pain and need to be the primary target within interventions. However, research on the prevention of complaints lacks a sound theoretical framework and strong recommendations about the implementation of strategies cannot be made.},
  author       = {Vangronsveld, Karoline},
  issn         = {1873-1791},
  journal      = {PSYCHOLOGIE \& GEZONDHEID},
  keyword      = {POSTTRAUMATIC-STRESS-DISORDER,WHIPLASH-ASSOCIATED DISORDERS,FEAR-AVOIDANCE,BACK-PAIN,CONSEQUENCES,DISABILITY,INJURY,MUTUAL MAINTENANCE,MUSCULOSKELETAL PAIN,MULTIMODAL TREATMENT},
  language     = {dut},
  number       = {2},
  pages        = {76--84},
  title        = {By accident: the prevention of chronic neck pain after a motor vehicle accident},
  url          = {http://dx.doi.org/10.1007/BF03089354},
  volume       = {38},
  year         = {2010},
}

Chicago
Vangronsveld, Karoline. 2010. “By Accident: The Prevention of Chronic Neck Pain After a Motor Vehicle Accident.” Psychologie & Gezondheid 38 (2): 76–84.
APA
Vangronsveld, K. (2010). By accident: the prevention of chronic neck pain after a motor vehicle accident. PSYCHOLOGIE & GEZONDHEID, 38(2), 76–84.
Vancouver
1.
Vangronsveld K. By accident: the prevention of chronic neck pain after a motor vehicle accident. PSYCHOLOGIE & GEZONDHEID. 2010;38(2):76–84.
MLA
Vangronsveld, Karoline. “By Accident: The Prevention of Chronic Neck Pain After a Motor Vehicle Accident.” PSYCHOLOGIE & GEZONDHEID 38.2 (2010): 76–84. Print.