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Az elektromágneses túlérzékenység (electromagnetic hypersensitivity — EHS) a modern korral együtt járó egészségi problémák egyik tipikus képviselője, lényegében a működő elektromos eszközök és berendezések közelében észlelt kellemetlen közérzetet és nem-specifikus tüneteket takarja. Jelen narratív összefoglaló áttekinti a jelenség definiálásával, diagnózisával és terápiájával kapcsolatos legfontosabb problémákat, a különféle magyarázó elméleteket, valamint az azokat alátámasztó empirikus eredményeket. A leginkább elfogadott megközelítés szerint az EHS esetében az idiopátiás környezeti intolerancia (idiopathic environmental intolerance — IEI) egyik válfajáról van szó, ahol az ok-okozati viszonyok még nem világosak. Bár az elektromágneses terek és sugárzások közvetlen hatása („toxikogén” megközelítés) sem kizárható, a legtöbb bizonyíték a „pszichogén” eredet mellett szól. A tünetek ál-expozícióval is kiválthatók, a betegekre fokozott szomatizációs és szomatoszenzoros amplifikációs hajlam jellemző, ezért a jelenséget sokan a nocebo-hatással kapcsolják össze. Összességében elmondható az, hogy egy tipikusan multikauzális, csak biopszichoszociális megközelítésben megragadható és kezelhető problémáról van szó.

  • Abelin, T., Altpeter, E.-S., & Röösli, M. (2005). Sleep disturbances in the vicinity of the short-wave broadcast transmitter Schwarzenburg. Somnologie, 9(4), 203—209.

  • Altpeter, E.-S., Röösli, M., Battaglia, M., Pfluger, D., Minder, C.E., & Abelin, T. (2006). Effect of short-wave (6—22 MHz) magnetic fields on sleep quality and melatonin cycle in humans: the Schwarzenburg shut-down study. Bioelectromagnetics, 27(2), 142—150.

  • Andersson, B., Berg, M., Arnetz, B.B., Melin, L., Langlet, I., & Lidén, S. (1996). A cognitive-behavioral treatment of patients suffering from “electric hypersensitivity”. Subjective effects and reactions in a double-blind provocation study. Journal of Occupational and Environmental Medicine, 38(8), 752—758.

  • Antelman, S.M., Eichler, A.J., Black, C.A., & Kocan, D. (1980). Interchangeability of stress and amphetamine in sensitization. Science, 207(4428), 329—331.

  • Augner, C., Florian, M., Pauser, G., Oberfeld, G., & Hacker, G.W. (2009). GSM base stations: short-term effects on well-being. Bioelectromagnetics, 30(1), 73—80.

  • Bailer, J., Witthöft, M., & Rist, F. (2008). Psychological predictors of short- and medium term outcome in individuals with idiopathic environmental intolerance (IEI) and individuals with somatoform disorders. Journal of Toxicology and Environmental Health. Part A, 71(11—12), 766—775.

  • Barsky, A.J. (1979). Patients who amplify bodily sensations. Annals of Internal Medicine, 91(1), 63—70.

  • Barsky, A.J., Saintfort, R., Rogers, M.P., & Borus, J.F. (2002). Nonspecific medication side effects and the nocebo phenomenon. Journal of the American Medical Association, 287(5), 622—627.

  • Barsky, A.J., Wyshak, G., & Klerman, G.L. (1990). The Somatosensory Amplification Scale and its relationship to hypochondriasis. Journal of Psychiatric Research, 24(4), 323—334.

  • Bell, I.R., Miller, C.S., & Schwartz, G.E. (1992). An olfactory-limbic model of multiple chemical sensitivity syndrome: Possible relationships to kindling and affective spectrum disorders. Biological Psychiatry, 32(3), 218—242.

  • Berg, M., Arnetz, B.B., Lidén, S., Eneroth, P., & Kallner, A. (1992). Techno-stress. A psychophysiological study of employees with VDU-associated skin complaints. Journal of Occupational Medicine, 34(7), 698—701.

  • Bergdahl, J. (1995). Psychologic aspects of patients with symptoms presumed to be caused by electricity or visual display units. Acta Odontologica Scandinavica, 53(5), 304—310.

