The relationship between sensory and sympathetic nervous system changes and posttraumatic stress reaction following whiplash injury - a prospective study

Sterling, Michele and Kenardy, Justin (2006) The relationship between sensory and sympathetic nervous system changes and posttraumatic stress reaction following whiplash injury - a prospective study. Journal of Psychosomatic Research, 60 4: 387-393. doi:10.1016/j.jpsychores.2005.08.016


Author Sterling, Michele
Kenardy, Justin
Title The relationship between sensory and sympathetic nervous system changes and posttraumatic stress reaction following whiplash injury - a prospective study
Journal name Journal of Psychosomatic Research   Check publisher's open access policy
ISSN 0022-3999
Publication date 2006
Sub-type Article (original research)
DOI 10.1016/j.jpsychores.2005.08.016
Volume 60
Issue 4
Start page 387
End page 393
Total pages 7
Editor C. Shapiro
F. Creed
Place of publication Oxford
Publisher Pergamon-Elsevier Science Ltd
Collection year 2006
Language eng
Subject C1
321099 Clinical Sciences not elsewhere classified
730114 Skeletal system and disorders (incl. arthritis)
321024 Rehabilitation and Therapy - Occupational and Physical
730303 Occupational, speech and physiotherapy
Formatted abstract
Objective

To investigate differences in sensory and sympathetic nervous system (SNS) function between whiplash-injured persons with and without a posttraumatic stress reaction (PTSR). To explore associations between sensory, SNS function, and persistent PTSR at 6 months postinjury.

Methods


Seventy-six acutely (<1 month) whiplash-injured persons (10 with PTSR persisting to 6 months postinjury, 14 with early PTSR that resolved, and 52 with no PTSR) were prospectively investigated.

Results


Those with persistent PTSR showed sensory hypersensitivity and impaired peripheral vasoconstriction compared to those whose PTSR resolved and those without PTSR (P<.05). The early presence of sensory hypersensitivity was associated with PTSR at 6 months, but this relationship was mediated by pain and disability levels. Impaired vasoconstriction and higher pain and disability levels were associated with PTSR at 6 months.

Conclusion


Sensory disturbances following whiplash injury are associated with persistent PTSR but may be mediated by levels of pain and disability.
Keyword Psychiatry
Whiplash Injury
Acute Posttraumatic Stress Reaction
Sensory Hypersensitivity
Regional Pain Syndrome
Disorders
Hypersensitivity
Dysfunction
Thresholds
Impact
Event
Neck
Q-Index Code C1

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Psychology Publications
 
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Created: Wed, 15 Aug 2007, 08:12:06 EST