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American Journal of Public Health Research. 2018, 6(2), 84-98
DOI: 10.12691/AJPHR-6-2-11
Special Issue

Psychosocial Effects of Beryllium Sensitization and Chronic Beryllium Disease

Jeffrey R. Miller1, , Gregory C. Petty2, Paul C. Erwin2 and Donna L. Cragle1

1Oak Ridge Associated Universities, P.O. Box 117, Oak Ridge, TN 37831-0117

2The University of Tennessee, Department of Public Health, 1914 Andy Holt Ave.,369 HPER, Knoxville, TN 37996-3430

Pub. Date: March 22, 2018

Cite this paper

Jeffrey R. Miller, Gregory C. Petty, Paul C. Erwin and Donna L. Cragle. Psychosocial Effects of Beryllium Sensitization and Chronic Beryllium Disease. American Journal of Public Health Research. 2018; 6(2):84-98. doi: 10.12691/AJPHR-6-2-11

Abstract

The objective of this research was to describe the psychosocial effects of beryllium sensitization (BeS) and chronic beryllium disease (CBD) for a sample of current and former workers from U.S. Department of Energy facilities in Oak Ridge, TN. Semi-structured interviews were conducted with 13 participants. Interviews were recorded and transcribed. The responses were coded and analyzed to identify patterns and themes and to learn about their experiences. The results were compared to a theoretical model developed by the authors. Participants described ambiguity, inconsistency, vagueness, unpredictability, lack of information, and unfamiliarity that was consistent with the Michel Uncertainty in Illness Scale. They also described how they adjusted to their illness in a manner aligned with Derogatis’ Psychosocial Adjustment to Illness theory. Based on the results of this study, it appears appropriate to apply Uncertainty in Illness and Psychosocial Adjustment to Illness theories to BeS and CBD. Uncertainty may be considered an independent variable and psychosocial adjustment an intermediate variable in the study of the psychosocial effects of BeS and CBD.

Keywords

Beryllium, berylliosis, uncertainty in illness, psychosocial adjustment, stress and coping

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  Maier LA. 2002. Genetic and exposure risks for chronic beryllium disease. Clinics in Chest Medicine 23: 827-839.
 
[2]  Samuel G, Maier LA. 2008. Immunology of chronic beryllium disease. Current Opinion in Allergy and Clinical Immunology 8: 126-134.
 
[3]  Müller-Quernheim J, Gaede KI, Fireman E, Zissel G. 2006. Diagnoses of chronic beryllium disease within cohorts of sarcoidosis patients. European Respiratory Journal 27: 1190-1195.
 
[4]  Infante PF, Newman LS. 2004. Beryllium exposure and chronic beryllium disease. Lancet 363: 415-416.
 
[5]  Kreiss K, Mroz MM, Zhen BG, Martyny JW, Newman LS. 1993. Epidemiology of beryllium sensitization and disease in nuclear workers. Am Rev Resp Dis 148: 985-991.
 
[6]  Kreiss K, Newman LS, Mroz MM, Campbell PA. 1989. Screening blood test identifies subclinical beryllium disease. J Occ Env Med 31: 603-608.
 
[7]  Kreiss K, Mroz MM, Zhen B, Wiedemann H, Barna B. 1997. Risks of beryllium disease related to work processes at a metal, alloy, and oxide production plant. Occ Env Med 54: 605-612.
 
[8]  Kreiss K, Mroz MM, Newman LS, Martyny J, Zhen B. 1996. Machining risk of beryllium disease and sensitization with median exposures below 2 μg/m3. Am J Ind Med 30: 16-25.
 
[9]  Schuler CR, Kitt MM, Henneberger PK, Deubner DC, Kreiss K. 2008. Cumulative sensitization and disease in a beryllium oxide ceramics worker cohort. J Occ Env Med 50: 1343-1350.
 
[10]  Kreiss K, Day GA, Schuler CR. 2007. Beryllium: A modern industrial hazard. Ann Rev Pub Heal 28: 259-277.
 
[11]  Day GA, Dufresne A, Stefaniak AB, Schuler CR, Stanton ML, Miller WE, Kent MS, Deubner DC, Kreiss K, Hoover MD. 2006. Exposure pathway assessment at a copper–beryllium alloy facility. Ann Occ Hyg 51: 67-80.
 
[12]  Newman LS, Mroz MM, Balkissoon R, Maier LA. 2005a. Beryllium sensitization progresses to chronic beryllium disease - A longitudinal study of disease risk. Am J Resp Crit Care Med 171: 54-60.
 
[13]  Newman LS, Mroz MM, Balkissoon R, Maier LA. 2005b. Screening for chronic beryllium disease. Am J Resp Crit Care Med 172: 1230-1231.
 
