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Coping and self-image in patients with visual display terminal-related skin symptoms and perceived hypersensitivity to electricity

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Abstract

Objectives: The aim of the present study was to measure coping resources and self-image in patients with visual display terminal (VDT)-related skin symptoms and hypersensitivity to electricity (HE).

Methods: From 1980 to 1998, 350 patients with electrical sensitivity were registered. The patients were subdivided into two groups: patients with skin symptoms evoked by VDTs, television screens, and fluorescent-light tubes and patients with so-called hypersensitivity to electricity with multiple symptoms evoked by exposure to different electrical environments. A questionnaire was sent to all patients and contained the coping resources inventory (CRI) and the structural analysis of social behaviour (SASB) in order for us to measure coping resources and self-image, respectively. The CRI and SASB scores were compared with those of control groups. Two hundred and fifty respondents (73%) returned the questionnaire, 200 (78.5% women) in the VDT group and 50 (62% women) in the HE group.

Results: The patient group rated high on the CRI spiritual/philosophical scale and high on the SASB spontaneous, positive and negative clusters but low on the controlled cluster. The female patients scored high on the CRI emotional scale. The VDT group rated lower than the controls on the SASB controlled cluster and higher on both the positive and negative cluster. The HE group scored higher than the control group on the SASB spontaneous and positive clusters. The women in the HE group scored higher on the CRI cognitive and CRI total scale than the VDT group and control group and higher on the CRI emotional scale than the controls. The women in the HE group rated higher than both the women in the VDT and control groups on the SASB spontaneous and positive clusters.

Conclusions: The deviant self-image found in these patients, especially the female HE patients, support the view that VDT and HE symptoms can be stress related. In the clinic, a trustful alliance should be established with the patient in order for a more realistic view to be achieved of the capacity.

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References

  • American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington

    Google Scholar 

  • Benjamin L (1974) Structural analysis of social behavior. Psychol Rev 81:392–425

    Google Scholar 

  • Bergdahl J (1995) Psychological aspects of patients with symptoms presumed to be caused by electricity or visual display units. Acta Odontol Scand 53:304–310

    CAS  PubMed  Google Scholar 

  • Bergdahl J, Bergdahl M (2001) Environmental illness: evaluation of salivary flow, symptoms, diseases, medications, and psychological factors. Acta Odontol Scand 59:104–110

    Article  CAS  PubMed  Google Scholar 

  • Bergqvist U, Brante T, Fransson K, Hansson Mild K, Hillert L, Johansson O, Rönnbäck L, Sandström M, Stenberg B (1998) Elektromagnetiska fält, elöverkänslighet och neurologisk sjukdom—en kunskapsöversikt (in Swedish). Solna: Arbetslivsinstitutet. Arbete och hälsa, vetenskaplig skriftserie No. 23

  • Bergqvist U, Vogel E, Aringer L, Cunningham J, Gobba F, Leitgeb N et al (1997) Possible health implications of subjective symptoms and electromagnetic fields. A report prepared by a European group of experts for the European Commission, DG V. Solna, Sweden, Arbetslivsinstitutet (National Institute for Working Life), Arbete och hälsa, p 19

  • Black DW (1996) Psychiatric perspective of persons with “environmental illness”. Clin Rev Allergy Immunol 14:337–355

    CAS  PubMed  Google Scholar 

  • Black DW (2000) The relationship of mental disorders and idiopathic environmental intolerance. Occup Med 15:557–570

    CAS  PubMed  Google Scholar 

  • Black DW, Okiishi C, Schlosser S (2000) A nine-year follow-up of people diagnosed with multiple chemical sensitivities. Psychosomatics 41:253–261

    Article  CAS  PubMed  Google Scholar 

  • Black OW, Rathe A, Goldstein RB (1993) Measures of distress in 26 “environmentally ill” subjects. Psychosomatics 34:131–138

    CAS  PubMed  Google Scholar 

  • Bodlund O, Armelius K (1994) Self-image and personality traits in gender identity disorders: an empirical study. J Sex Marital Ther 20:303–317

    CAS  PubMed  Google Scholar 

  • Hammer AL (1988) Manual for the coping resources inventory. Consulting Psychologists Press, Palo Alto

    Google Scholar 

  • Hillert L, Kolmodin Hedman B, Söderman E, Arnetz BB (1999) Hypersensitivity to electricity: working definition and additional characterization of the syndrome. J Psychosom Res 47:429–438

    Article  CAS  PubMed  Google Scholar 

  • Leznoff A, Binkley KE (2000) Idiopathic environmental intolerance: results of challenge studies. Occup Med 15:529–537

    CAS  PubMed  Google Scholar 

  • Pincus A, Gurtman M, Ruiz M (1998) Structural analysis of social behavior (SASB): Circumplex analysis and structural relations with the interpersonal circle and the five-factor model of personality. J Pers Soc Psychol 74:1629–1645

    Article  Google Scholar 

  • Sandström M, Lyskov E, Hörnsten R, Hansson Mild K, Wiklund U, Rask P, Klucharev V, Stenberg B, Bjerle P (2003) Holter ECG monitoring in patients with perceived electrical hypersensitivity. Int J Psychophysiol 49:227–235

    Google Scholar 

  • Simon GE, Daniell W, Stockbridge H, et al (1993) Immunologic, psychological and neurophysiological factors in multiple chemical sensitivity: a controlled study. Ann Int Med 119:97–103

    CAS  PubMed  Google Scholar 

  • Sparks PJ (2000) Idiopathic environmental intolerance: overview. Occup Med 15:497–510

    CAS  PubMed  Google Scholar 

  • Sparks PJ, Daniell W, Black DW, Kipen HM, Altman LC, Simon GE, Terr AI (1994a) Multiple chemical sensitivity syndrome: a clinical perspective. I. Case definition, theories of pathogenesis and research needs. J Occup Environ Med 36:718–730

    CAS  Google Scholar 

  • Sparks PJ, Daniell W, Black DW, Kipen HM, Altman LC, Simon GE, Terr AI (1994b) Multiple chemical sensitivity syndrome: a clinical perspective. II. Evaluation, diagnostic testing, treatment and social considerations. J Occup Environ Med 36:731–737

    CAS  Google Scholar 

  • Stenberg B, Bergdahl J, Edvardsson B, Eriksson N, Linden G, Widman L (2002) Medical and social prognosis for patients with perceived hypersensitivity to electricity and skin symptoms related to the use of visual display terminals. Scand J Work Environ Health 28:349–357

    PubMed  Google Scholar 

  • Stenberg B, Eriksson N, Hansson Mild K, Höög J, Sandström M, Sundell J, Wall S (1995) Facial skin symptoms in visual display terminal (VDT) workers. A case-referent study of personal, psychosocial, building- and VDT-related risk indicators. Int J Epidemiol 24:796–803

    CAS  PubMed  Google Scholar 

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Correspondence to J. Bergdahl.

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Bergdahl, J., Stenberg, B., Eriksson, N. et al. Coping and self-image in patients with visual display terminal-related skin symptoms and perceived hypersensitivity to electricity. Int Arch Occup Environ Health 77, 538–542 (2004). https://doi.org/10.1007/s00420-004-0546-x

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  • DOI: https://doi.org/10.1007/s00420-004-0546-x

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