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1

Szemerszky, Renáta, Zsuzsanna Dömötör, and Ferenc Köteles. "One Single Question Is not Sufficient to Identify Individuals With Electromagnetic Hypersensitivity." Clinical Psychology in Europe 1, no. (4) (2019): e35668. https://doi.org/10.32872/cpe.v1i4.35668.

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<b>Background</b>: Idiopathic Environmental Intolerance attributed to Electromagnetic Fields (IEI-EMF) is a self-reported condition where non-specific symptoms are attributed to weak non-ionizing electromagnetic fields. Despite its expanding prevalence, there is no generally accepted diagnostic procedure or definition to identify patients with this condition, thus studies usually apply only one question as inclusion criterion. The aim of our study was to demonstrate the heterogeneity of a self-reported IEI-EMF group and to identify further self-report questions that could be applied as inclusion criteria. <b>Method</b>: Cross-sectional on-line survey study was carried out with 473 participants (76.3% women; age: 35.03 ± 13.24 yrs). Self-diagnosed IEI-EMF (as assessed with a yes-or-no question), frequency of EMF-related symptom and severity of the condition were assessed, as well as somatic symptom distress (Patient Health Questionnaire Somatic Symptom Severity Scale, PHQ-15). <b>Results</b>: 72 (15.2%) individuals labelled themselves as IEI-EMF, however only 61% of them remained in the IEI-EMF group after the use of three inclusion criteria instead of one. 21% of the individuals labelling themselves as IEI-EMF reported neither symptoms nor any negative impact on their daily life. <b>Conclusion</b>: A minimum of two questions appear to be necessary as inclusion criteria for IEI-EMF in empirical research. Instead of the widely used yes-or-no question on accepting the IEI-EMF label, occurrence of symptoms attributed to EMF on a regular basis and at least a slight negative impact on daily life are required. Electromagnetic hypersensitivity (IEI-EMF) is often assessed by one yes-or-no self-report question. This practice is inappropriate from a conceptual and methodological point of view. At least two questions, assessing frequency of symptoms and their impact, are needed.
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2

Dömötör, Zsuzsanna, Ferenc Köteles, and Renáta Szemerszky. "Az elektromágneses tereknek tulajdonított idiopátiás környezeti intolerancia (IEI-EMF) jelensége az érintettek szemszögéből." Mentálhigiéné és Pszichoszomatika 23, no. 2 (2022): 158–92. http://dx.doi.org/10.1556/0406.23.2022.007.

