somatic symptoms beyond those generally associated with a whiplash injury are increased in self-reported chronic whiplash. a population-based cross sectional study the hordaland health study (husk)躯体症状之外通常伴随着慢性鞭子的颈椎过度屈伸损伤增加在自述。.pdfVIP
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somatic symptoms beyond those generally associated with a whiplash injury are increased in self-reported chronic whiplash. a population-based cross sectional study the hordaland health study (husk)躯体症状之外通常伴随着慢性鞭子的颈椎过度屈伸损伤增加在自述。
Myrtveit et al. BMC Psychiatry 2012, 12:129
/1471-244X/12/129
RESEARCH ARTICLE Open Access
Somatic symptoms beyond those generally
associated with a whiplash injury are increased in
self-reported chronic whiplash. A population-
based cross sectional study: the Hordaland Health
Study (HUSK)
1,2 3 4 2,3,5*
Solbjørg Makalani Myrtveit , Jens Christoffer Skogen , Hanne Gro Wenzel and Arnstein Mykletun
Abstract
Background: Chronic whiplash leads to considerable patient suffering and substantial societal costs. There are two
competing hypothesis on the etiology of chronic whiplash. The traditional organic hypothesis considers chronic
whiplash and related symptoms a result of a specific injury. In opposition is the hypothesis that chronic whiplash is
a functional somatic syndrome, and related symptoms a result of society-induced expectations and amplification of
symptoms. According to both hypotheses, patients reporting chronic whiplash are expected to have more neck
pain, headache and symptoms of anxiety and depression than the general population. Increased prevalence of
somatic symptoms beyond those directly related to a whiplash neck injury is less investigated. The aim of this study
was to test an implication derived from the functional hypothesis: Is the prevalence of somatic symptoms as seen in
somatization disorder, beyond symptoms related to a whiplash neck injury, increased in individuals self-reporting
chronic whiplash? We further aimed to explore recall bias by comparing the symptom profile displayed by
individuals self-reporting chronic whiplash to that among those self-reporting a non-functional injury: fractures of
the hand or wrist. We explored symptom load, etiologic origin co
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