Subjective health complaints and modern health worries in patients with subjective food hypersensitivity

Subjective health complaints and modern health worries in patients with subjective food hypersensitivity
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DOI:
10.1007/s10620-005-2767-6
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发表时间:
2005-07-01
影响因子:
3.1
通讯作者:
Berstad, A
Berstad, A
中科院分区:
医学3区
文献类型:
--
作者:
Lind, R;Arslan, G;Berstad, A

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经医学证实,食物过敏比食物过敏更常见。症状不明和错误归因是主观健康投诉的典型特征。我们假设,主观的健康投诉和担忧是异常普遍的主观食物过敏症患者。我们的研究包括46名主观食物过敏症患者和两个对照组,一个由50名卫生保健工作者组成,另一个由70名性别和年龄匹配的普通人群志愿者组成。采用主观健康抱怨量表和现代健康忧虑量表进行问卷调查。所有患者均无IgE介导的食物过敏。患者在四个主观健康主诉领域的总分显著高于对照组,包括胃肠道主诉(P < 0.001)、肌肉骨骼主诉(P < 0.01)、“假神经病学”(P < 0.001)和过敏(P < 0.001)。各组之间现代健康担忧的总分没有显着差异。结果支持我们的假设之间的关联主观食物过敏和主观的健康投诉,证实了这一观点,即在没有食物过敏,条件是共享的发病机制。
Perceived food hypersensitivity is much more common than food allergy as medically verified. Unexplained symptoms and wrong attribution are typical in subjective health complaints. We hypothesize that subjective health complaints and worries are abnormally prevalent among patients with subjective food hypersensitivity. Forty-six patients with subjective food hypersensitivity and two control groups, one formed by 50 health care workers and one by 70 sex- and age-matched volunteers from the general population, were included in our study. All filled in two questionnaires: Subjective Health Complaints Inventory and Modern Health Worries Scale. None of the patients had IgE-mediated food allergy. The patients scored significantly higher than the controls on sum scores for four domains of subjective health complaints, including gastrointestinal complaints (P < 0.001), musculoskeletal complaints (P < 0.01), "pseudoneurology" (P < 0.001), and allergy (P < 0.001). Sum scores on modern health worries did not differ significantly between groups. The results support our hypothesis of an association between subjective food hypersensitivity and subjective health complaints, corroborating the view that, in the absence of food allergy, the conditions are sharing pathogenetic mechanisms.