Posttraumatic stress symptomatology is associated with unexplained illness attributed to Persian Gulf War military service
| Autor: | Julian D. Ford, Binder Lm, Storzbach D, Campbell Ka, Anger Wk, Diane S. Rohlman |
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| Rok vydání: | 2001 |
| Předmět: |
Adult
Male Washington medicine.medical_specialty Military service Health Status Stress Disorders Post-Traumatic Oregon medicine Humans Persian Gulf Syndrome Psychiatry Applied Psychology Depression (differential diagnoses) Veterans Response rate (survey) Combat Disorders business.industry Stressor medicine.disease humanities Psychiatry and Mental health Logistic Models Mental Health Case-Control Studies Multivariate Analysis Etiology Anxiety Female medicine.symptom business Cognition Disorders Somatization Clinical psychology Psychological trauma |
| Zdroj: | Psychosomatic medicine. 63(5) |
| ISSN: | 0033-3174 |
| Popis: | OBJECTIVE Controversy exists concerning unexplained illness in Persian Gulf War veterans, especially regarding the contribution of psychological trauma. We sought to determine if war zone trauma or posttraumatic stress symptomatology (PTSS) are associated with illnesses reported by Gulf War veterans that were documented by medical examination but not attributable to a medical diagnosis. METHODS A total of 1119 (55% response rate) of 2022 randomly sampled veterans of the United States Persian Gulf War were screened and 237 cases and 113 controls were identified by medical examination for a case-control study comparing Persian Gulf War military veterans with or without medically documented, but unexplained, symptoms. Multivariate logistic regression and cross-validation analyses examined self-report measures of demographics, subjective physical symptoms and functioning, psychiatric symptoms, stressors, war zone trauma, and PTSS, to identify correlates of case-control status. RESULTS Posttraumatic stress symptomatology and somatic complaints were independently associated with case status, as were (although less consistently) war zone trauma and depression. Age, education, and self-reported health, stress-related somatization, pain, energy/fatigue, illness-related functional impairment, recent stressors, and anxiety were univariate (but not multivariate) correlates of case status. CONCLUSIONS PTSS related to war zone trauma warrants additional prospective research study and attention in clinical screening and assessment as a potential contributor to the often debilitating physical health problems experienced by Persian Gulf War veterans. |
| Databáze: | OpenAIRE |
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