  • Bergdahl, J., Stenberg, B., Eriksson, N., Lindén, G., & Widman, L. (2004). Coping and self-image in patients with visual display terminal-related skin symptoms and perceived hypersensitivity to electricity. International Archives of Occupational and Environmental Health, 77(8), 538—542.

  • Bergqvist, U., Vogel, E., Aringer, L., Cunningham, J., Gobba, F., & Leitgeb, N. (1997). Possible health implications of subjective symptoms and electromagnetic fields: A report prepared by a European group of experts for the European Commission, DG V. (Vol. 19). Solna: European Commision DG V. National Institute for Working Life

  • Brand, S., Heller, P., Bircher, A.J., Braun-Fahrleander, C., Huss, A., Niederer, M., et al. (2009). Patients with environment-related disorders: Comprehensive results of interdisciplinary diagnostics. International Journal of Hygiene and Environmental Health, 212(2), 157—171.

  • Brown, R.J. (2006). Medically unexplained symptoms: A new model. Psychiatry, 5, 43—47.

  • Carlsson, F., Karlson, B., Ørbaek, P., Osterberg, K., & Ostergren, P.-O. (2005). Prevalence of annoyance attributed to electrical equipment and smells in a Swedish population, and relationship with subjective health and daily functioning. Public Health, 119(7), 568—577.

  • Chia, S.E., Chia, H.P., & Tan, J.S. (2000). Prevalence of headache among handheld cellular telephone users in Singapore: A community study. Environmental Health Perspectives, 108(11), 1059—1062.

  • Eltiti, S., Wallace, D., Ridgewell, A., Zougkou, K., Russo, R., Sepulveda, F., et al. (2007). Does short-term exposure to mobile phone base station signals increase symptoms in individuals who report sensitivity to electromagnetic fields? A double-blind randomized provocation study. Environmental Health Perspectives, 115(11), 1603—1608.

  • Eltiti, S., Wallace, D., Zougkou, K., Russo, R., Joseph, S., Rasor, P., et al. (2007). Development and evaluation of the electromagnetic hypersensitivity questionnaire. Bioelectromagnetics, 28(2), 137—151.

  • Eriksson, N., Höög, J., Mild, K.H., Sandström, M., & Stenberg, B. (1997). The psychosocial work environment and skin symptoms among visual display terminal workers: a case referent study. International Journal of Epidemiology, 26(6), 1250—1257.

  • Facchinetti, F., Tarabusi, M., & Volpe, A. (2004). Cognitive-behavioral treatment decreases cardiovascular and neuroendocrine reaction to stress in women waiting for assisted reproduction. Psychoneuroendocrinology, 29(2), 162—173.

  • Frick, U., Kharraz, A., Hauser, S., Wiegand, R., Rehm, J., Kovatsits, U. von, et al. (2005). Comparison perception of singular transcranial magnetic stimuli by subjectively electrosensitive subjects and general population controls. Bioelectromagnetics, 26(4), 287—298.

  • Frick, U., Rehm, J., & Eichhammer, P. (2002). Risk perception, somatization, and self report of complaints related to electromagnetic fields — a randomized survey study. International Journal of Hygiene and Environmental Health, 205(5), 353—360.

  • Graveling, R.A., Pilkington, A., George, J.P., Butler, M.P., & Tannahill, S.N. (1999). A review of multiple chemical sensitivity. Occupational and Environmental Medicine, 56(2), 73—85.

  • Harlacher, U. (1998). “Hypersensitivity to electricity”: an explanatory model, some characteristics of sufferers and effects of psychological treatment with cognitive-behavioral methods. (Dissertation.) Lund: University of Lund

  • Heinrich, S., Ossig, A., Schlittmeier, S., & Hellbrück, J. (2007). Elektromagnetische Felder einer UMTS-Mobilfunkbasisstation und mogliche Auswirkungen auf die Befindlichkeit-eine experimentelle Felduntersuchung. Umweltmedizin in Forschung und Praxis, 12(3), 171—180.

