Abstract

Do persons with electrosensitivity differ from individuals reporting symptoms from exposure to mobile phones only? This is the main question addressed in the paper by Rubin et al. [1] in this issue. Previous provocation studies for electromagnetic sensitivity have found no differences in the severity of symptoms elicited by active or sham exposure to electromagnetic fields [2]. Still, a strong perceived association between electromagnetic radiation and a range of nonspecific health complaints exists in the general public. The topic is highly relevant on both an individual and a societal level. Electrosensitivity, alongside with other quite similar functional disorders with nonspecific complaints, accounts for significant public burden, including increased work absenteeism and increased health utilization [3], in addition to the individual consequences from such disorders. Thus, identifying subgroups with a high risk of these adverse consequences is of importance. The study by Rubin et al. is rather small scale, comprising 19 self-labeled electrosensitive individuals compared with 52 persons reporting sensitivity to only mobile phones, as well as 60 healthy controls. Nevertheless, the authors found significant group differences on quite a few outcome measures. A few methodological issues warrant further discussion. As noted by the authors, the most important limitation of the study is its cross-sectional design, which obviously makes it difficult to infer a direction of causality. For example, do negative affect and personal concerns regarding cell phone radiation cause electrosensitivity or

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