The outset of presentation is a comparative view of epidemiological st
udies concerning physico-chemical and psychological conditions involve
d in the generation of sick building syndrome (SBS). The incomplete ha
ndling of psychological problems are pointed out in these studies. In
the first study of 14 SBS-affected and 14 controls, a complaint patter
n with a standardized questionnaire is shown for SBS which decreases w
ith the changes in the room conditions. In a second study of 10 report
s on SBS cases it becomes apparent that coping with the situation and
the effects (problem-oriented vs, emotion-oriented) contribute substan
tially to clarify the complaint patterns. Finally, a comparative study
of several samples with different causations of complaints shows that
the possibility to describe SBS as a specific complaint pattern is li
mited. The type and intensity of sick building symptoms depend essenti
ally on psychological coping with the arousing problems.