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Amalgam Complaints Need Psychiatric Treatment
Psychother Psychosom 2002 Jul-Aug;71(4):223-32
Psychological, allergic, and toxicological aspects of patients with amalgam-related complaints. Gottwald B, Kupfer J, Traenckner I, Ganss C, Gieler U. Department of Medical Psychology, University of Giessen, Germany. Background: To deepen the understanding of the numerous unspecific complaints which are related to the dental material amalgam both in patients and physicians, an interdisciplinary case-control study regarding toxicological, allergic, psychological and psychiatric aspects was conducted. Forty patients with amalgam-associated complaints were compared to a well-matched group of 40 amalgam bearers without complaints. Methods: Patients and controls underwent a dental examination, which included recording of the quantity, surface area and quality of amalgam fillings, a determination of the mercury load in blood and urine, an allergy examination including patch testing with amalgam and a psychometric assessment with questionnaires noting coping strategies (ABI-UMW-P), interpersonal problems (Inventory of Interpersonal Problems) and self-consciousness (SAM), the NEO Five-Factor Inventory, Symptom Checklist-90-R, Beck Depression Inventory and a screening instrument for somatoform disorders. Results: Patients and controls did not differ with respect to mercury concentrations in body fluids. Only 1 patient was found to have a positive amalgam patch test; various other allergies could be determined in 28% of patients (n = 11). Patients had higher levels of psychic distress, a higher incidence of depression and somatization disorders as well as different styles of coping with anxiety compared to controls. Conclusions: No indication for mercury intoxication or amalgam allergy as a cause of the patients' complaints could be found. The theory of amalgam-related complaints as an expression of underlying psychic problems is supported. Treatment should focus on somatization and changing coping and attribution styles. |
#2
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Amalgam Complaints Need Psychiatric Treatment
This study is stupid!!!
1. The sample population is too small, 40. 2. Complaints are the physical, psychological, adaptability determinants. An obvious thing I thought, a very weak link, if any to mercury poisoning. 3. Some people suffered from flu but never made any complaints. On the other hand, some do. 4. Similarly, some suffered from Mercury poison made complaints, whilst others don't. You haven't prove anything. 5. Both group could have been poisoned by mercury in various level irrespect of complaints. 6. Hence, those won't complaint are not a guarantee that they aren't suffer the harm from mercury poisoning. |
#3
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Amalgam Complaints Need Psychiatric Treatment
This study is stupid!!!
1. The sample population is too small, 40. 2. Complaints are the physical, psychological, adaptability determinants. An obvious thing I thought, a very weak link, if any to mercury poisoning. 3. Some people suffered from flu but never made any complaints. On the other hand, some do. 4. Similarly, some suffered from Mercury poison made complaints, whilst others don't. You haven't prove anything. 5. Both group could have been poisoned by mercury in various level irrespect of complaints. 6. Hence, those won't complaint are not a guarantee that they aren't suffer the harm from mercury poisoning. |
#4
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Amalgam Complaints Need Psychiatric Treatment
This study is stupid!!!
1. The sample population is too small, 40. 2. Complaints are the physical, psychological, adaptability determinants. An obvious thing I thought, a very weak link, if any to mercury poisoning. 3. Some people suffered from flu but never made any complaints. On the other hand, some do. 4. Similarly, some suffered from Mercury poison made complaints, whilst others don't. You haven't prove anything. 5. Both group could have been poisoned by mercury in various level irrespect of complaints. 6. Hence, those won't complaint are not a guarantee that they aren't suffer the harm from mercury poisoning. |
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