PMID- 21401285
OWN - NLM
STAT- MEDLINE
DCOM- 20110727
LR  - 20110315
IS  - 1939-1544 (Electronic)
IS  - 0090-5550 (Linking)
VI  - 56
IP  - 1
DP  - 2011 Feb
TI  - Changes in coping style and treatment outcome following motor vehicle accident.
PG  - 43-51
LID - 10.1037/a0022443 [doi]
AB  - BACKGROUND: Motor vehicle accidents (MVAs) are highly prevalent and can result in 
      a complex interplay of physical injury, disability, and emotional distress. It 
      has been suggested that the manner in which individuals cope with pain 
      experienced after injury may determine how much recovery of function can be 
      achieved. Only a limited number of studies have examined this process in the 
      context of a rehabilitation program, and to date few studies have examined both 
      functional and quality of life outcomes in MVA recovery in a tertiary level 
      program as a function of coping style. METHODS: A sample of 96 consecutive 
      referrals to a tertiary-level multidisciplinary functional restoration program 
      completed physical performance measures pre- and post-treatment, as well as a 
      standardized self-report measure of quality of life (QOL) at the same time points 
      and 6-month follow-up. RESULTS: Findings suggested that improvements from pre- to 
      post-treatment were evident on the 6-minute walk test, left and right grip 
      strength, and most QOL measures. Increases in active coping during treatment were 
      associated with pre- to post-treatment increases in QOL across most domains, and 
      improvements in performance on the 6-minute walk test. Likewise, decreases in 
      passive coping during the course of treatment were associated with improved 
      performance on the 6-minute walk test, right-handed standing reach test, and most 
      QOL indicators. CONCLUSION: Findings suggest that those who adopt an active 
      approach (and avoid taking a passive approach) to rehabilitation following 
      complex musculoskeletal injury benefit along both QOL and functional dimensions 
      relative to those who do not.
FAU - Hall, Peter A
AU  - Hall PA
AD  - Department of Kinesiology, University of Waterloo, Ontario, Canada. 
      pahall@uwaterloo.ca
FAU - Marshall, John
AU  - Marshall J
FAU - Mercado, Annalyn
AU  - Mercado A
FAU - Tkachuk, Gregg
AU  - Tkachuk G
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Rehabil Psychol
JT  - Rehabilitation psychology
JID - 0365337
SB  - IM
MH  - Accidents, Traffic/*psychology
MH  - *Adaptation, Psychological
MH  - Adult
MH  - Chronic Disease
MH  - *Disability Evaluation
MH  - Exercise Test
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Care Team
MH  - Personality Inventory/statistics & numerical data
MH  - Problem Solving
MH  - Psychometrics
MH  - Quality of Life/*psychology
MH  - Somatoform Disorders/psychology/rehabilitation
MH  - Wounds and Injuries/*psychology/*rehabilitation
EDAT- 2011/03/16 06:00
MHDA- 2011/07/28 06:00
CRDT- 2011/03/16 06:00
PHST- 2011/03/16 06:00 [entrez]
PHST- 2011/03/16 06:00 [pubmed]
PHST- 2011/07/28 06:00 [medline]
AID - 2011-04909-005 [pii]
AID - 10.1037/a0022443 [doi]
PST - ppublish
SO  - Rehabil Psychol. 2011 Feb;56(1):43-51. doi: 10.1037/a0022443.