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Correlation between expectations of recovery and injury severity perception in whiplash-associated disorders

Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2011年第8期12卷 683-686页

作者： Robert FERRARI deon louw Department of Medicine University of AlbertaEdmonton

Objective:To assess the correlation between expectations of recovery and whiplash patients' perceptions of injury severity using a simplified *** of recovery have been shown to predict rate of recovery from whiplash injury in population-based *** perception of having more severe pathology or more ominous diagnostic labels has also been associated with a worse ***:Consecutive patients with whiplash-associated disorder grade 1 or 2,presenting in the acute stage to a primary care centre,were asked "do you think that your injury will…" with response options "get better soon;get better slowly;never get better;don't know." Injury severity perception (ISP) was measured with a numerical rating scale which ranged from 0-10,on which subjects were asked to rate how severe (in terms of damage) they thought their injury *** anchors were labeled "no damage" (0) and "severe,and maybe permanent damage" (10).The primary outcome measure was the correlation between the subject's ISP score and expectation of ***:A total of 94 subjects (34 males,60 females,and mean age (40.6±10.0) years,range 19-60 years) were *** initial responses to expectation of recovery were:get better soon (29/94);get better slowly (22/94);never get better (11/94);don't know (32/94).The mean ISP score was 4.9±1.7 (range 2-9 out of 10).There was a high correlation between expectations and ISP scores (Spearman's rank correlation coefficient 0.68).Those who expected to recover soon and those who expected to get better slowly had the lowest ISP ***:The more slowly whiplash patients expect to recover,or the less sure they are of recovery,the more severe their initial perceptions of injury.

关键词： Whiplash-associated disorders (WAD) Expectations of recovery Injury severity perception (ISP)

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Development of a symptom expectation questionnaire for minor head injury

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2011年第6期12卷 499-502页

作者： Robert FERRARI deon louw Department of Medicine University of AlbertaEdmonton

Background and objective:Expectations and beliefs are important predictors of outcome following minor head *** this paper,the primary purpose is to develop a simple symptom expectation questionnaire for minor head injury for use in future research ***:An existing database of 179 injury-naive subjects who completed a 56-item checklist of expected symptoms for minor head injury was analyzed to determine which items could correctly identify an a priori case definition of an expecter (a subject who expected at least one of these symptoms would remain chronic following minor head injury).A total of six of the 56 items were found to be discriminatory,and these were tested in additional subject groups against the original ***:From the original database of 179 subjects completing a 56-item symptom expectation checklist,135 expected that at least one of the 56 symptoms would be chronic following minor head *** 135 expecters,however,all chose at least one of six items:headache,anxious or worried,depressed,difficulty concentrating,dizziness,and neck *** these six items,in two new groups of subjects,all those who endorsed one of the 56 symptoms as likely to be chronic following minor head injury (expecters) could also be identified on the 6-item ***:A shortened (6-item) symptom expectation checklist of commonly reported symptoms following minor head injury (headache,anxious or worried,depressed,difficulty concentrating,dizziness,and neck pain) correctly identifies subjects who expect that at least one symptom will be chronic following minor head injury (i.e.,an expecter).

关键词： Minor head injury Expectation Outcomes

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Effect of a pain diary use on recovery from acute whiplash injury: a cohort study

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Journal of Zhejiang University-Science B(Biomedicine & Biotechnology) 2013年第11期14卷 1049-1053页

作者： Robert FERRARI deon louw Department of Medicine University of Alberta SureSurgery

Previously,it was shown that the use of a symptom diary for two weeks,even in generally healthy subjects,results in increased recall of daily symptoms and increased perception of symptom severity(Ferrari and Russell,2010).In that study,generally healthy female subjects were asked to recall symptoms experienced in the previous two weeks,after keeping a symptom diary for two weeks,while a control group was asked to recall symptoms experienced in the previous two weeks without having kept a symptom *** both groups had

关键词： a cohort study Effect of a pain diary use on recovery from acute whiplash injury

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挥鞭伤症状预期问卷的开发(英文)

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Journal of Sport and Health Science 2012年第3期1卷 174-177,195页

作者： Robert Ferrari deon louw Department of Medicine University of AlbertaEdmontonAlberta T6G 2P4Canada SureSurgery EdmontonAlberta T5G OW6Canada

背景:预期和信念是挥鞭伤后果的重要预测因素。目前缺乏测量普通人群挥鞭伤症状预期值的工具。本研究旨在开发一种简单易行的挥鞭伤症状预期问卷,以用于今后的科学研究。方法:分析已有患者库(179名挥鞭伤病人)成员完成的挥鞭伤期望症状... 详细信息

背景:预期和信念是挥鞭伤后果的重要预测因素。目前缺乏测量普通人群挥鞭伤症状预期值的工具。本研究旨在开发一种简单易行的挥鞭伤症状预期问卷,以用于今后的科学研究。方法:分析已有患者库(179名挥鞭伤病人)成员完成的挥鞭伤期望症状(56项问卷,并确定能作为正确预测因素的项目(病人预期这些项目中至少有一项会持续成为伤后慢性症状)。这56项症状中共有7项被认为具有可识别性,并在其他组病人中测试这7个项目。结果:分析已有患者库中179人完成的56项症状问卷,有119人预期这56项症状中至少有一项会持续成为伤后慢性症状。他们的选择至少有一项包括在以下7项中:头痛、焦虑或担忧、抑郁、颈痛、睡眠问题、背痛、下颌痛。让另外两组病人完成56项症状问卷,并在一周后完成7项症状(预期症状)问卷;同样让一组患者(100人)以相反顺序完成这两个问卷。发现所有用56项症状问卷确定的挥鞭伤后慢性症状均能用7项症状问卷来确定。结论:用缩减版的7项症状预期问卷可以正确确定至少一项症状在头部轻微受伤后持续成为慢性症状(预期症状)的挥鞭伤病人。该问卷可用于今后基于人群的研究,以了解挥鞭伤病人的信念类型及预期状况。

关键词：预期问卷症状挥鞭伤

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动脉瘤夹简史

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中国现代神经疾病杂志 2005年第4期5卷 233-235页

作者： deon F louw Wilson T Asfora Garnette R Sutherland 刘暌只达石 Sutherland Sioux Valley Hospital and Department of SurgeryUniversity of South Dakota Sioux Falls 300060 天津市环湖医院神经外科天津医科大学总医院

动脉瘤手术的历史是凭借技术和毅力战胜这种致命性疾病的历史.曾经有人认为针对动脉瘤手术的努力是徒劳的.Cushing认为,颅内动脉瘤'是一种难以用手术治疗的疾病,是否具备手术指征如颈内动脉结扎,需要更进一步地深入探讨'[1,2].

关键词：动脉瘤手术方法肿瘤神经疾病

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