Psychological Factors and the Development of Chronic Whiplash–associated Disorder(s) Journal Articles uri icon

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  • Objectives: To assess which psychological factors are important in the development of chronic whiplash symptoms. Methods: Searches were conducted across PubMed, CINAHL, Scopus, and PsychINFO up until March 2017. Studies were included if they investigated psychological prognostic factors in association with recovery from a whiplash injury. Studies also had to be prospective, cohort, follow-up or observational studies, have a 6 month follow-up and published in English. Quality assessments were conducted by 2 independent reviewers. Thirty-one articles were included investigating 34 psychological factors. Results: Poor expectations of recovery, posttraumatic stress symptoms and passive coping emerged as the most consistent prognostic factors of chronic neck pain and/or disability after a whiplash injury. Anxiety, travel anxiety, depression, personality, precollision distress, general psychological distress, and avoidance behavior were not associated with chronic whiplash problems.


  • Campbell, Letitia
  • Smith, Ashley
  • McGregor, Leanne
  • Sterling, Michele

publication date

  • August 2018