  • Hietanen, M., Hämäläinen, A.-M., & Husman, T. (2002). Hypersensitivity symptoms associated with exposure to cellular telephones: no causal link. Bioelectromagnetics, 23(4), 264—270.

  • Hillert, L. (2001). Hypersensitivity to electricity; symptoms, risk factors and therapeutic interventions. (Dissertation.) Stockholm: Karolinska Institute

  • Hillert, L. (2006). Cognitive behavioral therapy for patients who report electrical hypersensitivity. In K. Hansson Mild, M. Repacholi, E. van Deventer, & P. Ravazzani (Eds.), Electromagnetic Hypersensitivity. Proceedings: International Workshop on EMF Hypersensitivity (pp. 163—174). Prague: WHO

  • Hillert, L., Berglind, N., Arnetz, B.B., & Bellander, T. (2002). Prevalence of self-reported hypersensitivity to electric or magnetic fields in a population-based questionnaire survey. Scandinavian Journal of Work, Environment & Health, 28(1), 33—41.

  • Hillert, L., Hedman, B.K., Söderman, E., & Arnetz, B.B. (1999). Hypersensitivity to electricity: Working definition and additional characterization of the syndrome. Journal of Psychosomatic Research, 47(5), 429—438.

  • Hillert, L., & Kolmodin-Hedman, B. (1997). Hypersensitivity to electricity: Sense or sensibility? Journal of Psychosomatic Research, 42(5), 427—432.

  • Hillert, L., Kolmodin-Hedman, B., Dölling, B.F., & Arnetz, B.B. (1998). Cognitive behavioural therapy for patients with electric sensitivity — a multidisciplinary approach in a controlled study. Psychotherapy and Psychosomatics, 67(6), 302—310.

  • Hocking, B. (2006). A physician’s approach to EMF sensitive patients. In K. Hansson Mild, M. Repacholi, E. van Deventer, & P. Ravazzani (Eds.), Electromagnetic Hypersensitivity. Proceedings: International Workshop on EMF Hypersensitivity (pp. 151—162). Prague: WHO

  • Hojo, S., Ishikawa, S., Kumano, H., Miyata, M., & Sakabe, K. (2008). Clinical characteristics of physician-diagnosed patients with multiple chemical sensitivity in Japan. International Journal of Hygiene and Environmental Health, 211(5—6), 682—689.

  • Hutter, H.-P., Moshammer, H., Wallner, P., & Kundi, M. (2006). Subjective symptoms, sleeping problems, and cognitive performance in subjects living near mobile phone base stations. Occupational and Environmental Medicine, 63(5), 307—313.

  • INFAS (2006). Ermittlung der Befürchtungen und Ängste der breiten Öffentlichkeit hinsichtlich möglicher Gefahren der hochfrequenten elektromagnetischen Felder des Mobilfunks: Abschlussbericht über die Befragung im Jahr 2006. Bonn: Institut für Angewandte Sozialwissenschaft

  • International Programme on Chemical Safety (WHO). (1996). Conclusions and recommendations of a workshop on multiple chemical sensitivities (MCS). Regulatory Toxicology and Pharmacology, 24, 188—189.

  • Johansson, O. (1995). Hypersensitivity to electrocity and sensitivity to mobile phones. Results from a double-blind provocation study of methodological character. Stockholm: Department of Experimental Dermatology, Karolinska Institute

  • Johansson, O., Gangi, S., Liang, Y., Yoshimura, K., Jing, C., & Liu, P.Y. (2001). Cutaneous mast cells are altered in normal healthy volunteers sitting in front of ordinary TVs/PCs — results from open-field provocation experiments. Journal of Cutaneous Pathology, 28(10), 513—519.

  • Johansson, O., Hilliges, M., Björnhagen, V., & Hall, K. (1994). Skin changes in patients claiming to suffer from “screen dermatitis”: a two-case open-field provocation study. Experimental Dermatology, 3(5), 234—238.

  • Johansson, O., Hilliges, M., & Han, S.W. (1996). A screening of skin changes, with special emphasis on neurochemical marker antibody evaluation, in patients claiming to suffer from “screen dermatitis” as compared to normal healthy controls. Experimental Dermatology, 5(5), 279—285.

