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Maintaining a balance: a focus group study on living and coping with chronic whiplash-associated disorder

BACKGROUND: There is little qualitative insight into how persons with chronic Whiplash-Associated Disorder cope on a day to day basis. This study seeks to identify the symptoms persons with Whiplash-Associated Disorder describe as dominating and explore their self-initiated coping strategies. METHOD...

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Autores principales: Krohne, Kariann, Ihlebæk, Camilla
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2913993/
https://www.ncbi.nlm.nih.gov/pubmed/20626855
http://dx.doi.org/10.1186/1471-2474-11-158
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author Krohne, Kariann
Ihlebæk, Camilla
author_facet Krohne, Kariann
Ihlebæk, Camilla
author_sort Krohne, Kariann
collection PubMed
description BACKGROUND: There is little qualitative insight into how persons with chronic Whiplash-Associated Disorder cope on a day to day basis. This study seeks to identify the symptoms persons with Whiplash-Associated Disorder describe as dominating and explore their self-initiated coping strategies. METHODS: Qualitative study using focus groups interviews. Fourteen Norwegian men and women with Whiplash-Associated Disorder (I or II) were recruited to participate in two focus groups. Data were analyzed according to a phenomenological approach, and discussed within the model of Cognitive Activation Theory of Stress (CATS). RESULTS: Participants reported neck and head pain, sensory hypersensitivity, and cognitive dysfunction following their whiplash injury. Based on the intensity of symptoms, participants divided everyday life into good and bad periods. In good periods the symptoms were perceived as manageable. In bad periods the symptoms intensified and took control of the individual. Participants expressed a constant notion of trying to balance their three main coping strategies; rest, exercise, and social withdrawal. In good periods participants experienced coping by expecting good results from the strategies they used. In bad periods they experienced no or negative relationships between their behavioral strategies and their complaints. CONCLUSIONS: Neck and head pain, sensory hypersensitivity, and cognitive dysfunction were reported as participants' main complaints. A constant notion of balancing between their three main coping strategies; rest, exercise, and social withdrawal, was described.
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spelling pubmed-29139932010-08-03 Maintaining a balance: a focus group study on living and coping with chronic whiplash-associated disorder Krohne, Kariann Ihlebæk, Camilla BMC Musculoskelet Disord Research Article BACKGROUND: There is little qualitative insight into how persons with chronic Whiplash-Associated Disorder cope on a day to day basis. This study seeks to identify the symptoms persons with Whiplash-Associated Disorder describe as dominating and explore their self-initiated coping strategies. METHODS: Qualitative study using focus groups interviews. Fourteen Norwegian men and women with Whiplash-Associated Disorder (I or II) were recruited to participate in two focus groups. Data were analyzed according to a phenomenological approach, and discussed within the model of Cognitive Activation Theory of Stress (CATS). RESULTS: Participants reported neck and head pain, sensory hypersensitivity, and cognitive dysfunction following their whiplash injury. Based on the intensity of symptoms, participants divided everyday life into good and bad periods. In good periods the symptoms were perceived as manageable. In bad periods the symptoms intensified and took control of the individual. Participants expressed a constant notion of trying to balance their three main coping strategies; rest, exercise, and social withdrawal. In good periods participants experienced coping by expecting good results from the strategies they used. In bad periods they experienced no or negative relationships between their behavioral strategies and their complaints. CONCLUSIONS: Neck and head pain, sensory hypersensitivity, and cognitive dysfunction were reported as participants' main complaints. A constant notion of balancing between their three main coping strategies; rest, exercise, and social withdrawal, was described. BioMed Central 2010-07-13 /pmc/articles/PMC2913993/ /pubmed/20626855 http://dx.doi.org/10.1186/1471-2474-11-158 Text en Copyright ©2010 Krohne and Ihlebæk; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Krohne, Kariann
Ihlebæk, Camilla
Maintaining a balance: a focus group study on living and coping with chronic whiplash-associated disorder
title Maintaining a balance: a focus group study on living and coping with chronic whiplash-associated disorder
title_full Maintaining a balance: a focus group study on living and coping with chronic whiplash-associated disorder
title_fullStr Maintaining a balance: a focus group study on living and coping with chronic whiplash-associated disorder
title_full_unstemmed Maintaining a balance: a focus group study on living and coping with chronic whiplash-associated disorder
title_short Maintaining a balance: a focus group study on living and coping with chronic whiplash-associated disorder
title_sort maintaining a balance: a focus group study on living and coping with chronic whiplash-associated disorder
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2913993/
https://www.ncbi.nlm.nih.gov/pubmed/20626855
http://dx.doi.org/10.1186/1471-2474-11-158
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