Does expecting mean achieving? The association between expecting to return to work and recovery in whiplash associated disorders: a population-based prospective cohort study

Eur Spine J. 2009 Jun;18(6):893-9. doi: 10.1007/s00586-009-0954-4. Epub 2009 Apr 3.

Abstract

To determine the association between expectations to return to work and self-assessed recovery. Positive expectations predict better outcomes in many health conditions, but to date the relationship between expecting to return to work after traffic-related whiplash-associated disorders and actual recovery has not been reported. We assessed early expectations for return to work in a cohort of 2,335 individuals with traffic-related whiplash injury to the neck. Using multivariable Cox proportional hazard analysis we assessed the association between return to work expectations and self-perceived recovery during the first year following the event. After adjusting for the effects of sociodemographic characteristics, initial pain and symptoms, post-crash mood, prior health status and collision-related factors, those who expected to return to work reported global recovery 42% more quickly than those who did not have positive expectations (HRR = 1.42, 95% CI 1.26-1.60). Knowledge of return to work expectation provides an important prognostic tool to clinicians for recovery.

MeSH terms

  • Activities of Daily Living
  • Adult
  • Attitude to Health*
  • Cohort Studies
  • Disability Evaluation*
  • Employment
  • Female
  • Health Status
  • Humans
  • Illness Behavior*
  • Male
  • Middle Aged
  • Occupational Diseases / complications
  • Occupational Diseases / rehabilitation
  • Outcome Assessment, Health Care
  • Prognosis
  • Proportional Hazards Models
  • Prospective Studies
  • Recovery of Function / physiology
  • Self-Assessment*
  • Sick Leave / statistics & numerical data*
  • Sick Leave / trends
  • Socioeconomic Factors
  • Time Factors
  • Treatment Outcome
  • Whiplash Injuries / psychology*
  • Whiplash Injuries / rehabilitation
  • Young Adult