  • Köteles, F., Bárány, E., Varsányi, P., & Bárdos, Gy. (in press). Are modern health worries associated with somatosensory amplification, environmental attribution style, and commitment to complementary and alternative medicine? Scandinavian Journal of Psychology, doi: 10.1111/j.1467-9450.2011.00908.x

  • Köteles, F., & Bárdos, Gy. (2009). Nil nocere? A nocebo-jelenség. Magyar Pszichológiai Szemle, 64(4), 697—727.

  • Köteles, F., Szemerszky, R., Freyler, A., & Bárdos, Gy. (2011). Somatosensory amplification as a possible source of subjective symptoms behind modern health worries. Scandinavian Journal of Psychology, 52(2), 174—178.

  • Kulcsár, Zs. (2004). Többszörös kémiai szenzitivitás: a szenzitizált idegrendszer, a szomatizációs stresszbetegségek és a gyulladásos kórképek modellje. In Zs. Kulcsár, S. Rózsa, & Gy. Kökönyei (Eds.), Megmagyarázhatatlan testi tünetek II. Szomatizáció és funkcionális stresszbetegségek (pp. 487—534). Budapest: ELTE Eötvös Kiadó

  • Landgrebe, M., Frick, U., Hauser, S., Langguth, B., Rosner, R., Hajak, G., et al. (2008). Cognitive and neurobiological alterations in electromagnetic hypersensitive patients: Results of a case-control study. Psychological Medicine, 38(12), 1781—1791.

  • Leitgeb, N., & Schröttner, J. (2003). Electrosensibility and electromagnetic hypersensitivity. Bioelectromagnetics, 24(6), 387—394.

  • Levallois, P.J. (2002). Hypersensitivity of human subjects to environmental electric and magnetic field exposure: A review of the literature. Environmental Health Perspectives, 110(Suppl 4), 613—618.

  • Levallois, P.J. (2004). Prevalence of ’electrical hypersensitivity’ in populations of different countries. In K. Hansson Mild, M. Repacholi, E. van Deventer, & P. Ravazzani (Eds.), Electromagnetic Hypersensitivity. Proceedings: International Workshop on EMF Hypersensitivity (pp. 57—62). Prague: WHO

  • Lonne-Rahm, S., Andersson, B., Melin, L., Schultzberg, M., Arnetz, B., & Berg, M. (2000). Provocation with stress and electricity of patients with “sensitivity to electricity.” Journal of Occupational and Environmental Medicine, 42(5), 512—516.

  • Lyskov, E., Sandström, M., & Hansson Mild, K. (2001a). Neurophysiological study of patients with perceived “electrical hypersensitivity.” International Journal of Psychophysiology, 42(3), 233—241.

  • Lyskov, E., Sandström, M., & Hansson Mild, K. (2001b). Provocation study of persons with perceived electrical hypersensitivity and controls using magnetic field exposure and recording of electrophysiological characteristics. Bioelectromagnetics, 22(7), 457—462.

  • Mailloux, J., & Brener, J. (2002). Somatosensory amplification and its relationship to heartbeat detection ability. Psychosomatic Medicine, 64(2), 353—357.

  • Mechanic, D. (1972). Social psychologic factors affecting the presentation of bodily complaints. The New England Journal of Medicine, 286(21), 1132—1139.

  • Meggs, W.J. (1995). Neurogenic switching: A hypothesis for a mechanism for shifting the site of inflammation in allergy and chemical sensitivity. Environmental Health Perspectives, 103(1), 54—56.

  • Meggs, W.J. (1999). Mechanisms of allergy and chemical sensitivity. Toxicology and Industrial Health, 15(3—4), 331—338.

  • Mueller, C.H., Krueger, H., & Schierz, C. (2002). Project NEMESIS: perception of a 50 Hz electric and magnetic field at low intensities (laboratory experiment). Bioelectromagnetics, 23(1), 26—36.

  • Oftedal, G., Nyvang, A., & Moen, B.E. (1999). Long-term effects on symptoms by reducing electric fields from visual display units. Scandinavian Journal of Work, Environment & Health, 25(5), 415—421.

