Clinical Characteristics of Disability in Patients with Indoor Air-Related Environmental Intolerance

Show full item record



Permalink

http://hdl.handle.net/10138/305595

Citation

Vuokko , A , Karvala , K , Suojalehto , H , Lindholm , H , Selinheimo , S , Heinonen-Guzejev , M , Leppamaki , S , Cederstrom , S , Hublin , C , Tuisku , K & Sainio , M 2019 , ' Clinical Characteristics of Disability in Patients with Indoor Air-Related Environmental Intolerance ' , Safety and Health at Work , vol. 10 , no. 3 , pp. 362-369 . https://doi.org/10.1016/j.shaw.2019.06.003

Title: Clinical Characteristics of Disability in Patients with Indoor Air-Related Environmental Intolerance
Author: Vuokko, Aki; Karvala, Kirsi; Suojalehto, Hille; Lindholm, Harri; Selinheimo, Sanna; Heinonen-Guzejev, Marja; Leppamaki, Sami; Cederstrom, Sebastian; Hublin, Christer; Tuisku, Katinka; Sainio, Markku
Contributor: University of Helsinki, Clinicum
University of Helsinki, Department of Psychiatry
University of Helsinki, Department of Psychiatry
University of Helsinki, HUS Psychiatry
Date: 2019-09
Language: eng
Number of pages: 8
Belongs to series: Safety and Health at Work
ISSN: 2093-7911
URI: http://hdl.handle.net/10138/305595
Abstract: Background: Chronic nonspecific symptoms attributed to indoor nonindustrial work environments are common and may cause disability, but the medical nature of this disability is unclear. The aim was to medically characterize the disability manifested by chronic, recurrent symptoms and restrictions to work participation attributed to low-level indoor pollutants at workplace and whether the condition shares features with idiopathic environmental intolerance. Methods: We investigated 12 patients with indoor air-related work disability. The examinations included somatic, psychological, and psychiatric evaluations as well as investigations of the autonomic nervous system, cortisol measurements, lung function, and allergy tests. We evaluated well-being, health, disability, insomnia, pain, anxiety, depression, and burnout via questionnaires. Results: The mean symptom history was 10.5 years; for disabling symptoms, 2.7 years. Eleven patients reported reactions triggered mainly by indoor molds, one by fragrances only. Ten reported sensitivity to odorous chemicals, and three, electric devices. Nearly all had co-occurrent somatic and psychiatric diagnoses and signs of pain, insomnia, burnout, and/or elevated sympathetic responses. Avoiding certain environments had led to restrictions in several life areas. On self-assessment scales, disability showed higher severity and anxiety showed lower severity than in physician assessments. Conclusion: No medical cause was found to explain the disability. Findings support that the condition is a form of idiopathic environmental intolerance and belongs to functional somatic syndromes. Instead of endless avoidance, rehabilitation approaches of functional somatic syndromes are applicable. (C) 2019 Occupational Safety and Health Research Institute, Published by Elsevier Korea LLC.
Subject: Building-related intolerance
Disability evaluation
Environmental intolerance
Functional somatic syndromes
Indoor air
MULTIPLE CHEMICAL-SENSITIVITY
FUNCTIONAL SOMATIC SYNDROMES
SYMPTOMS
PREVALENCE
DEPRESSION
INVENTORY
SEVERITY
ANXIETY
HEALTH
WORK
3142 Public health care science, environmental and occupational health
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
Clinical_Characteristics.pdf 332.5Kb PDF View/Open
Clinical_Characteristics_of_Disability.pdf 331.1Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record