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导致归因于工作场所的躯体形式疾病的心理因素。中毒案例。

Psychological factors contributing to somatoform diseases attributed to the workplace. The case of intoxication.

作者信息

Brodsky C M

出版信息

J Occup Med. 1983 Jun;25(6):459-64. doi: 10.1097/00043764-198306000-00011.

DOI:10.1097/00043764-198306000-00011
PMID:6886848
Abstract

Seventy persons who believed they had been injured by inhaling noxious fumes in the workplace and who consequently filed claims for Workers' Compensation benefits were studied. In most cases medical and psychiatric examinations found no organic basis to substantiate the existence of an organic syndrome. The subjects can be divided into two groups. Those in the first group regarded themselves as intact prior to their exposure to toxic fumes at work; while there was clear evidence of exposure to toxins in these cases, there was not evidence to support the subjects' claims of residual injury. Subjects in the second group first experienced symptoms and then became concerned. Subsequently they and some physicians explained the changes as consequences of the inhalation of toxins in the workplace. A small number of these individuals were diagnosed as "chemically hypersensitive." The premorbid personality traits, behaviors, and patterns and functions of disability that were observed are described.

摘要

对70名认为自己在工作场所吸入有害烟雾而受伤并因此提出工伤赔偿申请的人进行了研究。在大多数情况下,医学和精神病学检查未发现有器质性依据来证实存在器质性综合征。这些受试者可分为两组。第一组中的人在工作中接触有毒烟雾之前认为自己是完好无损的;虽然在这些案例中有接触毒素的明确证据,但没有证据支持受试者关于残留损伤的说法。第二组中的受试者首先出现症状,然后才开始担忧。随后,他们和一些医生将这些变化解释为工作场所吸入毒素的后果。这些人中少数被诊断为“化学过敏”。描述了所观察到的病前人格特质、行为以及残疾模式和功能。

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