  • Oftedal, G., Straume, A., Johnsson, A., & Stovner, L.J. (2007). Mobile phone headache: A double blind, sham-controlled provocation study. Cephalalgia: An International Journal of Headache, 27(5), 447—455.

  • Ørbaek, P., Neutra, R., Lee, G., & Hristova, L. (2002). Study of self-reported hypersensitivity to electromagnetic fields in California. Environmental Health Perspectives, 110(Suppl 4), 619—623.

  • Petrie, K.J., Sivertsen, B., Hysing, M., Broadbent, E., Moss-Morris, R., Eriksen, H.R., et al. (2001). Thoroughly modern worries: The relationship of worries about modernity to reported symptoms, health and medical care utilization. Journal of Psychosomatic Research, 51(1), 395—401.

  • Petrie, K.J., & Wessely, S. (2002). Modern worries, new technology, and medicine. British Medical Journal, 324(7339), 690—691.

  • Post, R.M., & Kopanda, R.T. (1976). Cocaine, kindling, and psychosis. The American Journal of Psychiatry, 133(6), 627—634.

  • Preece, A.W., Georgiou, A.G., Dunn, E.J., & Farrow, S.C. (2007). Health response of two communities to military antennae in Cyprus. Occupational and Environmental Medicine, 64(6), 402—408.

  • Regel, S.J., Negovetic, S., Röösli, M., Berdiñas, V., Schuderer, J., Huss, A., et al. (2006). UMTS base station-like exposure, well-being, and cognitive performance. Environmental Health Perspectives, 114(8), 1270—1275.

  • Reid, S. (1999). Multiple chemical sensitivity — is the environment really to blame? Journal of the Royal Society of Medicine, 92(12), 616—619.

  • Röösli, M. (2008). Radiofrequency electromagnetic field exposure and non-specific symptoms of ill health: a systematic review. Environmental Research, 107(2), 277—287.

  • Röösli, M., Moser, M., Baldinini, Y., Meier, M., & Braun-Fahrländer, C. (2004). Symptoms of ill health ascribed to electromagnetic field exposure — a questionnaire survey. International Journal of Hygiene and Environmental Health, 207(2), 141—150.

  • Rubin, G.J., Cleare, A.J., & Wessely, S. (2008). Psychological factors associated with self-reported sensitivity to mobile phones. Journal of Psychosomatic Research, 64(1), 1—9.

  • Rubin, G.J., Das Munshi, J., & Wessely, S. (2005). Electromagnetic hypersensitivity: A systematic review of provocation studies. Psychosomatic Medicine, 67(2), 224—232.

  • Rubin, G.J., Hahn, G., Everitt, B.S., Cleare, A.J., & Wessely, S. (2006). Are some people sensitive to mobile phone signals? Within participants double blind randomised provocation study. British Medical Journal, 332(7546), 886—891.

  • Rubin, G.J., Nieto-Hernandez, R., & Wessely, S. (2010). Idiopathic environmental intolerance attributed to electromagnetic fields (formerly “electromagnetic hypersensitivity”): An updated systematic review of provocation studies. Bioelectromagnetics, 31(1), 1—11.

  • Sandström, M., Lyskov, E., Berglund, A., Medvedev, S., & Hansson Mild, K. (1997). Neurophysiological effects of flickering light in patients with perceived electrical hypersensitivity. Journal of Occupational and Environmental Medicine, 39(1), 15—22.

  • Sandström, M., Lyskov, E., Hörnsten, R., Mild, K.H., Wiklund, U., Rask, P., et al. (2003). Holter ECG monitoring in patients with perceived electrical hypersensitivity. International Journal of Psychophysiology, 49(3), 227—235.

  • Sandström, M., Wilen, J., Oftedal, G., & Hansson Mild, K. (2001). Mobile phone use and subjective symptoms. Comparison of symptoms experienced by users of analogue and digital mobile phones. Occupational Medicine, 51(1), 25—35.

  • Schachter, S., & Singer, J.E. (1962). Cognitive, social, and physiological determinants of emotional state. Psychological Review, 69, 379—399.