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Kétrészes narratív összefoglalónkban áttekintést nyújtunk az elektromágneses tereknek tulajdonított idiopátiás környezeti intoleranciával (IEI-EMF, más néven elektromágneses túlérzékenységgel) kapcsolatos tudományos eredményekről, a kutatások jelenlegi állásáról. Tanulmányunk első részében az IEI-EMF jellemzőit az érintett személyek szemszögéből tárgyaljuk. A közleményünkben foglaltak hasznosak lehetnek úgy az érintett személyek, mint az egészségügyi szakemberek számára. Az elektromágneses túlérzékenység olyan állapotot jelent, amely során az érintett személy tüneteket tapasztal az elektromos eszközök közelében vagy azok használata során, és tüneteit az elektromágneses expozíciónak tulajdonítja. Az Egészségügyi Világszervezet jelenlegi álláspontja szerint az elektromágneses túlérzékenység nem diagnosztikus kategória, s mivel az elektromágneses kitettség és a tünetek közötti feltételezett kapcsolatot az eddigi kutatások eredményei nem igazolták, így a jelenséget az idiopátiás környezeti intoleranciák tágabb kategóriájába sorolták. Az állapot előfordulási gyakorisága jelentős variabilitást mutat az egyes országok között. A tünetek mind jellegükben, mind súlyosság és kronicitás tekintetében változatosak. Jellemzőek a nemspecifikus, általános panaszok, valamint a bőrtünetek. Az IEI-EMF állapota gyakran együtt jár a fiziológiai és kognitív működés megváltozásával, továbbá egyéb szomatikus és mentális megbetegedések is kísérhetik. Jellemző a nagyfokú distressz és a csökkent szomatikus és mentális jóllét. Összefoglalónkban kitérünk az állapot prevalenciájára, a jellemző tünetekre és tünetattribúciós forrásokra, valamint a jelenséget kísérő demográfiai, fiziológiai és pszichológiai jellemzőkre. Ezután kitekintünk az orvos szakemberek elektromágneses túlérzékenységgel kapcsolatos hozzáállására, majd tanulmányunkat a felmerülő etikai kérdésekkel és megfontolásokkal zárjuk.In our two narrative reviews we summarize the current scientific knowledge on idiopathic environmental intolerance (IEI-EMF; aka electromagnetic hypersensitivity). Individuals with electromagnetic hypersensitivity experience symptoms in the proximity or during the use of electrical devices and ascribe them to the electromagnetic exposure. According to the actual standpoint of the World Health Organization, IEI-EMF is not a diagnostic category. As the assumed causal association between exposure and symptoms is not supported by empirical findings, the condition is regarded as an instrance of the broad category of idiopathic environmental intolerances. Prevalence of the condition shows a considerable variability among countries. Also, there is a heterogeneity with respect to quality, seriousness and chronicity of the experienced symptoms. Most frequently non-specific and skin-related symptoms are reported. IEI-EMF is often accompanied by altered physiological and cognitive functioning and other somatic and mental diseases. Is is also characterized by high level of distress and decreased somatic and mental well-being. In this paper, we discuss IEI-EMF from the viewpoint of the impacted individuals. We present its prevalence, the typical symptoms and attributions, and demographic, physiological and psychological characteristics of people with IEI-EMF. We also present attitudes of physicians toward IEI-EMF and the related ethical issues.
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3

Bevington, Michael. "The Prevalence of People With Restricted Access to Work in Man-Made Electromagnetic Environments." Journal of Environment and Health Science 5, no. 1 (2019): 1–12. http://dx.doi.org/10.15436/2378-6841.19.2402.

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Some surveys have identified people who have restricted access to work in environments with man-made electromagnetic exposures. This study attempts to determine their prevalence, an aspect not previously investigated in its own right. It is based on analyses of the two different types of surveys of people with Idiopathic Environmental Intolerance attributed to Electromagnetic Fields (IEI-EMF), or Electromagnetic Hyper-Sensitivity (EHS), either of the general population or of people with IEI-EMF/EHS. In addition, there are different definitions of IEI-EMF/EHS, with a range of subconscious, mild, moderate or severe symptoms, potentially leading in three stages to hyper-sensitivity. The current evidence is assessed as indicating that, in addition to subconscious sensitivity, the prevalence of IEI-EMF/EHS is between about 5.0 and 30 per cent of the general population for mild cases, 1.5 and 5.0 per cent for moderate cases and &lt; 1.5 per cent for severe cases. The prevalence of people restricted in their access to work in a man-made electromagnetic environment is estimated at 0.65 per cent of the general population, at about 18% of the general population with moderate IEI-EMF/EHS. The estimate of 0.65% equates to 435,500 people in the UK’s population of 67 million. Some reasons for possible under-reporting are discussed. Adjustments can enable some people with this disability to remain in employment, suggesting that rates of restriction in access to work may fall as employers become aware of what adjustments are needed.
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4

Dömötör, Zsuzsanna, Gábor Ruzsa, György Thuróczy, et al. "An idiographic approach to Idiopathic Environmental Intolerance attributed to Electromagnetic Fields (IEI-EMF) Part II. Ecological momentary assessment of three individuals with severe IEI-EMF." Heliyon 8, no. 5 (2022): e09421. http://dx.doi.org/10.1016/j.heliyon.2022.e09421.

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5

Dömötör, Zsuzsanna, Ferenc Köteles, and Renáta Szemerszky. "Az elektromágneses tereknek tulajdonított idiopátiás környezeti intolerancia (IEI-EMF) jelensége a szakemberek szemszögéből." Mentálhigiéné és Pszichoszomatika 23, no. 3 (2022): 316–56. http://dx.doi.org/10.1556/0406.23.2022.012.

