Symptom patterns, and perceptual and cognitive styles in subjects with multiple chemical sensitivity (MCS)

Multiple chemical sensitivity (MCS) is defined as a syndrome with multiple medically unexplained symptoms attributed to low levels of chemically unrelated substances in the environment. The etiology of this syndrome is still unclear. As MCS may be conceptualized as an atypical type of somatoform disorder, the purpose of the study was to examine whether MCS subjects show symptom patterns, personality traits, and perceptual and cognitive styles as typically found in somatoform patients. Nonsensitive controls (n=36) were compared to subjects with moderate (n=35) and high (n=35) MCS intensity with self-report psychological questionnaires and structured interviews for depression and somatoform disorders. The high MCS group scored significantly higher than the other two groups on self-report scales for somatoform symptoms and depression. Moreover, high MCS was strongly associated with the diagnosis of somatoform disorder, and weaker but still significantly with depression. In a stepwise multiple regression analysis, cognitions about environmental threat, trait anxiety, focus on autonomic sensations, and general environmental sensitivity predicted MCS symptoms in the total sample, explaining 53% of the variance. These results support the hypothesis that trait negativity and mechanisms of symptom perception and symptom amplification contribute to the enhanced symptom reports of MCS individuals.