Davidoff A L, Fogarty L
Department of Environmental Health Sciences, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, Maryland.
Arch Environ Health. 1994 Sep-Oct;49(5):316-25. doi: 10.1080/00039896.1994.9954981.
The purpose of this review was to critically evaluate research on the psychogenic origins of multiple chemical sensitivities (MCS) syndrome. Using as keywords environmental illness, multiple chemical sensitivities, and clinical ecology, two databases--PsychLit and Medline--were searched by computer; reference lists of all articles located were also searched manually. Ten articles meeting three criteria were selected for review. Five sample selection problems, seven measurement problems, and three study design problems were common in all but one of the articles reviewed. Current studies investigating psychogenic hypotheses of MCS syndrome are methodologically problematic and their conclusions questionable. Studies of psychiatric profiles observed in MCS syndrome need to be designed to differentiate between competing psychogenic and biogenic hypotheses.
本综述的目的是严格评估关于多重化学敏感性（MCS）综合征心理成因的研究。以“环境疾病”、“多重化学敏感性”和“临床生态学”作为关键词，通过计算机检索了两个数据库——《心理学文摘》和《医学索引》；还手动检索了所有找到文章的参考文献列表。挑选出符合三项标准的十篇文章进行综述。在所综述的文章中，除一篇外，其他文章普遍存在五个样本选择问题、七个测量问题和三个研究设计问题。目前研究MCS综合征心理成因假设的研究在方法上存在问题，其结论也值得怀疑。对MCS综合征中观察到的精神状况的研究需要进行设计，以区分相互竞争的心理成因和生物成因假设。