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Kétrészes narratív összefoglalónkban áttekintést nyújtunk az elektromágneses tereknek tulajdonított idiopátiás környezeti intoleranciával (IEI-EMF, más néven elektromágneses túlérzékenységgel) kapcsolatos tudományos eredményekről, a kutatások jelenlegi állásáról. Az elektromágneses túlérzékenység olyan állapotot jelent, amely során az érintett személy tüneteket tapasztal az elektromos eszközök közelében vagy azok használatakor, és tüneteit az elektromágneses expozíciónak tulajdonítja. Az Egészségügyi Világszervezet jelenlegi álláspontja szerint az IEI-EMF nem diagnosztikus kategória, megállapításához jelenleg sem orvosi teszt, sem valid protokoll nem áll rendelkezésre. Jellemző az állapotra a nagyfokú distressz, gyakran vezet szociális izolációhoz, valamint a munkaképesség elvesztéséhez. Gyakoriak a különböző komorbid mentális zavarok, mint a szorongás, depresszió, szomatizáció. Az elektromágneses túlérzékenység etiológiájával kapcsolatos elméletek két fő irányvonalat képviselnek: míg a biofizikai megközelítés szerint a tüneteket elektromágneses mezők által aktivált fiziológiai folyamatok idézik elő, addig a pszichogén elméletet propagáló szerzők a tünetképzés jelenségét pszichológiai folyamatokkal magyarázzák (például torzult figyelmi és attribúciós folyamatok, nocebohatás, asszociatív tanulás). Számos kutató hangsúlyozza azonban, hogy a jelenség teljes megértéséhez a két megközelítés integrálására és interdiszciplináris kutatócsoportok felállítására van szükség. Jelen írásunkban a jelenséggel kapcsolatos jellemzőket kutatói és orvosi szemszögből járjuk körül: az etiológiával kapcsolatos elméletek bemutatásán túl kitérünk a vizsgálati, módszertani nehézségekre, a definíciós és diagnosztikus problémákra és a terápiás lehetőségekre.
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Dömötör, Zsuzsanna, Zsuzsanna Szabolcs, Márk Bérdi, Michael Witthöft, Ferenc Köteles, and Renáta Szemerszky. "An idiographic approach to idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF) part I. Environmental, psychosocial and clinical assessment of three individuals with severe IEI-EMF." Heliyon 8, no. 7 (2022): e09987. http://dx.doi.org/10.1016/j.heliyon.2022.e09987.

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7

Verrender, Adam, Sarah P. Loughran, Vitas Anderson, et al. "IEI-EMF provocation case studies: A novel approach to testing sensitive individuals." Bioelectromagnetics 39, no. 2 (2017): 132–43. http://dx.doi.org/10.1002/bem.22095.

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8

KACPRZYK, Artur. "Objawy związane z idiopatyczną nietolerancją środowiskową przypisywaną działaniu pól elektromagnetycznych (IEI-EMF) – badanie kwestionariuszowe." PRZEGLĄD ELEKTROTECHNICZNY 1, no. 12 (2020): 188–91. http://dx.doi.org/10.15199/48.2020.12.39.

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9

Dömötör, Zsuzsanna, Bettina K. Doering, and Ferenc Köteles. "Dispositional aspects of body focus and idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF)." Scandinavian Journal of Psychology 57, no. 2 (2016): 136–43. http://dx.doi.org/10.1111/sjop.12271.

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10

Köteles, Ferenc, Renáta Szemerszky, Mónika Gubányi, et al. "Idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF) and electrosensibility (ES) – Are they connected?" International Journal of Hygiene and Environmental Health 216, no. 3 (2013): 362–70. http://dx.doi.org/10.1016/j.ijheh.2012.05.007.

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11

Bräscher, Anne-Kathrin, Stefan M. Schulz, Omer Van den Bergh, and Michael Witthöft. "Prospective study of nocebo effects related to symptoms of idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF)." Environmental Research 190 (November 2020): 110019. http://dx.doi.org/10.1016/j.envres.2020.110019.

