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“风力涡轮机综合征”可能的心理机制。在你脑海的风车之上。

Possible psychological mechanisms for "wind turbine syndrome". On the windmills of your mind.

作者信息

Rubin G James, Burns Miriam, Wessely Simon

机构信息

King's College London, Department of Psychological Medicine, London, United Kingdom.

出版信息

Noise Health. 2014 Mar-Apr;16(69):116-22. doi: 10.4103/1463-1741.132099.

Abstract

Throughout history, people have suffered from physical symptoms that they have attributed to modern technologies. Often these attributions are strongly held, but not supported by scientific evidence. Symptoms attributed to the operation of wind turbines (called "wind turbine syndrome" by some) may fit into this category. Several psychological mechanisms might account for symptoms attributed to wind turbines. First, the "nocebo effect" is a well-recognized phenomenon in which the expectation of symptoms can become self-fulfilling. Second, misattribution of pre-existing or new symptoms to a novel technology can also occur. Third worry about a modern technology increases the chances of someone attributing symptoms to it. Fourth, social factors, including media reporting and interaction with lobby groups can increase symptom reporting. For wind turbines, there is already some evidence that a nocebo effect can explain the attributed symptoms while misattribution seems likely. Although worry has not been directly studied, research has shown that people who are annoyed by the sound that turbines produce are more likely to report symptoms and that annoyance is associated with attitudes toward the visual impact of wind farms and whether a person benefits economically from a wind farm. Given that these mechanisms may be sufficient to account for the experiences reported by sufferers, policy-makers, clinicians and patients should insist on good-quality evidence before accepting a more direct causal link.

摘要

纵观历史,人们一直遭受着一些他们归咎于现代技术的身体症状。这些归因往往被坚信不疑,但却没有科学证据支持。归因于风力涡轮机运行的症状(有些人称之为“风力涡轮机综合征”)可能就属于这一类。有几种心理机制或许可以解释归因于风力涡轮机的症状。首先,“反安慰剂效应”是一种广为人知的现象,即对症状的预期会自我应验。其次,也可能会将既有的或新出现的症状错误地归因于一项新技术。第三,对现代技术的担忧会增加人们将症状归因于它的可能性。第四,社会因素,包括媒体报道以及与游说团体的互动,会增加症状报告。对于风力涡轮机而言,已经有一些证据表明反安慰剂效应可以解释所归因的症状,而错误归因似乎也很有可能。尽管尚未直接研究担忧这一因素,但研究表明,被涡轮机产生的声音所困扰的人更有可能报告症状,而且烦恼与对风力发电场视觉影响的态度以及一个人是否从风力发电场获得经济利益有关。鉴于这些机制可能足以解释患者所报告的经历,政策制定者、临床医生和患者在接受更直接的因果关系之前,应该坚持要有高质量的证据。

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