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现代健康担忧与特发性环境不耐受

Modern health worries and idiopathic environmental intolerance.

作者信息

Bailer Josef, Witthöft Michael, Rist Fred

机构信息

Department of Clinical Psychology, Central Institute of Mental Health, Mannheim, Germany.

出版信息

J Psychosom Res. 2008 Nov;65(5):425-33. doi: 10.1016/j.jpsychores.2008.05.006. Epub 2008 Sep 25.

DOI:10.1016/j.jpsychores.2008.05.006
PMID:18940372
Abstract

OBJECTIVE

We conducted two studies to test whether modern health worries (MHWs) were associated with central features of a condition called idiopathic environmental intolerance (IEI) and medical care utilization.

METHODS

In Study 1, 474 Internet users completed an Internet-based questionnaire that assessed MHWs, IEI features, and medical care utilization. In Study 2, the diagnostic specificity of MHWs was investigated by comparing the level of MHWs of three diagnostic groups: 46 people with IEI, 38 people with somatoform disorder but without IEI, and 46 people with neither IEI nor somatoform disorder.

RESULTS

The good psychometric properties of the MHW scale were confirmed. MHWs were related to various features of IEI, and people who met IEI case criteria showed consistently higher levels of MHWs compared with people without IEI. The link between MHWs and number of doctor visits was mediated by perceived IEI complaints. In Study 2, the MHW scale effectively discriminated the IEI group from the non-IEI groups.

CONCLUSIONS

These results suggest that MHWs may contribute to the development of IEI. However, only prospective longitudinal studies will enable us to determine the predictive importance of MHWs for later development of IEI.

摘要

目的

我们开展了两项研究,以测试现代健康担忧(MHWs)是否与一种名为特发性环境不耐受(IEI)的病症的核心特征及医疗服务利用情况相关。

方法

在研究1中,474名互联网用户完成了一份基于网络的问卷,该问卷评估了MHWs、IEI特征及医疗服务利用情况。在研究2中,通过比较三个诊断组的MHWs水平来调查MHWs的诊断特异性:46名患有IEI的人、38名患有躯体形式障碍但无IEI的人以及46名既无IEI也无躯体形式障碍的人。

结果

证实了MHW量表具有良好的心理测量学特性。MHWs与IEI的各种特征相关,与无IEI的人相比,符合IEI病例标准的人MHWs水平始终更高。MHWs与看医生次数之间的联系由感知到的IEI症状介导。在研究2中,MHW量表有效地将IEI组与非IEI组区分开来。

结论

这些结果表明,MHWs可能促成了IEI的发展。然而,只有前瞻性纵向研究才能让我们确定MHWs对IEI后期发展的预测重要性。

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