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12

Andrianome, Soafara, Laurent Hugueville, René de Seze, et al. "Disturbed sleep in individuals with idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF): Melatonin assessment as a biological marker." Bioelectromagnetics 37, no. 3 (2016): 175–82. http://dx.doi.org/10.1002/bem.21965.

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13

Andrianome, Soafara, René De Seze, Anne Braun, and Brahim Selmaoui. "Descriptive self-reporting survey of people with idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF): similarities and comparisons with previous studies." Journal of Public Health 26, no. 4 (2017): 461–73. http://dx.doi.org/10.1007/s10389-017-0886-0.

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14

Irigaray, Philippe, Garrel Catherine, Houssay Carine, Mantello Pierre, and Belpomme Dominique. "Beneficial effects of a Fermented Papaya Preparation for the treatment of electrohypersensitivity self-reporting patients: results of a phase I-II clinical trial with special reference to cerebral pulsation measurement and oxidative stress analysis." Functional Foods in Health and Disease 8, no. 2 (2018): 122. http://dx.doi.org/10.31989/ffhd.v8i2.406.

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Background: Electromagnetic Field Intolerance Syndrome (EMFIS), also termed Idiopathic Environmental Intolerance (IEI) attributed to Electromagnetic Fields (IEI-EMF) by WHO, is a newly identified pathological disorder occurring in electrohypersensitivity (EHS) self-reporting patients. To date, there has been no recognized treatment of this disorder. We have shown that EHS self-reporting patients experience some degree of oxidative stress, inflammation, and autoimmune response. Additionally, Fermented Papaya Preparation (FPP) has some antioxidant, anti-inflammation, and immuno-modulating properties. The objective of this phase I-II clinical trial was thus to test whether FPP treatment is well tolerated, can improve clinical outcomes, and normalize biological abnormalities. Methods: 32 EMFIS-bearing patients were serially included in this trial, among which 26 and 16 of them were evaluable after 3 and 6 months of FPP treatment, respectively. Clinical assessment was conducted during a specific face to face interview by using a validated pre-established questionnaire. Biological assessment consisted of measuring intracerebral tissue pulsometric index (PI) in the temporal lobes with ultrasonic cerebral tomosphygmography (UCTS), in addition to oxidative stress and inflammation with a battery of oxidative stress and inflammation-related peripheral blood tests.Results: Overall clinical improvement was obtained in 50-60% of the cases, among which 20-35% presented major improvement that mainly consisted of the regression of cognitive symptoms such as loss of short term memory, concentration, attention deficiencies, insomnia, and fatigue. This clinical improvement was objectively supported by a statistically significant normal recovery of mean PI in the temporal lobes and by a FPP-related antioxidative effect evidenced by a statistically significant decrease in malondialdehyde levels in the plasma (p&lt;0.0001) and increase in the Glutathione peroxidase activity in red blood cells (p&lt;0.01) in patients experiencing oxidative stress. Moreover, this trial evidenced some degree of FPP-related anti-inflammatory effects by demonstrating a statistically significant decrease in histamine (p=0.049) and HSP27/HSP70 chaperone proteins (p=0.007) in the peripheral blood of patients with initial increased values of these inflammation-related biomarkers.Conclusion: The results suggest a beneficial clinical and biological therapeutic effect of FPP in EHS self-reporting patients. However, the precise underlying mechanism has not yet been elucidated.
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Witthöft, Michael, and G. James Rubin. "Are media warnings about the adverse health effects of modern life self-fulfilling? An experimental study on idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF)." Journal of Psychosomatic Research 74, no. 3 (2013): 206–12. http://dx.doi.org/10.1016/j.jpsychores.2012.12.002.

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16

Huang, Po-Chang, Jui-chin Chiang, Ya-Yun Cheng, et al. "Physiological changes and symptoms associated with short-term exposure to electromagnetic fields: a randomized crossover provocation study." Environmental Health 21, no. 1 (2022). http://dx.doi.org/10.1186/s12940-022-00843-1.

