Increased psychological distress remains elevated in SCI , mTBI and WAD for at least 3 years post-MVC .
OBJECTIVE The aim of this meta- analysis was to determine the psychological impact associated with motor vehicle crash (MVC)-related physical injuries .
One Year After Mild Injury: Comparison of Health Status and Quality of Life Between Patients with Whiplash Versus Other Injuries
Objective . To compare health status , effect on family , occupational consequences , and quality of life ( QOL ) 1 year after an accident between patients with whiplash versus other mild injuries , and to explore the relationship between initial injury (  whiplash  vs other ) and QOL . Methods . This was a prospect i ve cohort study . The study used data from the ESPARR cohort ( a representative cohort of road accident victims ) and included 173 individuals with “ pure ” whiplash and 207 with other mild injuries .  QOL at 1-year followup was assessed on the World Health Organization Quality of Life question naire . Correlations between explanatory variables and QOL were explored by Poisson regression to provide adjusted relative risks , with ANOVA for the various QOL scores explored . Results . One year post-accident , more patients who had whiplash  than other casualties complained of nonrecovery of health status ( 56 % vs 43 % ) and of the occupational effect of pain ( 31 % vs 23 % ) . QOL and posttraumatic stress disorder ( PTSD ) were similar in the 2 groups . Impaired QOL did not correlate with whiplash when models were adjusted on sociodemographic variables and history of psychological distress . Whatever the initial lesion , PTSD was a determining factor for poorer QOL . Conclusion . Sociodemographic factors , preaccident psychological history prior to the accident , and PTSD were the main factors influencing QOL , rather than whether the injury was whiplash . PTSD may also be related to pain
Increased psychological distress remains elevated in SCI , mTBI and WAD for at least 3 years post-MVC .
OBJECTIVE The aim of this meta- analysis was to determine the psychological impact associated with motor vehicle crash (MVC)-related physical injuries .