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Cognition and mental wellbeing after electrical accidents : a survey and a clinical study among Swedish male electricians

Thomée, Sara ; Österberg, Kai LU ; Rådman, Lisa and Jakobsson, Kristina LU (2020) In International Archives of Occupational and Environmental Health 93(6). p.683-696
Abstract

PURPOSE: The purpose was to examine long-term consequences of exposure to electrical current passing through the body. We investigated (1) whether electricians after having experienced an electrical accident report more cognitive problems and lower mental wellbeing and (2) have objectively verifiable reduced cognitive function; and (3) which circumstances at the time of the accident affect long-term subjective cognitive function and mental wellbeing?

METHODS: A survey of male electricians who had experienced electrical accidents (n = 510) and a clinical study in a subsample (n = 23) who reported residual health problems was carried out. Both groups were examined regarding subjective cognitive function (Euroquest-9) and mental... (More)

PURPOSE: The purpose was to examine long-term consequences of exposure to electrical current passing through the body. We investigated (1) whether electricians after having experienced an electrical accident report more cognitive problems and lower mental wellbeing and (2) have objectively verifiable reduced cognitive function; and (3) which circumstances at the time of the accident affect long-term subjective cognitive function and mental wellbeing?

METHODS: A survey of male electricians who had experienced electrical accidents (n = 510) and a clinical study in a subsample (n = 23) who reported residual health problems was carried out. Both groups were examined regarding subjective cognitive function (Euroquest-9) and mental wellbeing (Symptom Checklist-90 subscales). The clinical study included neuropsychological tests of memory, attention, spatial function, and premorbid intellectual capacity. A matched control group was retrieved from reference data.

RESULTS: The survey participants reported more cognitive problems and lower mental wellbeing than referents. Of the examined circumstances, having experienced mortal fear at the time of the accident and health complaints, especially mental symptoms, for > 1 week after the accident were the most significant risk factors for later subjective cognitive problems and lower mental wellbeing. The only statistically significant difference in neuropsychological tests was better performance in part of the memory tests by the clinical study group compared to the control group.

CONCLUSIONS: The participants reported more cognitive problems and lower mental wellbeing than referents, but no long-term objective cognitive dysfunction was detected. Emotional response at the time of the accident and health complaints in the aftermath of the accident may constitute important indications for medical and psychological follow-ups.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Electrical accident, Electrical injury, Neuropsychology, Occupational accident, Occupational injury, Psychological health, Symptoms
in
International Archives of Occupational and Environmental Health
volume
93
issue
6
pages
14 pages
publisher
Springer
external identifiers
  • scopus:85079228454
  • pmid:32036424
ISSN
1432-1246
DOI
10.1007/s00420-020-01520-x
language
English
LU publication?
yes
id
a9e18413-adf9-4f1e-8c30-835ab3f926bf
date added to LUP
2020-02-11 16:30:14
date last changed
2024-06-26 11:00:12
@article{a9e18413-adf9-4f1e-8c30-835ab3f926bf,
  abstract     = {{<p>PURPOSE: The purpose was to examine long-term consequences of exposure to electrical current passing through the body. We investigated (1) whether electricians after having experienced an electrical accident report more cognitive problems and lower mental wellbeing and (2) have objectively verifiable reduced cognitive function; and (3) which circumstances at the time of the accident affect long-term subjective cognitive function and mental wellbeing?</p><p>METHODS: A survey of male electricians who had experienced electrical accidents (n = 510) and a clinical study in a subsample (n = 23) who reported residual health problems was carried out. Both groups were examined regarding subjective cognitive function (Euroquest-9) and mental wellbeing (Symptom Checklist-90 subscales). The clinical study included neuropsychological tests of memory, attention, spatial function, and premorbid intellectual capacity. A matched control group was retrieved from reference data.</p><p>RESULTS: The survey participants reported more cognitive problems and lower mental wellbeing than referents. Of the examined circumstances, having experienced mortal fear at the time of the accident and health complaints, especially mental symptoms, for &gt; 1 week after the accident were the most significant risk factors for later subjective cognitive problems and lower mental wellbeing. The only statistically significant difference in neuropsychological tests was better performance in part of the memory tests by the clinical study group compared to the control group.</p><p>CONCLUSIONS: The participants reported more cognitive problems and lower mental wellbeing than referents, but no long-term objective cognitive dysfunction was detected. Emotional response at the time of the accident and health complaints in the aftermath of the accident may constitute important indications for medical and psychological follow-ups.</p>}},
  author       = {{Thomée, Sara and Österberg, Kai and Rådman, Lisa and Jakobsson, Kristina}},
  issn         = {{1432-1246}},
  keywords     = {{Electrical accident; Electrical injury; Neuropsychology; Occupational accident; Occupational injury; Psychological health; Symptoms}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{683--696}},
  publisher    = {{Springer}},
  series       = {{International Archives of Occupational and Environmental Health}},
  title        = {{Cognition and mental wellbeing after electrical accidents : a survey and a clinical study among Swedish male electricians}},
  url          = {{http://dx.doi.org/10.1007/s00420-020-01520-x}},
  doi          = {{10.1007/s00420-020-01520-x}},
  volume       = {{93}},
  year         = {{2020}},
}