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Abstract Background The biological association between electromagnetic fields (EMF) and idiopathic environmental intolerance attributed to EMF (IEI-EMF) has not been established. To assess the physiological changes and symptoms associated with exposure to EMF, we conducted a randomized crossover provocation study. Methods We recruited 58 individuals with IEI-EMF (IEI-EMF group) and 92 individuals without IEI-EMF (control group). In a controlled environment, all participants received EMF signals mimicking those from mobile phone base stations in a randomized sequence under the blinded condition. During the course, participants reported their symptoms and whether they perceived EMF, and we monitored their physiological parameters, including blood pressure (BP), heart rate (HR), and HR variability. Results The IEI-EMF and control groups reported similar frequencies of symptoms during both the provocation and sham sessions. No participant could accurately identify the provocation. In both groups, physiological parameters were similar between the two sessions. The control group, but not the IEI-EMF group, had elevated HR when they perceived EMF exposure. Conclusions No symptoms or changes in physiological parameters were found to be associated with short-term exposure to EMF, and no participant could accurately detect the presence of EMF. Moreover, the participants in the control group, but not those in the IEI-EMF group, had elevated HR when they perceived EMF.
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17

Szemerszky, Renáta, Zsuzsanna Dömötör, and Ferenc Köteles. "One Single Question Is not Sufficient to Identify Individuals With Electromagnetic Hypersensitivity." Clinical Psychology in Europe 1, no. 4 (2019). http://dx.doi.org/10.32872/cpe.v1i4.35668.

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Idiopathic Environmental Intolerance attributed to Electromagnetic Fields (IEI-EMF) is a self-reported condition where non-specific symptoms are attributed to weak non-ionizing electromagnetic fields. Despite its expanding prevalence, there is no generally accepted diagnostic procedure or definition to identify patients with this condition, thus studies usually apply only one question as inclusion criterion. The aim of our study was to demonstrate the heterogeneity of a self-reported IEI-EMF group and to identify further self-report questions that could be applied as inclusion criteria. Cross-sectional on-line survey study was carried out with 473 participants (76.3% women; age: 35.03 ± 13.24 yrs). Self-diagnosed IEI-EMF (as assessed with a yes-or-no question), frequency of EMF-related symptom and severity of the condition were assessed, as well as somatic symptom distress (Patient Health Questionnaire Somatic Symptom Severity Scale, PHQ-15). 72 (15.2%) individuals labelled themselves as IEI-EMF, however only 61% of them remained in the IEI-EMF group after the use of three inclusion criteria instead of one. 21% of the individuals labelling themselves as IEI-EMF reported neither symptoms nor any negative impact on their daily life. A minimum of two questions appear to be necessary as inclusion criteria for IEI-EMF in empirical research. Instead of the widely used yes-or-no question on accepting the IEI-EMF label, occurrence of symptoms attributed to EMF on a regular basis and at least a slight negative impact on daily life are required. Electromagnetic hypersensitivity (IEI-EMF) is often assessed by one yes-or-no self-report question. This practice is inappropriate from a conceptual and methodological point of view. At least two questions, assessing frequency of symptoms and their impact, are needed. Electromagnetic hypersensitivity (IEI-EMF) is often assessed by one yes-or-no self-report question. This practice is inappropriate from a conceptual and methodological point of view. At least two questions, assessing frequency of symptoms and their impact, are needed.
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18

Piras, Cristina, Stella Conte, Monica Pibiri, et al. "Metabolomics and psychological features in fibromyalgia and electromagnetic sensitivity." Scientific Reports 10, no. 1 (2020). http://dx.doi.org/10.1038/s41598-020-76876-8.