[14]  Jaskula B. 2011. U.S. Geological Survey, Mineral Commodity Summaries. In: Interior USDo editor. p 28-29.
 
[15]  Kelly TD, Matos GR. 2011. U.S. Geological Survey, historical statistics for mineral and material commodities in the United States: U.S. Geological Survey data series 140.
 
[16]  Henneberger PK, Goe SK, Miller WE, Doney B, Groce DW. 2004. Industries in the United States with airborne beryllium exposure and estimates of the number of current workers potentially exposed. J Occ Env Hyg 1: 648-659.
 
[17]  Hardy HL. 1955. Epidemiology, clinical character, and treatment of beryllium poisoning. AMA Archives Industrial Health 11: 273-279.
 
[18]  Van Orsdstrand HS, Hughes R, DeNardi JM, Carmody MG. 1945. Beryllium poisoning. JAMA 129: 1084-1090.
 
[19]  Stange AW, Furman FJ, Hilmas DE. 1996a. Rocky Flats beryllium health surveillance Research Triangle Park, NC: U.S. Department of Health and Human Services. 6 p.
 
[20]  Stange AW, Hilmas DE, Furman FJ. 1996b. Possible health risks from low level exposure to beryllium. Toxicology 111: 213-224.
 
[21]  Stange AW, Hilmas DE, Furman FJ, Gatliffe TR. 2001. Beryllium sensitization and chronic beryllium disease at a former nuclear weapons facility. App Occ Env Heal 16: 405-417.
 
[22]  Sackett HM, Maier LA, Silveira LJ, Mroz MM, Ogden LG, Murphy JR, Newman LS. 2004. Beryllium medical surveillance at a former nuclear weapons facility during cleanup operations. J Occ Env Med 46: 953-961.
 
[23]  Welch L, Ringen K, Bingham E, Dement J, Takaro T, McGowan W, Chen A, Quinn P. 2004. Screening for beryllium disease among construction trade workers at Department of Energy nuclear sites. Am J Ind Med 46: 207-218.
 
[24]  Rodrigues EG, McClean MD, Weinberg J, Pepper LD. 2008. Beryllium sensitization and lung function among former workers at the Nevada Test Site. Am J Ind Med 51: 512-523.
 
[25]  Arjomandi M, Seward J, Gotway MB, Nishimura S, Fulton GP, Thundiyil J, King TEJ, Harber P, Balmes JR. 2010. Low prevalence of chronic beryllium disease among workers at a nuclear weapons research and development facility. J Occ Env Med 52: 647-652 610.1097/JOM.1090b1013e3181e36439.
 
[26]  Mikulski MA, Leonard SA, Sanderson WT, Hartley PG, Sprince NL, Fuortes LJ. 2011. Risk of beryllium sensitization in a low-exposed former nuclear weapons cohort from the cold war era. Am J Ind Med 54: 194-204.
 
[27]  Energy Do. 1999. Chronic beryllium disease prevention program: final rule Washington DC: Federal Register. p 64:68854-68914.
 
[28]  Council NR. 2007. Health effects of beryllium exposure: A literature review Washington, DC: National Research Council of the National Academies, Committee on Toxicology, Committee on Beryllium Alloy Exposures.
 
[29]  Council NR. 2008. Managing health effects of beryllium exposure Washington, DC: National Research Council of the National Academies, Committee on Toxicology, Committee on Beryllium Alloy Exposures.
 
[30]  Energy Do. 2011a. Beryllium-Associated Worker Registry Summary, October 2010: Department of Energy.
 
[31]  Energy Do. 2011b. Former Worker Medical Screening Program, 2010 Annual Report: Department of Energy.
 
[32]  Miller JR, Petty, G.C., Erwin, P.C.,Cragle, D.L., A Conceptual Model of the Psychosocial Effects of Chronic Beryllium Disease. In Press.
 
[33]  2000. The Energy Employees Occupational IIlness Compensation Act of 2000 U.S.
 
[34]  Annotated TC. 2012. Workers' Compensation Law. Title 50, Chapter 6.
 
[35]  Derogatis LR. 1986. The psychosocial adjustment to illness scale (PAIS). J Psychosomatic Res 30: 77-91.
 
[36]  Derogatis LR, Derogatis, M.F. 1990. The Psychosocial Adjustment to Illness Scale (PAIS & PAIS-SR) Administration, Scoring & Procedures Manual - II Towson, MD.
 
[37]  Mishel MH. 1981. The measurement of uncertainty in illness. Nursing Research 30: 258-263.
 
[38]  Mishel MH. 1990. Reconceptualization of the uncertainty in illness theory. J Nur Schol 22: 256-262.