Long-term functioning following whiplash injury: the role of social support and personality traits

Clin Rheumatol. 2011 Jul;30(7):927-35. doi: 10.1007/s10067-011-1712-7. Epub 2011 Feb 16.

Abstract

Transition from acute whiplash injury to either recovery or chronicity and the development of chronic whiplash-associated disorders (WAD) remains a challenging issue for researchers and clinicians. The roles of social support and personality traits in long-term functioning following whiplash have not been studied concomitantly. The present study aimed to examine whether social support and personality traits are related to long-term functioning following whiplash. One hundred forty-three subjects, who had experienced a whiplash injury in a traffic accident 10-26 months before the study took place, participated. The initial diagnoses were a 'sprain of the neck' (ICD-9 code 847.0); only the outcome of grades I-III acute WAD was studied. Long-term functioning was considered within the biopsychosocial model: it was expressed in terms of disability, functional status, quality of life and psychological well-being. Participants filled out a set of questionnaires to measure the long-term functioning parameters (i.e. the Neck Disability Index, Medical Outcome Study Short-Form General Health Survey, Anamnestic Comparative Self-Assessment measure of overall well-being and the Symptom Checklist-90) and potential determinants of long-term functioning (the Dutch Personality Questionnaire and the Social Support List). The results suggest that social support (especially the discrepancies dimension of social support) and personality traits (i.e. inadequacy, self-satisfaction and resentment) are related to long-term functioning following whiplash injury (Spearman rho varied between 0.32 and 0.57; p < 0.01). Within the discrepancy dimension, everyday emotional support, emotional support during problems, appreciative support and informative support were identified as important correlates of long-term functioning. Future prospective studies are required to confirm the role of social support and personality traits in relation to long-term functioning following whiplash. For such studies, a broad view of long-term functioning within the biopsychological model should be applied.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Accidents, Traffic
  • Adult
  • Disability Evaluation
  • Disease Progression
  • Female
  • Humans
  • Male
  • Personality*
  • Quality of Life
  • Recovery of Function
  • Self-Assessment
  • Social Support*
  • Surveys and Questionnaires
  • Whiplash Injuries / diagnosis
  • Whiplash Injuries / physiopathology*
  • Whiplash Injuries / psychology*