Alterations in psychosocial health of people affected by asbestos poisoning

Clemente, Miguel; Reig-Botella, Adela; Prados, Juan Carlos

doi:10.1590/S0034-8910.2015049005445

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Original Articles • Rev. Saúde Pública 49 • 2015 • https://doi.org/10.1590/S0034-8910.2015049005445 linkcopy

Alterations in psychosocial health of people affected by asbestos poisoning

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

OBJECTIVE To analyze the state of psychosocial and mental health of professionals affected by asbestos.

METHODS A cross-sectional study was conducted with 110 professionals working in the Ferrolterra region of Spain, who were affected by asbestos poisoning. This group was compared with a group of 70 shipyard workers with no manifestation of work-related diseases. All the participants were male with a mean age of 67 years. This study was conducted in 2013, between January and June, and used the SCL-90 questionnaire by Derogatis as its primary measure for research. This questionnaire consists of 9 variables that measure psychosomatic symptoms. In addition, an overall index of psychosomatic gravity was calculated. The participants were also asked two questions concerning their overall perception of feeling good. Data were analyzed by ANOVA and logistic regression.

RESULTS Participants affected by asbestos poisoning showed high occurrence rates of psychological health variables such as somatization, obsessive-compulsive, interpersonal sensitivity, depression, anxiety, hostility, phobic anxiety, paranoid ideation, psychoticism, and global severity index.

CONCLUSIONS Social interaction as a differentiating factor between workers affected by work-related chronic syndromes as compared to healthy participants will possibly aid in the development of intervention programs by improving the social network of affected individuals.

Asbestos, poisoning; Cost of Illness; Quality of Life; Mental Health; Occupational Diseases; Occupational Health

Variable		Mean/average	Standard deviation
Somatization	Control	17.7	6.5
	Affected	28.6	11.0
	Total	23.9	10.8
Obsessive compulsion	Control	15.0	6.7
	Affected	23.2	7.7
	Total	19.9	8.3
Interpersonal sensitivity	Control	12.0	7.1
	Affected	16.1	6.7
	Total	14.4	7.1
Depression	Control	16.5	10.0
	Affected	27.9	11.9
	Total	23.1	12.4
Anxiety	Control	11.9	6.7
	Affected	19.8	9.1
	Total	16.5	9.0
Hostility	Control	8.6	3.3
	Affected	11.1	4.7
	Total	10.1	4.4
Phobic anxiety	Control	5.8	4.6
	Affected	11.4	6.1
	Total	9.1	6.2
Paranoid ideation	Control	6.2	5.4
	Affected	10.9	5.8
	Total	9.0	6.0
Psychoticism	Control	9.5	6.5
	Affected	17.3	7.9
	Total	14.1	8.3
Global severity index (GSI)	Control	1.4	0.6
	Affected	2.1	0.8
	Total	1.8	0.8
Global energy level	Control	3.3	0.7
	Affected	2.7	0.9
	Total	2.9	0.9
Global energy level compared before/after	Control	2.8	0.6
Global energy level compared before/after	Affected	2.1	0.8
	Total	2.3	0.8

Variable		Sum of squares	Degrees of freedom	Root mean square	Statistical F	Significance
Somatization	Intergroup	4648.414	1	4648.414	53.245	0.001
	Intragroup	13793.829	158	87.303
	Total	18442.244	159
Obsessive compulsion	Intergrupos	2787.655	1	2787.655	52.267	0.001
	Intragrupos	9066.874	170	53.335
	Total	11854.529	171
Interpersonal sensitivity	Intergrupos	709.375	1	709.375	15.052	0.001
	Intragrupos	8058.972	171	47.128
	Total	8768.347	172
Depression	Intergrupos	5162.879	1	5162.879	41.702	0.001
	Intragrupos	19932.667	161	123.805
	Total	25095.546	162
Anxiety	Intergrupos	2552.360	1	2552.360	38.069	0.001
	Intragrupos	11129.616	166	67.046
	Total	13681.976	167
Hostility	Intergrupos	262.286	1	262.286	14.709	0.001
	Intragrupos	2977.797	167	17.831
	Total	3240.083	168
Phobic anxiety	Intergrupos	1278.115	1	1278.115	41.717	0.001
	Intragrupos	5147.185	168	30.638
	Total	6425.300	169
Paranoid ideation	Intergrupos	888.653	1	888.653	28.050	0.001
	Intragrupos	5354.061	169	31.681
	Total	6242.713	170
Psychoticism	Intergrupos	2453.385	1	2453.385	45.284	0.001
	Intragrupos	8885.145	164	54.178
	Total	11338.530	165
Global severity index (GSI)	Intergrupos	8.582	1	8.582	15.339	0.001
	Intragrupos	49.236	88	0.560
	Total	57.818	89
General feeling of energy	Intergrupos	17.687	1	17.687	24.835	0.001
	Intragrupos	124.630	175	0.712
	Total	142.316	176
General feeling of energy compared before-after	Intergrupos	15.730	1	15.730	24.349	0.001
	Intragrupos	96.257	149	0.646
	Total	111.987	150

Variable	Beta Coefficient (β)	Standard error	Wald Test	Degrees of freedom	Significance	Exponential of the beta coefficient
Somatization	0.036	0.089	0.158	1	0.691	1.036
Obsessive compulsion	0.170	0.099	2.945	1	0.086	1.185
Interpersonal sensitivity	-0.368	0.148	6.192	1	0.013	0.692
Depression	0.148	0.118	1.561	1	0.211	1.159
Anxiety	-0.097	0.129	0.567	1	0.452	0.907
Hostility	-0.163	0.145	1.257	1	0.262	0.850
Phobic anxiety	0.061	0.128	0.225	1	0.636	1.062
Paranoid ideation	-0.017	0.155	0.012	1	0.911	0.983
Psychoticism	0.258	0.158	2.672	1	0.102	1.294
Constant	-2.220	1.066	4.336	1	0.037	0.109

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[TFN1] The values in bold are more relevant at minor levels at 5%.