Medical evaluation of Persian Gulf veterans with fatigue and/or chemical sensitivity. The subgroups of Gulf veterans who met the criteria for PTSD or CFS-like illness were compared with the total number of Gulf veteran respondents to determine whether these conditions were concentrated in particular demographic or military strata. The diagnosis of CFS is made only after excluding alternative medical causes of chronic fatiguing illness. Studies also indicate that GWI rates differ according to where Veterans were located during deployment, with the highest rates among troops who served in forward areas. Consideration of the survey sampling plan and design variables (stratum and weighting variables) permitted inference to the population. Gray GC, Hawkowarth AW, Smith TC, et al. "Acknowledging the presence of multiple symptoms and taking a holistic approach to achieving patient goals is critical in managing CMI," says McAndrew. During phase I, 30,000 questionnaires were mailed initially, and two separate follow-up recruitment packets were sent to nonrespondents. The CDC definition captures those three symptoms; the Kansas definition also captures them, but it also includes the symptoms reported most frequently by Gulf War veterans. An official website of the United States government.

Fatigue and decreased energy. Learn more about benefits related to Gulf War service. The results suggest that PTSD and CFS may account for a substantial portion of Gulf veterans who complain of a medically unexplained constellation of symptoms.

The significant relation between stressor intensity and PTSD leads to two conclusions: 1) that the existing case definition for PTSD adequately captures a stress-related behavioral syndrome and 2) that rates could be substantially higher in conflicts where stressor intensity and/or duration were greater than in the Gulf War. "[55], The 2008 and 2014 VA (RAC) reports and the 2010 IOM report found that the chronic multisymptom illness in Gulf War veterans—Gulf War illness—is more prevalent in Gulf War veterans than their non-deployed counterparts or veterans of previous conflicts. War-zone trauma and stress-related symptoms in Operation Desert Shield/Storm (ODS) returnees. Your illness or condition must also meet the requirements listed below, and you must have one of the diagnoses listed below. Disclaimer: This information is not legal advice. Cochran WG. Preliminary data from a GWIRP-funded acupuncture treatment study showed that Veterans reported significant reductions in pain and both primary and secondary health complaints, with results being more positive in the bi-weekly versus weekly treatment group (Conboy, 2012). [67], In contrast to those early studies, in January 2006, a study led by Melvin Blanchard published in the Journal of Epidemiology, part of the "National Health Survey of Gulf War-Era Veterans and Their Families", found that veterans deployed in the Persian Gulf War had nearly twice the prevalence of chronic multisymptom illness, a cluster of symptoms similar to a set of conditions often at that time called Gulf War Syndrome. (PHS) 94-1517). Army soldiers take part in a training exercise on Tactical Base Gamberi in eastern Afghanistan in 2015. The CDC case definition was derived from clinical data and statistical analyses. Kang HK, Bullman TA. We derived an ordinal variable for stressor severity.

We used the PTSD Checklist, a brief screening instrument for PTSD, to estimate current prevalence of PTSD (25).

We asked a minimum number of questions on demographic and military variables to avoid making the questionnaire any longer than necessary. Rates of CFS-like illness did show a relation to stressor intensity, but the pattern was quite different from that for PTSD. The term chronic multisymptom illness (CMI) was first used following publication of a 1998 study[33] describing chronic unexplained symptoms in Air Force veterans of the 1991 Gulf War.[29]. The bill would have made the RAC an independent organization within the VA, require that a majority of the RAC's members be appointed by Congress instead of the VA, and authorized the RAC to release its reports without needing prior approval from the VA Secretary. They also evaluated the relation between the extent of deployment-related stress and the risk of either PTSD or CFS. The 2008 report concluded that "all available sources of evidence combine to support a consistent and compelling case that pesticide use during the Gulf War is causally associated with Gulf War illness. Gender and other military characteristics did not predict the likelihood of veterans’ participation in the survey. (DoD photo). However, no significant difference in risk of CFS-like illness occurred among four groups of Gulf veterans with different stressor intensities (p > 0.15). That study found no difference in self-reported exposure to stressors between CFS patients and controls (J. G. Dobbins and B. H. Natelson, Veterans Affairs Medical Center (East Orange, New Jersey), personal communication, 2002). This is a modification of the published 1994 clinical case definition that we made to assure the presence of current symptoms at the time of the survey. ‡ Cochran-Armitage trend test: for PTSD, Z = – 21.335; for CFS-like illness, Z = –14.098. [citation needed], According to the IOM, "It is clear that a significant portion of the soldiers deployed to the Gulf War have experienced troubling constellations of symptoms that are difficult to categorize," said committee chair Stephen L. Hauser, professor and chair, department of neurology, University of California, San Francisco (UCSF).

The second is identifying a specific event during your military service that caused or contributed to the development of the condition. To do this, we identified those Gulf veterans who 1) reported being “involved in direct combat duty,” 2) had “witnessed any deaths,” or 3) “wore chemical protective gear (other than for training) or heard chemical alarms sounding.” In the analyses, we produced groups with monotonically increasing exposure to stress according to the number(s) of these exposures experienced—that is, no exposure or one, two, or three exposures (high-combat0, high-combat1, high-combat2, and high-combat3).


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