Jeffrey R. Miller^1,, Gregory C. Petty², Paul C. Erwin², Donna L. Cragle¹

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.

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