Clinical Characteristics of Disability in Patients with Indoor Air-Related Environmental Intolerance.

BACKGROUND: Chronic nonspecific symptoms attributed to indoor nonindustrial work environments are common and may cause disability, but the medical nature of this disability is unclear. The aim was to medically characterize the disability manifested by chronic, recurrent symptoms and restrictions to work participation attributed to low-level indoor pollutants at workplace and whether the condition shares features with idiopathic environmental intolerance. METHODS: We investigated 12 patients with indoor air-related work disability. The examinations included somatic, psychological, and psychiatric evaluations as well as investigations of the autonomic nervous system, cortisol measurements, lung function, and allergy tests. We evaluated well-being, health, disability, insomnia, pain, anxiety, depression, and burnout via questionnaires. RESULTS: The mean symptom history was 10.5 years; for disabling symptoms, 2.7 years. Eleven patients reported reactions triggered mainly by indoor molds, one by fragrances only. Ten reported sensitivity to odorous chemicals, and three, electric devices. Nearly all had co-occurrent somatic and psychiatric diagnoses and signs of pain, insomnia, burnout, and/or elevated sympathetic responses. Avoiding certain environments had led to restrictions in several life areas. On self-assessment scales, disability showed higher severity and anxiety showed lower severity than in physician assessments. CONCLUSION: No medical cause was found to explain the disability. Findings support that the condition is a form of idiopathic environmental intolerance and belongs to functional somatic syndromes. Instead of endless avoidance, rehabilitation approaches of functional somatic syndromes are applicable.

Effects of significance of auditory location changes on event related brain potentials and pitch discrimination performance.

We examined effects of significance of task irrelevant changes in the location of tones on the mismatch negativity (MMN) and P3a event related brain potentials. The participants were to discriminate between two frequency modulated tones differing from each other in the direction of frequency glide. Each tone was delivered through one of five loudspeakers in front of the participant. On most trials, a tone was presented from the same location as the preceding tone, but occasionally the location changed. In the Varying Location Condition, these changes, although irrelevant with regard to pitch discrimination, were still significant for performance as the following tones were presented from the new location where attention had to be therefore shifted. In the Fixed Location Condition, the location changes were less significant as the tones following a location change were presented from the original location. In both conditions, the location changes were associated with decreased hit rates and increased reaction times in the pitch discrimination task. However, the hit rate decrease was larger in the Fixed Location Condition suggesting that in this condition the location changes were just distractors. MMN and P3a responses were elicited by location changes in both conditions. In the Fixed Location Condition, a P3a was also elicited by the first tone following a location change at the original location while the MMN was not. Thus, the P3a appeared to be related to shifting of attention in space and was not tightly coupled with MMN elicitation.

Sentences with core knowledge violations increase the size of N400 among paranormal believers.

A major problem in research on paranormal beliefs is that the concept of "paranormality" remains to be adequately defined. The aim of this study was to empirically justify the following definition: paranormal beliefs are beliefs in physical, biological, or psychological phenomena that contain core ontological attributes of one of the other two categories [e.g., a stone (physical) having thoughts (psychological)]. We hypothesized that individuals who believe in paranormal phenomena are slower in understanding whether sentences with core knowledge violations are literally true than skeptics, and that this difference would be reflected by a more negative N400. Ten believers and 10 skeptics (six men, age range 23-49) participated in the study. Event-related potentials (N400) were recorded as the participants read 210 three-word Finnish sentences, of which 70 were normal ("The house has a history"), 70 were anomalies ("The house writes its history") and 70 included violations of core knowledge ("The house knows its history"). The participants were presented with a question that contextualized the sentences: "Is this sentence literally true?" While the N400 effects were similar for normal and anomalous sentences among the believers and the skeptics, a more negative N400 effect was found among the believers than among the skeptics for sentences with core knowledge violations. The results support the new definition of "paranormality", because participants who believed in paranormal phenomena appeared to find it more difficult to construct a reasonable interpretation of the sentences with core knowledge violations than the skeptics did as indicated by the N400.