Nieto-Hernandez Rosa, Rubin G James, Cleare Anthony J, Weinman John A, Wessely Simon
King's College London, Institute of Psychiatry, Department of Psychological Medicine, Section of General Hospital Psychiatry, London, UK.
J Psychosom Res. 2008 Nov;65(5):453-60. doi: 10.1016/j.jpsychores.2008.04.005. Epub 2008 Aug 15.
In this study, we tested whether providing individuals, who described being sensitive to mobile phone signals, with accurate feedback about their ability to discriminate an active mobile phone signal from a sham signal had any impact on their subsequent symptom levels or their perceived sensitivity to mobile phones.
Sixty-nine participants who reported sensitivity to mobile phones took part in a double-blind, placebo-controlled provocation study. Perceived sensitivity to mobile phones was assessed using a version of the Sensitive Soma Assessment Scale (SSAS) and the severity of any symptoms attributed to mobile phones was recorded. Both the overall ("negative") findings of the provocation study and the participant's own individual results ("correct" or "incorrect" at detecting a mobile phone signal) were then described to them. Six months later, perceived sensitivity and symptom severity were measured again.
Fifty-eight participants (84%) received feedback and participated in the 6-month follow-up. No significant differences in SSAS scores or in symptom severity scores were found between individuals told that they were correct (n=31) or incorrect (n=27) in their ability to detect mobile phone signals in the provocation study.
The provision of accurate feedback was insufficient to change attributions or reduce symptoms in this study. However, an overtly negative reaction to feedback was not observed among most participants, and some participants were willing to consider that factors other than electromagnetic field may be relevant in causing or exacerbating their symptoms. Discussing possible psychological factors with electromagnetic hypersensitivity patients may be beneficial for some.
在本研究中,我们测试了向那些称自己对手机信号敏感的个体提供关于其区分真实手机信号和模拟信号能力的准确反馈,是否会对他们随后的症状水平或他们感知到的对手机的敏感度产生任何影响。
69名报告对手机敏感的参与者参加了一项双盲、安慰剂对照的激发试验研究。使用敏感躯体评估量表(SSAS)的一个版本评估对手机的感知敏感度,并记录归因于手机的任何症状的严重程度。然后向他们描述激发试验研究的总体(“阴性”)结果以及参与者自己的个体结果(在检测手机信号时“正确”或“错误”)。六个月后,再次测量感知敏感度和症状严重程度。
58名参与者(84%)收到反馈并参加了6个月的随访。在激发试验研究中,被告知其检测手机信号能力正确(n = 31)或错误(n = 27)的个体之间,SSAS评分或症状严重程度评分没有显著差异。
在本研究中,提供准确反馈不足以改变归因或减轻症状。然而,大多数参与者中未观察到对反馈的明显负面反应,并且一些参与者愿意考虑除电磁场之外的其他因素可能与他们症状的产生或加重有关。与电磁超敏反应患者讨论可能的心理因素可能对一些人有益。