Bell I R, Schwartz G E, Hardin E E, Baldwin C M, Kline J P
Department of Psychiatry, University of Arizona Health Sciences Center, Tucson, USA.
Biol Psychiatry. 1998 Mar 1;43(5):376-88. doi: 10.1016/s0006-3223(97)00245-x.
Previous research suggests that a subset of individuals with intolerance to low levels of environmental chemicals have increased levels of premorbid and/or comorbid psychiatric disorders such as depression, anxiety, and somatization. The purpose of this study was to evaluate the psychological profiles and quantitative electroencephalographic (qEEG) profiles at baseline of women with and without chemical intolerance (CI).
Participants were middle-aged women who reported illness from the odor of common chemicals (CI, n = 14), depressives without such intolerances (D, n = 10), and normal controls (N, n = 11). They completed a set of psychological scales and underwent two separate qEEG recording laboratory sessions spaced 1 week apart, at the same time of day for each subject.
CI were similar to D with increased lifetime histories of physician-diagnosed depression (71% vs. 100%), Symptom Checklist 90 (revised) (SCL-90-R) somatization scores, Barsky Somatic Symptom Amplification, and perceived life stressfulness, although D had more distress than either CI or N on several other SCL-90-R subscales. CI scored significantly higher on the McLean Limbic Symptom Checklist somatic symptom subscale than did either D or N. On qEEG, CI exhibited significantly greater overall resting absolute alpha activity with eyes closed, especially at the parietal midline site (Pz), and increased (sensitized) frontal alpha from session 1 to 2, in contrast with the D and N groups. D showed right frontal asymmetry in both sessions, in comparison with CI.
The data indicate that CI with affective distress diverge from both D without chemical intolerance and N in qEEG alpha patterns at resting baseline. Although CI descriptively resemble D with increased psychological distress, the CI's greater alpha suggests the possibility of a) central nervous system hypo-, not hyper-, activation; and/or b) an overlap with EEG alpha patterns of persons with positive family histories of alcoholism.
先前的研究表明,一部分对低水平环境化学物质不耐受的个体,其病前和/或共病的精神疾病(如抑郁症、焦虑症和躯体化障碍)水平有所升高。本研究的目的是评估有和没有化学物质不耐受(CI)的女性在基线时的心理特征和定量脑电图(qEEG)特征。
参与者为中年女性,包括报告因常见化学物质气味而患病的女性(CI组,n = 14)、无此类不耐受的抑郁症患者(D组,n = 10)和正常对照组(N组,n = 11)。她们完成了一套心理量表,并在一天中的同一时间,相隔1周接受了两次单独的qEEG记录实验室检查。
CI组与D组相似,医生诊断的抑郁症终生病史增加(71%对100%),症状自评量表90(修订版)(SCL - 90 - R)躯体化得分、巴尔斯基躯体症状放大以及感知到的生活压力增加,尽管在其他几个SCL - 90 - R子量表上,D组比CI组和N组有更多的痛苦。CI组在麦克林边缘症状检查表躯体症状子量表上的得分显著高于D组和N组。在qEEG方面,与D组和N组相比,CI组闭眼时整体静息绝对阿尔法活动显著增强,尤其是在顶叶中线部位(Pz),并且从第1次检查到第2次检查额叶阿尔法增加(敏感化)。与CI组相比,D组在两次检查中均表现出右额叶不对称。
数据表明,在静息基线时,伴有情感痛苦的CI组在qEEG阿尔法模式上与无化学物质不耐受的D组和N组均不同。尽管CI组在描述上与心理痛苦增加的D组相似,但CI组更大的阿尔法表明可能存在以下情况:a)中枢神经系统激活不足而非过度激活;和/或b)与有酒精中毒家族史者的脑电图阿尔法模式重叠。