Mediating influences of social support on stress at Three Mile Island


Symptom reporting, task performance, and urinary catecholamine excretion were studied in a group of people living near the Three Mile Island nuclear power plant and in control populations. More than a year after the accident, living near the damaged reactor was associated with elevations in all indices of stress compared with control levels. Social support mediated these stress indices such that higher levels were associated with fewer psychological and behavioral symptoms of stress. Biochemical measures showed a different pattern of results.

Health effects of the nuclear accident at Three Mile Island

The real and potential health effects of the accident at Three Mile Island are reviewed in relation to biological effects of low-level radiation and the behavioral response of populations and individuals under stress.

The need for a new medical model: a challenge for biomedicine


The dominant model of disease today is biomedical, and it leaves no room within tis framework for the social, psychological, and behavioral dimensions of illness. A biopsychosocial model is proposed that provides a blueprint for research, a framework for teaching, and a design for action in the real world of health care.