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化学物质和噪音敏感的年轻成年人的边缘系统症状和敏感性增加。

Increased limbic system symptomatology and sensitizability of young adults with chemical and noise sensitivities.

作者信息

Bell I R, Hardin E E, Baldwin C M, Schwartz G E

机构信息

Department of Psychiatry, University of Arizona Health Sciences Center, Tucson 85724, USA.

出版信息

Environ Res. 1995 Aug;70(2):84-97. doi: 10.1006/enrs.1995.1052.

Abstract

We previously hypothesized that individual differences in (a) limbic system reactivity and (b) central nervous system sensitizability underlie vulnerability to environmental stimuli, not only in the controversial clinical condition multiple chemical sensitivity (MCS), but also in the general population. Earlier research has shown overlaps in the characteristics of persons who report noise and air pollutant sensitivities. This study assessed questionnaire responses of 897 young adult college students who reported high versus low frequency of illness from several environmental chemical odors and concomitantly high versus low sensitivity to environmental noise. Subjects who reported increased rates of illness from chemical odors with or without noise sensitivity scored significantly higher (P < 0.0001) on a measure of limbic system symptomatology derived from ictal sensory, somatic, mnemonic, and behavioral manifestations of temporal lobe epilepsy. The group rating high both for illness from chemicals and for noise sensitivity had characteristics predictive of heightened sensitizability from the animal research on time-dependent sensitization (progressive response amplification to repeated, intermittent stimuli over time): i.e., higher female to male ratio (gender risk factor), increased rates of drug abuse problems in blood relatives (genetic risk factor), trait shyness (hyperreactivity to novelty), and increased carbohydrate craving. Despite the increased family histories of drug abuse and levels of personal anxiety and depression, the chemical- and noise-sensitive group reported the lowest rates of current smoking or personal drug abuse problems and the highest frequency of illness from drinking a small amount of alcohol. Taken together, the findings suggest that limbic system dysfunction associates more with chemical than with noise sensitivity; that individuals with both chemical and noise sensitivity may be the most sensitizable subset of the population for prospective studies, and that, in their substance use patterns, young adults with both chemical and noise sensitivity are more similar to MCS patients than are their peers with chemical or noise sensitivity alone.

摘要

我们之前曾假设,(a)边缘系统反应性和(b)中枢神经系统敏感性的个体差异是易受环境刺激影响的基础,这不仅体现在存在争议的临床病症——多重化学敏感性(MCS)中,在普通人群中亦是如此。早期研究表明,报告对噪声和空气污染物敏感的人群具有一些重叠特征。本研究评估了897名青年大学生的问卷调查回复,这些学生报告了对几种环境化学气味的患病频率高低,以及对环境噪声的敏感性高低。那些报告无论有无噪声敏感性,化学气味导致的患病几率增加的受试者,在一项基于颞叶癫痫发作时的感觉、躯体、记忆和行为表现得出的边缘系统症状测量中得分显著更高(P < 0.0001)。在化学物质导致的患病和噪声敏感性方面都评级较高的组,具有一些从动物研究中关于时间依赖性致敏(随着时间推移对重复、间歇性刺激的渐进反应放大)得出的、预示着更高敏感性的特征:即女性与男性比例更高(性别风险因素)、血亲中药物滥用问题发生率增加(遗传风险因素)、特质性害羞(对新奇事物反应过度)以及对碳水化合物渴望增加。尽管药物滥用的家族史增加,且个人焦虑和抑郁水平较高,但化学物质和噪声敏感组报告的当前吸烟或个人药物滥用问题发生率最低,而少量饮酒导致的患病频率最高。综合来看,这些发现表明边缘系统功能障碍与化学物质敏感性的关联比与噪声敏感性的关联更强;化学物质和噪声都敏感的个体可能是前瞻性研究中人群里最敏感的亚组,而且在其物质使用模式方面,化学物质和噪声都敏感的年轻成年人比仅对化学物质或噪声敏感的同龄人更类似于MCS患者。

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