Offering a medical examination following disaster exposure does not result in long-lasting reassurance about health complaints
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 measureme...
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Published in | General hospital psychiatry Vol. 30; no. 3; pp. 200 - 207 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
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New York, NY
Elsevier Inc
01.05.2008
Elsevier Science |
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Abstract | 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. |
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AbstractList | 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. 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. 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. 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. 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. 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. 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. 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. 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. |
Author | Spinhoven, Philip, Ph.D Rosendaal, Frits R., M.D., Ph.D Verschuur, Margot J., M.Sc |
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Keywords | 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 |
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Snippet | Abstract Objective This study tested the hypothesis that large-scale provision of individual medical examination will reduce persistent anxiety about health... This study tested the hypothesis that large-scale provision of individual medical examination will reduce persistent anxiety about health and subjective health... |
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SubjectTerms | 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 |
Title | Offering a medical examination following disaster exposure does not result in long-lasting reassurance about health complaints |
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