Szemerszky Renáta, Dömötör Zsuzsanna, Witthöft Michael, Köteles Ferenc
Institute of Health Promotion and Sport Sciences, ELTE Eötvös Loránd University, Budapest, Hungary.
Department of Clinical Psychology, Psychotherapy and Experimental Psychopathology, Johannes Gutenberg-University of Mainz, Germany.
J Psychosom Res. 2021 Jul;146:110501. doi: 10.1016/j.jpsychores.2021.110501. Epub 2021 Apr 24.
Paranoid ideation is assumed to characterize worries about possible harmful effects of modern technologies (MHWs) and idiopathic environmental intolerances (IEIs), such as IEI attributed to electromagnetic fields (IEI-EMF). Empirical evidence on these associations is scarce.
In a cross-sectional on-line survey, participants of a community sample (n = 700; mean age: 28.4 ± 12.0; 434 females) completed the Somatosensory Amplification Scale, the Modern Health Worries Scale, and the Paranoid Ideation scale of the Symptom Checklist 90 Revised. They were considered IEI-EMF if (1) they categorized themselves so, (2) they had experienced symptoms that they attributed to the exposure to electromagnetic fields, and (3) the condition impacted their everyday functioning.
Paranoid ideation was significantly positively associated with MHWs (standardized β = 0.150, p < .001) even after controlling for socio-demographic variables and somatosensory amplification tendency, an indicator of somatic symptom distress. Also, paranoid ideation explained significant variability in IEI-EMF (OR = 1.090, 95% CI: 1.006-1.180, p = .035) even after statistically controlling for socio-demographic variables and somatosensory amplification.
Paranoid ideation was found to be associated with MHWs and IEI-EMF. This association appears independent of general somatic symptom distress in both cases. This might partly explain the temporal stability of these constructs.
偏执观念被认为是对现代技术（MHWs）和特发性环境不耐受（IEIs）（如归因于电磁场的IEI，即IEI-EMF）可能产生的有害影响的担忧的特征。关于这些关联的实证证据很少。
在一项横断面在线调查中，一个社区样本的参与者（n = 700；平均年龄：28.4 ± 12.0；434名女性）完成了体感放大量表、现代健康担忧量表以及症状自评量表90修订版中的偏执观念量表。如果他们符合以下条件，则被认为是IEI-EMF：（1）他们自我认定如此；（2）他们经历过归因于电磁场暴露的症状；（3）这种情况影响了他们的日常功能。
即使在控制了社会人口统计学变量和体感放大倾向（躯体症状困扰的一个指标）之后，偏执观念与MHWs仍显著正相关（标准化β = 0.150，p <.001）。此外，即使在对社会人口统计学变量和体感放大进行统计学控制之后，偏执观念在解释IEI-EMF的显著变异性方面仍有意义（OR = 1.090，95%可信区间：1.006 - 1.180，p =.035）。
发现偏执观念与MHWs和IEI-EMF相关。在这两种情况下，这种关联似乎独立于一般躯体症状困扰。这可能部分解释了这些构念的时间稳定性。