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AbstractFibromyalgia (FM) as Fibromyalgia and Electromagnetic Sensitivity (IEI-EMF) are a chronic and systemic syndrome. The main symptom is represented by strong and widespread pain in the musculoskeletal system. The exact causes that lead to the development of FM and IEI-EMF are still unknown. Interestingly, the proximity to electrical and electromagnetic devices seems to trigger and/or amplify the symptoms. We investigated the blood plasma metabolome in IEI-EMF and healthy subjects using 1H NMR spectroscopy coupled with multivariate statistical analysis. All the individuals were subjected to tests for the evaluation of psychological and physical features. No significant differences between IEI-EMF and controls relative to personality aspects, Locus of Control, and anxiety were found. Multivariate statistical analysis on the metabolites identified by NMR analysis allowed the identification of a distinct metabolic profile between IEI-EMF and healthy subjects. IEI-EMF were characterized by higher levels of glycine and pyroglutamate, and lower levels of 2-hydroxyisocaproate, choline, glutamine, and isoleucine compared to healthy subjects. These metabolites are involved in several metabolic pathways mainly related to oxidative stress defense, pain mechanisms, and muscle metabolism. The results here obtained highlight possible physiopathological mechanisms in IEI-EMF patients to be better defined.
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Schmiedchen, Kristina, Sarah Driessen, and Gunnhild Oftedal. "Methodological limitations in experimental studies on symptom development in individuals with idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF) – a systematic review." Environmental Health 18, no. 1 (2019). http://dx.doi.org/10.1186/s12940-019-0519-x.

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Abstract Background Hypersensitivity to electromagnetic fields (EMF) is a controversial condition. While individuals with idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF) claim to experience health complaints upon EMF exposure, many experimental studies have found no convincing evidence for a physical relation. The aim of this systematic review was to evaluate methodological limitations in experimental studies on symptom development in IEI-EMF individuals that might have fostered false positive or false negative results. Furthermore, we compared the profiles of these limitations between studies with positive and negative results. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guided the methodological conduct and reporting. Eligible were blinded experimental studies that exposed individuals with IEI-EMF to different EMF exposure levels and queried the development of symptoms during or after each exposure trial. Strengths and limitations in design, conduct and analysis of individual studies were assessed using a customized rating tool. Results Twenty-eight studies met the eligibility criteria and were included in this review. In many studies, both with positive and negative results, we identified methodological limitations that might have either fostered false or masked real effects of exposure. The most common limitations were related to the selection of study participants, the counterbalancing of the exposure sequence and the effectiveness of blinding. Many studies further lacked statistical power estimates. Methodically sound studies indicated that an effect of exposure is unlikely. Conclusion Overall, the evidence points towards no effect of exposure. If physical effects exist, previous findings suggest that they must be very weak or affect only few individuals with IEI-EMF. Given the evidence that the nocebo effect or medical/mental disorders may explain the symptoms in many individuals with IEI-EMF, additional research is required to identify the various factors that may be important for developing IEI-EMF and for provoking the symptoms. We recommend the identification of subgroups and exploring IEI-EMF in the context of other idiopathic environmental intolerances. If further experimental studies are conducted, they should preferably be performed at the individual level. In particular, to increase the likelihood of detecting hypersensitive individuals, if they exist, we encourage researchers to achieve a high credibility of the results by minimizing sources of risk of bias and imprecision.
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Ledent, Maryse, Jimmy Bordarie, Benjamin Vatovez, et al. "Exposure Perception and Symptom Reporting in Idiopathic Environmental Intolerance Attributed to Electromagnetic Fields Using a Co‐Designed Provocation Test." Bioelectromagnetics 46, no. 3 (2025). https://doi.org/10.1002/bem.70006.

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ABSTRACTIdiopathic Environmental Intolerance Attributed to Electromagnetic Fields (IEI‐EMF) is a syndrome that defines people who report symptoms that they attribute to their exposure to EMF sources, without any identified underlying medical condition to explain these symptoms. To date, provocation protocols have failed to demonstrate a consistent relationship between EMF exposure and reported symptoms, raising questions among some researchers and individuals with IEI‐EMF about the relevance of these protocols for studying the syndrome. To address these criticisms, a provocation protocol was co‐designed in collaboration with individuals with IEI‐EMF. This study presents the results of the tests, with a focus on exposure perception and symptom reporting among IEI‐EMF volunteers. A total of 47 IEI‐EMF volunteers were enrolled and participated in an open‐field habituation session. Of these, 27 completed the first double‐blind controlled exposure session, while 26 and 16 volunteers, respectively, participated in three sessions for collective analyses and 12 sessions for individual‐level analyses. At the individual level, no consistent association was found between exposure perception certainty level and exposure status, except for one volunteer whose perception was mostly consistent with exposure status. Similarly, symptom reporting did not align with exposure status, except for the same volunteer, whose symptom reporting showed a borderline significant result with exposure status. However, for half of the volunteers, symptom reporting was significantly correlated with exposure perception certainty level, supporting a nocebo hypothesis. At the collective level, no consistency was observed between exposure perception certainty level, symptom reporting, and exposure status. This study discusses the conditions necessary for future provocation protocols to enhance their relevance, acceptability, and potential utility in a possible care‐oriented approach. It also considers criticisms of using exposure perception and symptom reporting as outcomes in provocation protocols, despite their central role in how individuals identify themselves as individuals with IEI‐EMF.
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Piras, Cristina, Monica Pibiri, Stella Conte, et al. "Metabolomics analysis of plasma samples of patients with fibromyalgia and electromagnetic sensitivity using GC–MS technique." Scientific Reports 12, no. 1 (2022). http://dx.doi.org/10.1038/s41598-022-25588-2.

