Value-based cognitive-behavioural therapy for the prevention of chronic whiplash associated disorders: protocol of a randomized controlled trial

BMC Musculoskeletal Disorders

Study Protocol

Kirsten Kaya Roessler¹  Tonny Elmose Andersen¹  Sophie Lykkegaard Ravn¹ 

[1] Department of Psychology, University of Southern Denmark, Campusvej 55, DK-5230, Odense M, Denmark;

关键词: Neck Disability Index;    Pain Catastrophizing;    Whiplash Injury;    Pain Catastrophizing Scale;    Numerical Pain Rating Scale;   

DOI  :  10.1186/s12891-015-0687-y

 received in 2014-09-19, accepted in 2015-08-14,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundWhiplash injury is the most common traffic-related injury affecting thousands of people every year. Conservative treatments have not proven effective in preventing persistent symptoms and disability after whiplash injury. Early established maladaptive pain behaviours within the first weeks after the injury may explain part of the transition from acute to chronic whiplash associated disorder (WAD). Hence, early targeting of psychological risk factors such as pain catastrophizing, fear-avoidance-beliefs, depression, and symptoms of posttraumatic stress disorder (PTSD) may be important in preventing the development of chronic WAD. Some evidence exists that targeting fear-avoidance beliefs and PTSD with exposure strategies and value-based actions may prevent development of persistent disability after whiplash injury. Yet, the results have to be tested in a randomized controlled trial (RCT). The primary objective of the present study is to test whether a specifically tailored value-based cognitive-behavioural therapy program (V-CBT) is able to prevent the development of persistent disability, pain, and psychological distress if delivered within the first three months after a whiplash injury.Methods/designThe current study is a two-armed randomized controlled study with a crossover design. Group A is scheduled for V-CBT within one week of randomization and group B with a delayed onset 3 months after randomization.DiscussionIf the study detects significant effects of V-CBT as a preventive intervention, the study will provide new insights of preventive treatment for patients with WAD and thereby serve as an important step towards preventing the chronic condition.Trial registrationCurrent Controlled Trials Registration September 19, 2014: NCT02251028

【 授权许可】

CC BY   
© Andersen et al. 2015