||Hawkins NG, Davies R & Holmes TH
||Evidence of psychosocial factors in the development
of pulmonary tuberculosis.
||AME REV RESPIR DIS 1957, 75, 768-779.
The study tested the hypothesis that a life-organizational
stress of significant proportions typically appears shortly before
the onset of TB. The sample comprised of all persons employed at
Firland Sanatorium from its establishment at the present location
in Seattle, Washington, USA. One group of sanatorium employees who
became ill with TB was compared with an individually matched group
of employees who remained well. The matching included age, sex,
marital status, education, time of employment, job classification,
income, skin test reading, appearance of chest roentgenograms, and
previous record of certain chronic conditions. Those who became
ill had experienced a concentration of disturbances such as domestic
strife, residential and occupational changes and, personal crises
during the two years preceding the change in a series of quarterly
chest films, leading to the determination of pulmonary TB. This
concentration of disturbances or situational crises was significant
in comparison with the experience of the group of subjects who were
well. The TB group also evidenced a significant degree of psychoneurotic
pathology and did not recognize or could not admit their personality
deficit on questions in which this recognition was obvious. The
conclusion appears reasonable that many of the employees who became
ill did so in a situation of stress which would be conducive to
lowered resistance. Within the acknowledged limitations of the test,
the postulation of psychosocial crisis as one of the precipitant
causes is tenable.
|KEYWORDS: SOCIAL PSYCHOLOGY; USA.