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AbstractFibromyalgia (FM) is a chronic and systemic condition that causes widespread chronic pain, asthenia, and muscle stiffness, as well as in some cases depression, anxiety, and disorders of the autonomic system. The exact causes that lead to the development of FM are still unknown today. In a percentage of individuals, the symptoms of FM are often triggered and/or exacerbated by proximity to electrical and electromagnetic devices. Plasma metabolomic profile of 54 patients with fibromyalgia and self-reported electromagnetic sensitivity (IEI-EMF) were compared to 23 healthy subjects using gas chromatography-mass spectrometry (GC–MS) coupled with multivariate statistical analysis techniques. Before the GC–MS analysis the plasma samples were extracted with a modified Folch method and then derivatized with methoxamine hydrochloride in pyridine solution and N-trimethylsilyltrifuoroacetamide. The combined analysis allowed to identify a metabolomic profile able of distinguishing IEI-EMF patients and healthy subjects. IEI-EMF patients were therefore characterized by the alteration of 19 metabolites involved in different metabolic pathways such as energy metabolism, muscle, and pathways related to oxidative stress defense and chronic pain. The results obtained in this study complete the metabolomic "picture" previously investigated on the same cohort of IEI-EMF patients with 1H-NMR spectroscopy, placing a further piece for better understanding the pathophysiological mechanisms in patients with IEI-EMF.
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Malek, F., K. A. Rani, H. A. Rahim, and M. H. Omar. "Effect of Short-Term Mobile Phone Base Station Exposure on Cognitive Performance, Body Temperature, Heart Rate and Blood Pressure of Malaysians." Scientific Reports 5, no. 1 (2015). http://dx.doi.org/10.1038/srep13206.

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Abstract Individuals who report their sensitivity to electromagnetic fields often undergo cognitive impairments that they believe are due to the exposure of mobile phone technology. The aim of this study is to clarify whether short-term exposure at 1 V/m to the typical Global System for Mobile Communication and Universal Mobile Telecommunications System (UMTS) affects cognitive performance and physiological parameters (body temperature, blood pressure and heart rate). This study applies counterbalanced randomizing single blind tests to determine if sensitive individuals experience more negative health effects when they are exposed to base station signals compared with sham (control) individuals. The sample size is 200 subjects with 50.0% Idiopathic Environmental Intolerance attributed to electromagnetic fields (IEI-EMF) also known as sensitive and 50.0% (non-IEI-EMF). The computer-administered Cambridge Neuropsychological Test Automated Battery (CANTAB eclipse TM) is used to examine cognitive performance. Four tests are chosen to evaluate Cognitive performance in CANTAB: Reaction Time (RTI), Rapid Visual Processing (RVP), Paired Associates Learning (PAL) and Spatial Span (SSP). Paired sample t-test on the other hand, is used to examine the physiological parameters. Generally, in both groups, there is no statistical significant difference between the exposure and sham exposure towards cognitive performance and physiological effects (P’s &gt; 0.05).
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23

Verrender, Adam, Nikkeah K. Wallace, Sarah P. Loughran, Chloe Wallace, James Beange, and Rodney J. Croft. "What is the effect of alarmist media and radiofrequency electromagnetic field (RF‐EMF) exposure on salivary cortisol and non‐specific symptoms?" Applied Psychology: Health and Well-Being 17, no. 3 (2025). https://doi.org/10.1111/aphw.70044.

