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|Title: ||Outcomes following Whiplash Associated Disorder (WAD) in a Compensation setting: The Whiplash Outcome Study|
|Authors: ||Casey, Petrina Pauline|
|Issue Date: ||24-Jun-2015|
|Publisher: ||University of Sydney|
Sydney Medical School
|Abstract: ||Whiplash Associated Disorders (WAD) following a road traffic crash results in many people seeking treatment through a compensation scheme. This process has been reported as having a negative impact on health and recovery. This thesis investigates health, recovery and claim outcomes in people with WAD in a compensation context.
The Whiplash Outcome Study prospectively recruited and enrolled 246 people. Health outcomes were assessed within three months, 12 and 24 months post injury.
The findings suggest one in four claimants remained in the compensation system longer than 24 months. Improvement in health occurred up to 12 months. More than 50% of the cohort continued to have moderate to severe disability and psychological symptoms 24 months post injury.
Claimants with WAD can be predicted to follow three distinct recovery trajectories. The profile of those in the trajectories suggest physical and psychological factors are important and should be addressed in claim and clinical interventions.
A vulnerable group of claimants emerged who presented with poorer baseline disability and psychological factors that might make them susceptible to the unintended negative consequences of compensation processes. It is recommended that these claimants are identified, and appropriate interventions instigated aimed at minimising their exposure to compensation system stressors.|
|Access Level: ||Access is restricted to staff and students of the University of Sydney . UniKey credentials are required. Non university access may be obtained by visiting the University of Sydney Library.|
|Rights and Permissions: ||The author retains copyright of this thesis. It may only be used for the purposes of research and study. It must not be used for any other purposes and may not be transmitted or shared with others without prior permission.|
|Type of Work: ||PhD Doctorate|
|Type of Publication: ||Doctor of Philosophy Ph.D.|
|Appears in Collections:||Sydney Digital Theses (University of Sydney Access only)|
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|CASEY Petrina - Final Thesis.pdf||Thesis||12.07 MB||Adobe PDF|
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