López-Ibor J J, Jimenez Arriero M A
University of Alcalá de Henares, Madrid, Spain.
Int Disabil Stud. 1987;9(2):81-3. doi: 10.3109/03790798709166243.
In May 1981 a new disease caused by widespread food poisoning with adulterated rape-seed oil appeared in Spain. A total of 20,640 people were affected and 380 patients have died. The clinical syndrome consisted of pulmonary, neuromuscular, and systemic symptoms, which evolved to produce mild or severe physical disabilities. Although the disease is not primarily a psychiatric condition, almost 8000 TOS patients have been referred to a psychiatrist: these patients show a well-defined post-traumatic stress disorder, vulnerability being associated with female sex, low income, and class and a personal history of "nervous' disorders. Since January of 1983 the main goal of the health authorities has been social reintegration in the community of TOS patients, and teams of psychiatrists and psychologists have played an important role in this task, moving integrative rehabilitation activities from the hospital into the community.
1981年5月，西班牙出现了一种由掺假菜籽油引发的广泛食物中毒导致的新疾病。共有20640人受到影响，380名患者死亡。临床综合征包括肺部、神经肌肉和全身症状，这些症状发展后会导致轻度或重度身体残疾。尽管该疾病并非主要的精神疾病，但近8000名中毒性休克综合征（TOS）患者被转诊至精神科医生处：这些患者表现出明确的创伤后应激障碍，易感性与女性性别、低收入、阶层以及“神经”疾病个人史有关。自1983年1月以来，卫生当局的主要目标一直是让TOS患者重新融入社区，精神科医生和心理学家团队在这项任务中发挥了重要作用，将综合康复活动从医院转移到了社区。
