| Effect of Depressive Symptoms at Acute Stage on the Course of Disease Progression in Whiplash Patients. |
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Bok, Soo Kyung , Nam, Seung Ho , Lee, Young Jin , Lee, Chang Kyu , Song, Hwang Jun , Park, Man Chun |
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Department of Rehabilitation Medicine, Konyang University College of Medicine, Korea. apollon9@naver.com |
| 편타 손상 환자에서 급성기의 우울증상이 병의 경과에 미치는 영향 |
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복수경, 남승호, 이영진, 이창규, 송황준, 박만춘 |
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건양대학교 의과대학 재활의학교실 |
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| Abstract |
Objective
To find out the effect of depressive symptoms at acute stage on the course of disease progression in whiplash patients.
Method
Thirty-eight patients with neck pain after acute whiplash injury were enrolled. The patients were prospectively surveyed within 7 days after whiplash injury and followed up after discharge by telephone interview. Depressive symptoms, self-perceived disability from neck pain, and pain intensity were measured by Center for Epidemiological Studies-Depression Scale (CES-D), neck disability index (NDI), and visual analog scale (VAS), respectively. Depressive group was defined as CES-D scores more than 21. The correlation between duration of total treatment and CES-D score and other variables was investigated by calculating independent t-test, Pearson's correlation coefficient and linear regression analysis.
Results
The mean overall score of CES-D was 20.8±11.7 and 20 (52.6%) patients were classified as depressive group. Depressive group showed longer duration of total treatment (55.1±35.1 vs 38.9±16.4, p＞0.05) and higher pain intensity after total treatment (37.0±21.3 vs 29.4±20.1, p＞0.05) than non-depressive group, but statistical significance was not sufficient. Duration of total treatment was correlated with NDI score (Ճ=0.454, p＜0.01) and initial pain intensity (Ճ=0.349, p＜0.05), but not related with socio-demographic factors - age, gender, marital status - and CES-D score.
Conclusion
Duration of total treatment was correlated with physical disability and initial pain intensity. Depressive symptoms at acute stage of whiplash injury was correlated with both of them. Depressive symptoms could affect the outcome of whiplash injury indirectly through pain intensity and physical disability. (J Korean Acad Rehab Med 2010; 34: 233-237) |
| Key Words:
Whiplash, Neck pain, Prognosis, Depression |
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