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AbstractWhile there is consistent evidence that the symptoms reported by people who experience Idiopathic Environmental Intolerance attributed to Electromagnetic Fields (IEI‐EMF) are closely associated with a nocebo effect, and that alarmist media reports may contribute to this nocebo effect, some methodological criticisms remain to be resolved. This study aimed to replicate previous findings and determine whether viewing an alarmist media report and being openly exposed to radiofrequency electromagnetic fields (RF‐EMF) could induce a salivary cortisol response. A total of 144 participants were randomly assigned to watch either an alarmist or control video before completing an open‐label provocation trial where they were either exposed or not exposed to RF‐EMF. Personality factors, RF‐EMF risk perception (pre‐ and post‐video), symptoms and salivary cortisol were assessed. Consistent with previous studies, participants who were aware that they were being exposed had increased symptoms compared to participants who were aware they were not being exposed. However, the current study failed to replicate an effect of viewing an alarmist media report and being openly exposed to RF‐EMF on symptoms and failed to identify an effect on salivary cortisol. This suggests that awareness and belief of exposure play a more important role in symptom perception than underlying physiological processes.
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24

Baliatsas, Christos, Irene Van Kamp, Erik Lebret, and G. James Rubin. "Idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF): A systematic review of identifying criteria." BMC Public Health 12, no. 1 (2012). http://dx.doi.org/10.1186/1471-2458-12-643.

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25

Baliatsas, Christos, Irene Van Kamp, Erik Lebret, and G. James Rubin. "IDIOPATHIC ENVIRONMENTAL INTOLERANCE ATTRIBUTED TO ELECTROMAGNETIC FIELDS (IEI-EMF): A SYSTEMATIC REVIEW OF IDENTIFYING CRITERIA." ISEE Conference Abstracts 2011, no. 1 (2011). http://dx.doi.org/10.1289/isee.2011.00194.

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26

Leszczynski, Dariusz. "The lack of international and national health policies to protect persons with self-declared electromagnetic hypersensitivity." Reviews on Environmental Health, October 26, 2022. http://dx.doi.org/10.1515/reveh-2022-0108.

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Abstract Electromagnetic hypersensitivity (EHS), known also as an idiopathic environmental intolerance attributed to electromagnetic fields (IEI-EMF) or a microwave sickness, is not considered by the World Health Organization (WHO) as being caused by the exposures to electromagnetic fields (EMF). EHS is not recognized as a disease anywhere in the world. Some studies have roughly estimated that 1–10% of the population might experience some form of EHS. However, because of the lack of diagnostic criteria for EHS, these estimates might be either under- or over-estimates. Because the vast majority of human population is exposed to EMF, the possibility of developing EHS from the EMF is a substantial public health issue that should be dealt with globally, even if the individual risk of developing EHS might be small. The WHO recognizes that the symptoms experienced by the EHS persons might be severe and might significantly hamper everyday life. However, after a broad analysis of international and national documents, there seems to be currently no effort to develop health policies for the dealing with EHS, no matter what causes it. National governments, follow the opinions of the WHO and the EMF safety standards setting organizations, the International Commission on Non-Ionizing Radiation Protection (ICNIRP) and the Institute of Electrical and Electronics Engineers – International Committee on Electromagnetic Safety (IEEE-ICES), are not developing any practical health policy advisories for self-declared EHS sufferers. However, symptoms experienced by the self-declared EHS persons affect their well-being and, according to the Constitution of the WHO, are a health problem. Hence, independently of what causes EHS symptoms, this admitted well-being-impairment should be dealt with globally by developing an uniform health policy. Furthermore, WHO, ICNIRP and IEEE-ICES should be advocating and supporting research that would generate a reliable scientific evidence on what are the possible cause(s) of EHS. Without such research there is not possible to develop diagnostic methods as well as any possible mitigation approaches. There is an urgent need for the WHO to advocate for the national governments to urgently develop a comprehensive and common EHS health policy.
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