Cited by 17Indoor Air Quality and Microbial ExposureOccupational exposure and asthmaPsychosomatic Disorders and Their Treatments

Health-related quality among life of employees with persistent nonspecific indoor-air-associated health complaints

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Selinheimo, Sanna, Vuokko, Aki, Hublin, Christer, Järnefelt, Heli, Karvala, Kirsi, Sainio, Markku, Suojalehto, Hille, Suvisaari, Jaana +1 more·2019·Journal of Psychosomatic Research

Abstract

Objective Nonspecific health complaints associated with indoor air are common in work environments. In some individuals, symptoms become persistent without an adequate explanation. The aim was to study factors that associate with the health-related quality of life (HRQoL) of employees with persistent, nonspecific indoor-air-related symptomatology.Methods We present baseline results of a randomized controlled trial of interventions targeted on the HRQoL of the employees with indoor-air-associated nonspecific symptoms. The main participant-inclusion criterion was the presence of persistent indoor-air-related multiorgan symptoms with no known pathophysiological or environment-related explanation. As a comparison for participants´ HRQoL (n = 52) we used data from the general-population Health 2011 study (BRIF8901) including information on subjects matched to the participants´ working status and age and subjects with asthma, anxiety or depressive disorder, or other chronic conditions with work disability.Results The participants showed greater and a clinically significant impairment of HRQoL [M = 0.83, SE = 0.013] than individuals from the general population [M = 0.95, SE = 0.001, p < .001, Hedges´ g = 2.33] and those with asthma [M = 0.93, SE = 0.005, p < .001, Hedges´ g = 1.46], anxiety and depressive disorder [M = 0.89, SE = 0.006, p < .001, Hedges´ g = 0.73], or a chronic condition with work disability [M = 0.91, SE = 0.003, p < .001, Hedges´ g = 1.11]. Prevalent symptoms of depression, anxiety, and insomnia and poor recovery from work were associated with a poor HRQoL.Conclusions Individuals with nonspecific indoor-air-associated symptoms have a poorer HRQoL than individuals in the general population with a globally burdensome disease. Psychological distress associated with a poor HRQoL should be considered in the making of decisions about the treatment of these patients.Trial registration ClinicalTrials.gov, NCT02069002.

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Crossref · 10.1016/j.jpsychores.2019.03.181

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Authors
Selinheimo, S., Vuokko, A., Hublin, C., Järnefelt, H., Karvala, K., Sainio, M., Suojalehto, H., Suvisaari, J., & Paunio, T.
Affiliations
  • University of Helsinki (FI)
  • Finnish Institute of Occupational Health (FI)
  • Finnish Institute for Health and Welfare (FI)
Corresponding author
  • Selinheimo, Sanna
  • Paunio, Tiina
Venue
Journal of Psychosomatic Research
Publisher
Elsevier BV
Published
2019-07
Volume
122
Pages
112-120
ISSN
0022-3999 (ISSN-L)
OpenAlex
W2926998787
Cited by
17
References
85
Citations by year
2026: 3 · 2025: 4 · 2024: 4 · 2023: 2 · 2020: 3 · 2019: 1
FWCI
0.43
Type
journal article
Language
en
Open access
Locations
  • Journal of Psychosomatic Research (publishedVersion)
  • PubMed (publishedVersion)
  • Työväentutkimus Vuosikirja (submittedVersion, other-oa)
  • STM:n Hallinnonalan avoin julkaisuarkisto (Julkari) (submittedVersion)
  • WOS
Funders
  • Finnish Work Environment Fund (113076)
  • Social Insurance Institution of Finland (23/26/2014)
  • Research Foundation for Pulmonary Diseases
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Indoor Air Quality and Microbial Exposure
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
  • Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
Keywords
health-related quality of life, non-specific symptoms, indoor air quality, occupational health, workers, persistent symptoms, psychological distress, depression, anxiety, insomnia, work recovery, asthma, chronic disease, work disability
MeSH terms
Adult, Employment, Female, Humans, Male, Quality of Life, Research Design, Air Pollution, Indoor

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