Dömötör Zsuzsanna, Szabolcs Zsuzsanna, Bérdi Márk, Witthöft Michael, Köteles Ferenc, Szemerszky Renáta
Institute of Health Promotion and Sport Sciences, ELTE Eötvös Loránd University, Budapest, Hungary.
Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
Heliyon. 2022 Jul 16;8(7):e09987. doi: 10.1016/j.heliyon.2022.e09987. eCollection 2022 Jul.
IEI-EMF refers to an environmental illness whose primary feature is the occurrence of symptoms that are attributed to exposure to weak electromagnetic fields (EMFs). There is a growing evidence that this condition is characterized by marked individual differences thus a within-subject approach might add important information beyond the widely used nomothetic method. A mixed qualitative/quantitative idiographic protocol with a threefold diagnostic approach was tested with the participation of three individuals with severe IEI-EMF. In this qualitative paper, the environmental, psychosocial, and clinical aspects are presented and discussed (results of ecological momentary assessment are discussed in Part II of this study). For two participants, psychopathological factors appeared to be strongly related to the condition. Psychological assessment indicated a severe pre-psychotic state with paranoid tendencies, supplemented with a strong attentional focus on bodily sensations and health status. The psychological profile of the third individual showed no obvious pathology. Overall, the findings suggest that the condition might have uniformly been triggered by serious psychosocial stress for all participants. Substantial aetiological differences among participants with severe IEI-EMF were revealed. The substantial heterogeneity in the psychological and psychopathological profiles associated with IEI-EMF warrants the use of idiographic multimodal assessments in order to better understand the different ways of aetiology and to facilitate person-taylored treatments.
电磁超敏反应性环境疾病（IEI-EMF）是一种环境疾病，其主要特征是出现归因于暴露于弱电磁场（EMF）的症状。越来越多的证据表明，这种病症具有明显的个体差异，因此，与广泛使用的常规方法相比，个体内研究方法可能会提供重要信息。我们对一种采用三重诊断方法的定性/定量混合个体研究方案进行了测试，三名患有严重电磁超敏反应性环境疾病的个体参与了该测试。在这篇定性论文中，我们呈现并讨论了环境、心理社会和临床方面的情况（本研究第二部分讨论了生态瞬时评估的结果）。对于两名参与者来说，心理病理因素似乎与该病密切相关。心理评估显示存在严重的精神病前状态并伴有偏执倾向，同时对身体感觉和健康状况高度关注。第三名个体的心理状况未显示出明显的病理特征。总体而言，研究结果表明，对所有参与者来说，这种病症可能均由严重的心理社会压力引发。研究揭示了患有严重电磁超敏反应性环境疾病的参与者之间存在显著的病因差异。与电磁超敏反应性环境疾病相关的心理和心理病理特征存在显著异质性，这就需要使用个体研究的多模式评估方法，以便更好地理解不同的病因，并促进个性化治疗。
