Offering a medical examination following disaster exposure does not result in long-lasting reassurance about health complaints

• Published in: General hospital psychiatry Vol. 30; no. 3; pp. 200 - 207
• Main Authors: Verschuur, Margot J., M.Sc, Spinhoven, Philip, Ph.D, Rosendaal, Frits R., M.D., Ph.D
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.05.2008; Elsevier Science
• Subjects: Accidents, Aviation; Adaptation, Psychological; Anxiety Disorders - epidemiology; Anxiety Disorders - prevention & control; Anxiety Disorders - psychology; Attitude to Health; Biological and medical sciences; Cross-Sectional Studies; Culture; Ethics; Hazardous Substances - toxicity; Health anxiety; Health Services Accessibility; Humans; Longitudinal Studies; Longitudinal study; Mass Screening - psychology; Medical sciences; Mental health; Netherlands; Occupational Diseases - epidemiology; Occupational Diseases - prevention & control; Occupational Diseases - psychology; Personality Inventory - statistics & numerical data; Physical Examination - psychology; Prevention. Health policy. Planification; Prospective Studies; Psychiatry; Psychology. Psychoanalysis. Psychiatry; Psychometrics; Psychopathology. Psychiatry; Rescue Work; Social psychiatry. Ethnopsychiatry; Somatization; Somatoform Disorders - diagnosis; Somatoform Disorders - epidemiology; Somatoform Disorders - prevention & control; Somatoform Disorders - psychology; Stress Disorders, Post-Traumatic - diagnosis; Stress Disorders, Post-Traumatic - epidemiology; Stress Disorders, Post-Traumatic - prevention & control; Survivors - psychology; Trauma; Netherlands; Europe; Somatization; Ethics; Health anxiety; Trauma; Longitudinal study; Social environment; Human; Affect affectivity; Anxiety disorder; Mental health; Somatic complaint; Disaster; Posttraumatic stress disorder; Exposure; Medical check up; Prevention; Follow up study; Somatoform disorder; Anxiety; Public health
• ISSN: 0163-8343; 1873-7714
• DOI: 10.1016/j.genhosppsych.2008.02.006

Abstract Objective This study tested the hypothesis that large-scale provision of individual medical examination will reduce persistent anxiety about health and subjective health complaints after involvement in an aviation disaster with alleged exposure to hazardous chemicals. Method Three measurements were performed: during the medical examination, 6 weeks later during consultation with the physician and 12 weeks after the first examination. Rescue workers ( n =1736) and residents ( n =339) involved in the disaster participated. Standardized questionnaires on health complaints and concerns were administered. Results Both groups reported increased health anxiety and somatic sensitivity after 12 weeks. Residents reported more posttraumatic stress symptoms, whereas rescue workers seemed to have gained a better quality of life and were somewhat reassured. Participants who attended the consultation with the physician showed increased reassurance scores after 6 weeks, but their worries had increased again on follow-up. However, nonattendees reported more health anxiety on follow-up. More participants judged participation to have had a positive impact, instead of a negative impact, on their health. Conclusion Our study does not indicate that a large-scale medical examination offered after involvement in a disaster has long-lasting reassuring effects and suggests that such examination may have counterproductive effects by sensitizing participants to health complaints.