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过敏暴露会引发心理症状吗?一项双盲试验。

Can allergic exposure provoke psychological symptoms? A double-blind test.

作者信息

King D S

出版信息

Biol Psychiatry. 1981 Jan;16(1):3-19.

PMID:7225473
Abstract

Clinical ecologists report that exposure to allergens can induce cognitive and emotional symptoms as well as somatic symptoms in susceptible individuals, but controlled tests are meager. In a test of the hypothesis that sublingual exposure to allergens would produce cognitive-emotional symptoms in allergy patients, double-blind provocative testing was conducted at an allergy clinic; 30 allergy patients complaining of at least one psychological symptom were selected. Self-report, heart-rate, and several mood and psychological performance measures were obtained. MMPI scores indicated a pathological sample. Reported cognitive-emotional symptoms were greater for allergens than for placebos (p = 0.001), while placebo symptoms were equal to base rate. Greater variability of heart rate change was found for allergens than for placebos (p = 0.008). Severe reactions occurred more frequently to allergens (p = 0.008). Severe reactions occurred more frequently to allergens (p = 0.02). Other dependent measures were not affected by the allergens or the placebos. It is concluded that allergens may contribute to psychopathology in some individuals.

摘要

临床生态学家报告称,接触过敏原会在易感个体中引发认知和情绪症状以及躯体症状,但对照试验却很少。在一项关于舌下接触过敏原会在过敏患者中产生认知 - 情绪症状这一假设的测试中,一家过敏诊所进行了双盲激发试验;选取了30名抱怨至少有一种心理症状的过敏患者。获取了自我报告、心率以及多项情绪和心理表现指标。明尼苏达多项人格测验(MMPI)分数表明这是一个病理性样本。报告的过敏原导致的认知 - 情绪症状比安慰剂导致的更严重(p = 0.001),而安慰剂症状与基础发生率相当。发现过敏原导致的心率变化比安慰剂导致的更具变异性(p = 0.008)。对过敏原出现严重反应的情况更频繁(p = 0.008)。对过敏原出现严重反应的情况更频繁(p = 0.02)。其他相关指标不受过敏原或安慰剂的影响。得出的结论是,过敏原可能在某些个体中导致精神病理学问题。

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引用本文的文献

1
Food sensitivities.食物过敏。
Can Fam Physician. 1984 Jan;30:133-6.
2
More on 20th century disease.更多关于20世纪的疾病。
Can Fam Physician. 1987 Oct;33:2213-5.
3
Intellectual ability of adults after lifelong intestinal malabsorption due to coeliac disease.乳糜泻导致终身肠道吸收不良后成年人的智力能力。
J Neurol Neurosurg Psychiatry. 1983 Jan;46(1):87-9. doi: 10.1136/jnnp.46.1.87.
4
Psychiatric assessment of patients with "20th-century disease" ("total allergy syndrome").对患有“20世纪疾病”(“全身过敏综合征”)患者的精神科评估。
CMAJ. 1985 Nov 15;133(10):1001-6.
5
Validity of alternative allergy practices.替代过敏诊疗方法的有效性。
J R Soc Med. 1985 Aug;78(8):692-4.
6
Is there a 20th-century disease?存在20世纪的疾病吗?
CMAJ. 1986 Mar 15;134(6):578, 581-2.