Of 586 employed patients with a whiplash injury 40 (7%) did not return to w
ork. The risk was increased by three times in heavy manual workers, two and
a half times in patients with prior psychological symptoms and doubled for
each increase of grade of disability. The length of time off work doubled
in patients with a psychological history and trebled for each increase in g
rade of disability. The self-employed were half as likely to take time off
work, but recovered significantly more slowly than employees.