  • Seitz, H., Stinner, D., Eikmann, T., Herr, C., & Röösli, M. (2005). Electromagnetic hypersensitivity (EHS) and subjective health complaints associated with electromagnetic fields of mobile phone communication — a literature review published between 2000 and 2004. The Science of the Total Environment, 349(1—3), 45—55.

  • Sjöberg, P., & Hamnerius, Y. (1995). Study of provoked hypersensitivity reactions from a VDU. In B. Knave & J. Katjalainen (Eds.), Electromagnetic Hypersensitivity (pp. 101—110). Copenhagen: Danish Association for the Electromagnetically Hypersensitive

  • Spencer, T.R., & Schur, P.M. (2008). The challenge of multiple chemical sensitivity. Journal of Environmental Health, 70(10), 24—27.

  • Staudenmayer, H. (2006). Idiopathic environmental intolerance (IEI): A causation analysis. In K. Hansson Mild, M. Repacholi, E. van Deventer, & P. Ravazzani (Eds.), Electromagnetic Hypersensitivity. Proceedings: International Workshop on EMF Hypersensitivity (pp. 39—53). Prague: WHO

  • Stenberg, B. (2004). Characterizing electrical hypersensitivity. In K. Hansson Mild, M. Repacholi, E. van Deventer, & P. Ravazzani (Eds.), Electromagnetic Hypersensitivity. Proceedings: International Workshop on EMF Hypersensitivity (pp. 29—38). Prague: WHO

  • Stenberg, B., Bergdahl, J., Edvardsson, B., Eriksson, N., Lindén, G., & Widman, L. (2002). Medical and social prognosis for patients with perceived hypersensitivity to electricity and skin symptoms related to the use of visual display terminals. Scandinavian Journal of Work, Environment & Health, 28(5), 349—357.

  • Stenberg, B., Eriksson, N., Mild, K.H., Höög, J., Sandström, M., Sundell, J., et al. (1995). Facial skin symptoms in visual display terminal (VDT) workers. A case-referent study of personal, psychosocial, building- and VDT-related risk indicators. International Journal of Epidemiology, 24(4), 796—803.

  • Szemerszky, R., Köteles, F., & Bárdos, Gy. (2009). A környezeti elektromágneses terhelés hatásának tulajdonított nem specifikus tünetek és a tünetképzés pszichológiai háttértényezői. Magyar Pszichológiai Szemle, 64(3), 553—571.

  • Szemerszky, R., Köteles, F., Lihi, R., & Bárdos, Gy. (2010). Polluted places or polluted minds? An experimental sham-exposure study on background psychological factors of symptom formation in “idiophatic environmental intolerance attributed to electromagnetic fields”. International Journal of Hygiene and Environmental Health, 213(5), 387—394.

  • Timmel, C.R., Till, U., Brocklehurst, B., Mclauchlan, K.A., & Hore, P.J. (1998). Effects of weak magnetic fields on free radical recombination reactions. Molecular Physics, 95(1), 71—89.

  • Trimmel, M., & Schweiger, E. (1998). Effects of an ELF (50 Hz, 1 mT) electromagnetic field (EMF) on concentration in visual attention, perception and memory including effects of EMF sensitivity. Toxicology Letters, 96—97, 377—382.

  • Van den Bergh, O., Stegen, K., Van Diest, I., Raes, C., Stulens, P., Eelen, P., et al. (1999). Acquisition and extinction of somatic symptoms in response to odours: A Pavlovian paradigm relevant to multiple chemical sensitivity. Occupational and Environmental Medicine, 56(5), 295—301.

  • Wang, T. (1995). Sick building syndrome: A study of some contributing factors. (Dissertation.) Surrey: University of Surrey

  • World Health Organization (2007). Extremely low frequency fields. Environmental health criteria (Vol. 238). Geneva: World Health Organization

  • Zwamborn, A.P.M., Vossen, S., van Leersum, B., Ouwens, M., & Makel, W. (2003). Effects of global communication system radio-frequency on well being and cognitive functions of human subjects with and without subjective symptoms. Hague: Netherlands Organisation for Applied Scientific Research (TNO)

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