A prospective study of perceived injustice in whiplash victims and its relationship to recovery

Clin Rheumatol. 2015 May;34(5):975-9. doi: 10.1007/s10067-014-2693-0. Epub 2014 Jun 3.

Abstract

The objectives of this paper are to to measure levels of perceived injustice in whiplash victims and determine the relationship to recovery at 6-month post-injury. Consecutive acute whiplash patients completed the Injustice Experience Questionnaire, at presentation, and also 3- and 6-month post-injury. At each of these two follow-up points, participants were examined for recovery. Of an initial 134 participants, 130 participants were followed up at 3 months and 124 at 6 months. At the 3-month follow-up, 62 % (80/130) of participants reported recovery from their injuries. At 6 months, 80 % (99/124) reported recovery. The initial Injustice Experience Questionnaire score was low, with a mean score of 6.0 ± 1.0 (range 5-10) out of a maximum of 48. The mean score at 3-month follow-up had increased in the cohort to 7.4 ± 1.6 (range 5-11). At 6-month post-injury, the mean of the Injustice Experience Questionnaire score for the cohort who still reported lack of recovery (25/124 participants) was 15.0 ± 6.0 (range 5-31), while that for the recovered group remained low at 8.2 ± 3.9 (range 5-11). In the primary care setting, a significant proportion of whiplash patients who have not recovered by 3-month post-injury subsequently develop higher levels of perceived injustice by 6-month post-injury. The development of high levels of perceived injustice at 6-month post-injury appears to follow the development of chronic pain and a lack of recovery at 3 months and, at that point, becomes a risk factor for lack of recovery thereafter.

MeSH terms

  • Adult
  • Chronic Pain / etiology
  • Chronic Pain / physiopathology
  • Chronic Pain / psychology*
  • Cohort Studies
  • Female
  • Humans
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Perception
  • Prospective Studies
  • Recovery of Function*
  • Risk Factors
  • Social Justice / psychology*
  • Surveys and Questionnaires
  • Whiplash Injuries / complications
  • Whiplash Injuries / physiopathology
  • Whiplash Injuries / psychology*
  • Young Adult