A. Wetherell, COGNITIVE AND PSYCHOMOTOR PERFORMANCE TESTS AND EXPERIMENT DESIGN IN MULTIPLE CHEMICAL-SENSITIVITY, Environmental health perspectives, 105, 1997, pp. 495-503
People suffering from multiple chemical sensitivity (MCS) complain of
a variety of symptoms that could impair cognitive and psychomotor func
tion either directly or indirectly. This paper discusses the use of co
gnitive and psychomotor performance tests together with some experimen
t designs that could be considered for use to assess fitness of MCS su
fferers for work or the efficacy of diagnostic, preventative, or thera
peutic measures. The tests could also contribute to the body of object
ive information on MCS and help sway the opinion of those who are dubi
ous of its authenticity. The credentials of cognitive and psychomotor
performance tests are derived from their successful use in studying th
e effects of drugs, and the types of tests are illustrated by describi
ng those used by the United Kingdom Defence Evaluation and Research Ag
ency Chemical and Biological Defence Human Studies Group, which has be
en involved in the assessment of drugs and chemicals on work performan
ce for many years. The tests include mathematical, verbal and spatial
processing, tracking, reaction time, attention and vigilance, and memo
ry tests. The discussion of experiment designs includes both repeated
measures and parallel groups designs together with their advantages an
d disadvantages and some suggested modifications to accommodate the pa
rticular problems posed by MCS.