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Published in: International Archives of Occupational and Environmental Health 6/2020

Open Access 01-08-2020 | Original Article

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

Authors: Sara Thomée, Kai Österberg, Lisa Rådman, Kristina Jakobsson

Published in: International Archives of Occupational and Environmental Health | Issue 6/2020

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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 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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Metadata
Title
Cognition and mental wellbeing after electrical accidents: a survey and a clinical study among Swedish male electricians
Authors
Sara Thomée
Kai Österberg
Lisa Rådman
Kristina Jakobsson
Publication date
01-08-2020
Publisher
Springer Berlin Heidelberg
Published in
International Archives of Occupational and Environmental Health / Issue 6/2020
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-020-01520-x

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