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Am J Psychiatry 1990; 147:901-906
Copyright © 1990 by American Psychiatric Association
Allergic to life: psychological factors in environmental illness
GE Simon, WJ Katon and PJ Sparks
Robert Wood Johnson Clinical Scholars Program, Seattle, WA.
Environmental illness is an increasingly frequent and medically unexplained
syndrome of "allergy" to common environmental agents. A recent outbreak of
chemical-induced illness allowed study of psychological factors in
environmental illness. Thirty-seven symptomatic plastics workers completed
structured diagnostic interviews and self-report measures of somatization
and psychopathology. The 13 subjects who developed environmental illness
scored higher on all measures than those who did not. The greatest
differences were in prior history of anxiety or depressive disorder (54%
versus 4%) and number of medically unexplained physical symptoms before
exposure (6.2 versus 2.9). These findings suggest that psychological
vulnerability strongly influences chemical sensitivity following chemical
exposure.
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