A multidisciplinary clinical study of patients suffering from illness associated with mercury release from dental restorations: psychiatric aspects
Autor: | Larsson Ks, Gunilla Sandborgh-Englund, B. Torstenson, K. Wretlind, A-K. Furhotf, Tomson Y, M. Hie, Bågedahl-Strindlund M |
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Rok vydání: | 1997 |
Předmět: |
Adult
Male Karolinska Scales of Personality medicine.medical_specialty Adolescent media_common.quotation_subject Oral Health Dental Amalgam Neglect Psychasthenia Sex Factors Alexithymia medicine Humans Personality Dental Health Surveys Dental Restoration Permanent Somatoform Disorders Psychiatry media_common Psychiatric Status Rating Scales Sweden Marital Status DMF Index Mercury Compounds Mental Disorders Middle Aged medicine.disease Somatic anxiety Psychiatry and Mental health Distress Mercury Poisoning Educational Status Female Psychology Attitude to Health Somatization Clinical psychology |
Zdroj: | Acta Psychiatrica Scandinavica. 96:475-482 |
ISSN: | 1600-0447 0001-690X |
DOI: | 10.1111/j.1600-0447.1997.tb09950.x |
Popis: | The aim of this study was to map the psychological/psychiatric, odontological and medical aspects of patients with symptoms allegedly related to the side-effects of mercury in dental fillings. A total of 67 consecutive patients and 64 controls matched for age, sex and residential area were included in the study. The most striking result was the high prevalence of psychiatric disorders in the patients (89%) compared to the controls (6%), predominantly somatoform disorders. The personality traits differentiating the patients according to the Karolinska Scales of Personality (KSP) were somatic anxiety, muscular tension, psychasthenia and low socialization. More patients than controls showed alexithymic traits. The prevalence of diagnosed somatic diseases was higher, but not sufficiently so to explain the large difference in perceived health. The multiple symptoms and signs of distress displayed by the patients could not be explained either by the odontological data or by the medical examination. Our data indicate that the patients show sociodemographic and clinical patterns similar to those of somatizing patients. The medicalization of the suffering of these patients and the neglect of psychiatric problems prevent the use of appropriate psychotherapeutic approaches. |
Databáze: | OpenAIRE |
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