Demographics
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Sex, age, weight, height
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×
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×
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Marital status
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×
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×
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Highest level of education
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×
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×
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Motor vehicle crash history
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Motor vehicle crash date
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×
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×
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Driver or passenger
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×
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×
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Perception of danger during motor vehicle crash
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×
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×
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Hospital admission: yes or no
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×
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×
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Days spent in hospital
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×
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×
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Involvement of lawyer
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×
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×
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Referral to psychologist or psychiatrist
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×
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×
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Satisfaction with claims process: 3-point Likert scale
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×
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×
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Claim finalization: yes or no
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×
| | |
×
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Employment
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Pre-motor vehicle crash employment: part-time, full-time, pensioner
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×
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×
| | |
Modified hours since motor vehicle crash: yes or no
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×
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×
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×
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×
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Returned to work: yes or no
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×
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×
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×
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×
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Expectation of return to work: 11-point Likert scale
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×
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×
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×
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×
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Reason for non-return to work
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×
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×
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×
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×
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Number of days after motor vehicle crash for return to work
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×
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×
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×
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×
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Social life
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Returned to activities after motor vehicle crash: yes or no
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×
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×
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×
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×
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Expectation of return to pre-motor vehicle crash activities: 11-point Likert scale
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×
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×
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×
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×
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Pre-motor vehicle crash social activity quality
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×
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×
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×
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×
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Satisfaction of pre-motor vehicle crash social supports: 11-point Likert scale
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×
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×
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×
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×
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Satisfaction of pre-motor vehicle crash social engagements
| |
×
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×
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×
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×
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Expectation of return to pre-motor vehicle crash activities: 11-point Likert scale
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×
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×
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×
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×
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Pre-motor vehicle crash relationship quality: 5-point Likert scale
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×
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×
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×
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×
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Lifestyle habits
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Alcohol: Alcohol Use Disorders Identification Test
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×
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×
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×
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×
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Smoker: yes, no, amount per day
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×
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×
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×
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×
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Health
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Health Status: SF-12
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×
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×
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×
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×
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Psychology or psychiatric history: yes or no
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×
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×
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×
|
×
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Mood medication history: yes or no
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×
|
×
|
×
|
×
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Motor vehicle crash self-blame: 11-point Likert scale
| |
×
|
×
|
×
|
×
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Motor vehicle crash others-blame: 11-point Likert scale
| |
×
|
×
|
×
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×
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Motor vehicle crash: perception of risk of own death: 11-point Likert scale
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×
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×
|
×
|
×
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Coping capacity: The COPE
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×
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×
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×
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×
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Pain: 11-point Likert scale
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×
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×
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×
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×
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Pain catastrophizing: Pain Catastrophizing Scale
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×
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×
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×
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×
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Impact of motor vehicle crash: Impact of Event Scale
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×
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×
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×
|
×
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Mood: Depression Anxiety Stress Scale 21
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×
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×
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×
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×
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Resilience: Connor–Davidson Resilience Scale
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×
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×
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×
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×
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Mood states: Profile of Mood States
|
×
| |
×
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×
|
×
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Diagnostic and Statistical Manual of Mental Disorders Mini Plus Scores
|
×
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×
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×
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×
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Depression
|
×
| |
×
|
×
|
×
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Anxiety
|
×
| |
×
|
×
|
×
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Panic
|
×
| |
×
|
×
|
×
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Specific phobias
|
×
| |
×
|
×
|
×
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Post-traumatic stress disorder
|
×
| |
×
|
×
|
×
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Suicidal thoughts: yes or no
|
×
| |
×
|
×
|
×
|