Is one question enough to screen for depression?

Is one question enough to screen for depression?
Conclusions: The depression-question from SHC identified most of the depressed patients measured by HSCL-25 in low back pain patients, whiplash patients, and disability pensioners, and can therefore be considered an indicator of depression. Satisfactory sensitivity and specificity were detected, as well as similar responsiveness as determined by the ROC analyses. The results indicate that one simple question could replace a whole questionnaire (HSCL-25) in identifying depressive patients. PMID: 20603250 [PubMed - as supplied by publisher] (Source: Scandinavian Journal of Public Health)

Whiplash injury: 2% are permanently disabled

Whiplash injury: 2% are permanently disabled
Whiplash and whiplash-associated disorders (WAD) represent a range of injuries to the neck caused by or related to a sudden distortion of the neck. Whiplash is commonly associated with motor vehicle accidents, usually when the vehicle has been hit in the rear; however, the injury can be sustained in many other ways, including falls from bicycles or horses.Most cases of whiplash injury occur as the result of rear-end vehicle collisions at speeds of less than 14 mph. Patients present with:- neck pain and stiffness- occipital headache- thoracolumbar back pain and upper-limb pain- paraesthesiaOver 66% make a full recovery and 2% are permanently disabled.References:Whiplash injury. G. Bannister et al. Journal of Bone and Joint Surgery - British Volume, Vol 91-B, Issue 7, 845-850. doi: 10.1302/0…

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The fear-avoidance model in whiplash injuries

The fear-avoidance model in whiplash injuries
Abstract: The aim of this work was to study whether fear of movement, and pain catastrophizing predict pain related-disability and depression in sub-acute whiplash patients. Moreover, we wanted to test if fear of movement is a mediator in the relation between catastrophizing and pain-related disability/depression as has been suggested by the fear-avoidance model [Vlaeyen JWS, Kole-Snijders AMJ, Boeren RGB, van Eek H. Fear of movement/(re)injury in chronic low back pain and its relation to behavioral performance. Pain 1995;62:363–72]. The convenience sample used was of 147 sub-acute whiplash patients (pain duration less than 3 months). Two stepwise regression analyses were performed using fear of movement and catastrophizing as the independent variables, and disability and depression as t…

 

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Healing Whiplash Through Chiropractic Methods

Healing Whiplash Through Chiropractic Methods
The term whiplash refers to pain felt in the neck area after the soft tissue of the neck, namely the ligaments, tendons and muscles, has been injured during vehicle accidents, sporting activities, accidental falls and even an assault. Whenever force is applied to the neck, causing it to move beyond its normal range, it could lead to whiplash.