Kjellqvist Anna, Palmquist Eva, Nordin Steven
Department of Psychology, Umeå University, Sweden.
Department of Psychology, Umeå University, Sweden.
J Psychosom Res. 2016 May;84:8-12. doi: 10.1016/j.jpsychores.2016.03.006. Epub 2016 Mar 10.
Need for better understanding of the etiology of idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF) motivated the present study of psychological symptoms and health-related quality of life (HRQoL) in person who attribute health problems to electromagnetic fields.
Participants with IEI-EMF (n=114) and a population-based sample of referents (n=104) were investigated with six subscales of the Symptom Checklist 90 (SCL-90) to assess psychological symptoms, and with eight subscales of the Short Form (36) Health Survey (SF-36) to assess HRQoL.
Significantly higher scores were found on obsessive/compulsive behavior, interpersonal hypersensitivity, hostility, phobic anxiety, paranoid thoughts in the IEI-EMF group compared to referents, whereas only a tendency of such a difference was found for psychotism. Furthermore, poorer HRQoL in the IEI-EMF group, compared to referents, were found regarding physical and social functioning, physical and emotional role limitations, general health, vitality, bodily pain, and mental health. Significant correlation with moderate to strong effect sizes were found between several of the SCL-90 and SF-36 subscales.
The results suggest that IEI-EMF is associated with various types of psychological symptoms and with poor HRQoL. Clinical implications include theoretical support for cognitive behavioral therapy, and, although further research is needed, that attention should be directed towards feelings of inferiority and uneasiness in relationships as well as anger, hostility and resentment towards other people.
由于需要更好地理解归因于电磁场的特发性环境不耐受(IEI-EMF)的病因,促使本研究对将健康问题归因于电磁场的人群的心理症状和健康相关生活质量(HRQoL)进行研究。
使用症状自评量表90(SCL-90)的六个分量表对IEI-EMF参与者(n = 114)和基于人群的对照样本(n = 104)进行调查,以评估心理症状,并使用简短形式(36)健康调查(SF-36)的八个分量表来评估HRQoL。
与对照组相比,IEI-EMF组在强迫行为、人际过敏、敌意、恐惧焦虑、偏执观念方面的得分显著更高,而在精神病性方面仅发现有这种差异的趋势。此外,与对照组相比,IEI-EMF组在身体和社会功能、身体和情感角色限制、总体健康、活力、身体疼痛和心理健康方面的HRQoL较差。在几个SCL-90和SF-36分量表之间发现了具有中度至强效效应大小的显著相关性。
结果表明,IEI-EMF与各种类型的心理症状以及较差的HRQoL相关。临床意义包括为认知行为疗法提供理论支持,并且尽管需要进一步研究,但应关注自卑感和人际关系中的不安感,以及对他人的愤怒、敌意和怨恨。