Rehabilitative Care of War-Related Health Concerns
The objective of this study was to pilot the effectiveness of a 3-week rehabilitative intervention that used medical review, graded exercise, education on Gulf War exposures, active coping, and nutrition to improve disability and related distress for Gulf War veterans with persistent symptoms. One h...
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Veröffentlicht in: | Journal of occupational and environmental medicine 2000-04, Vol.42 (4), p.385-390 |
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container_title | Journal of occupational and environmental medicine |
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creator | Engel, Charles C. Liu, Xian Clymer, Roy Miller, Ronald F. Sjoberg, Terry Shapiro, Jay R. |
description | The objective of this study was to pilot the effectiveness of a 3-week rehabilitative intervention that used medical review, graded exercise, education on Gulf War exposures, active coping, and nutrition to improve disability and related distress for Gulf War veterans with persistent symptoms. One hundred and nine veterans were assessed at program entry and exit and at 1 and 3 months after program completion. Outcomes were physical symptoms, quality of life, physical health concern, and psychosocial distress—contrasted across time and demographic groups. After treatment, veterans showed modest and global improvements; women were more likely than men to show improvement. The finding that Gulf War veterans who completed specialized rehabilitative management experienced modest, short-term improvements is encouraging, given that veterans of the conflict remain concerned about their future health. Controlled studies are needed. |
doi_str_mv | 10.1097/00043764-200004000-00011 |
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One hundred and nine veterans were assessed at program entry and exit and at 1 and 3 months after program completion. Outcomes were physical symptoms, quality of life, physical health concern, and psychosocial distress—contrasted across time and demographic groups. After treatment, veterans showed modest and global improvements; women were more likely than men to show improvement. The finding that Gulf War veterans who completed specialized rehabilitative management experienced modest, short-term improvements is encouraging, given that veterans of the conflict remain concerned about their future health. Controlled studies are needed.</description><identifier>ISSN: 1076-2752</identifier><identifier>EISSN: 1536-5948</identifier><identifier>DOI: 10.1097/00043764-200004000-00011</identifier><identifier>PMID: 10774507</identifier><identifier>CODEN: JOEMFM</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins</publisher><subject>Adult ; Biological and medical sciences ; Female ; General aspects ; Health care ; Health Status Indicators ; Humans ; Longitudinal Studies ; Male ; Medical disorders ; Medical sciences ; Middle Aged ; Persian Gulf Syndrome - epidemiology ; Persian Gulf Syndrome - rehabilitation ; Persian Gulf War ; Planification. Prevention (methods). Intervention. Evaluation ; PRACTICE GUIDELINES ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Rehabilitation ; Risk Factors ; Socioeconomic Factors ; Treatment Outcome ; United States - epidemiology ; Veterans ; Veterans - statistics & numerical data</subject><ispartof>Journal of occupational and environmental medicine, 2000-04, Vol.42 (4), p.385-390</ispartof><rights>Copyright © 2000 American College of Occupational and Environmental Medicine</rights><rights>2000 Lippincott Williams & Wilkins, Inc.</rights><rights>2000 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Apr 2000</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4341-541a74b6f81675379060b4fec5745e78f0589bf2570188fcb31dd2a9a305b0963</citedby><cites>FETCH-LOGICAL-c4341-541a74b6f81675379060b4fec5745e78f0589bf2570188fcb31dd2a9a305b0963</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/44996855$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/44996855$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,27901,27902,57992,58225</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1347354$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10774507$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Engel, Charles C.</creatorcontrib><creatorcontrib>Liu, Xian</creatorcontrib><creatorcontrib>Clymer, Roy</creatorcontrib><creatorcontrib>Miller, Ronald F.</creatorcontrib><creatorcontrib>Sjoberg, Terry</creatorcontrib><creatorcontrib>Shapiro, Jay R.</creatorcontrib><title>Rehabilitative Care of War-Related Health Concerns</title><title>Journal of occupational and environmental medicine</title><addtitle>J Occup Environ Med</addtitle><description>The objective of this study was to pilot the effectiveness of a 3-week rehabilitative intervention that used medical review, graded exercise, education on Gulf War exposures, active coping, and nutrition to improve disability and related distress for Gulf War veterans with persistent symptoms. One hundred and nine veterans were assessed at program entry and exit and at 1 and 3 months after program completion. Outcomes were physical symptoms, quality of life, physical health concern, and psychosocial distress—contrasted across time and demographic groups. After treatment, veterans showed modest and global improvements; women were more likely than men to show improvement. The finding that Gulf War veterans who completed specialized rehabilitative management experienced modest, short-term improvements is encouraging, given that veterans of the conflict remain concerned about their future health. Controlled studies are needed.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Female</subject><subject>General aspects</subject><subject>Health care</subject><subject>Health Status Indicators</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Medical disorders</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Persian Gulf Syndrome - epidemiology</subject><subject>Persian Gulf Syndrome - rehabilitation</subject><subject>Persian Gulf War</subject><subject>Planification. Prevention (methods). Intervention. Evaluation</subject><subject>PRACTICE GUIDELINES</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Rehabilitation</subject><subject>Risk Factors</subject><subject>Socioeconomic Factors</subject><subject>Treatment Outcome</subject><subject>United States - epidemiology</subject><subject>Veterans</subject><subject>Veterans - statistics & numerical data</subject><issn>1076-2752</issn><issn>1536-5948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kV1LwzAYhYMobk5_glLE22jSfF9KUScMhKF4GdI2YZ1dO5PW4b83W-fHjRcveeF9zjlwAkCC0TVGStwghCgRnMIUbdc4MA7GB2CMGeGQKSoP444Eh6lg6QichLCMBMOIHYNRPAjKkBiDdG4XJq_qqjNd9WGTzHibtC55NR7ObW06WyZTa-pukWRtU1jfhFNw5Ewd7Nn-nYCX-7vnbApnTw-P2e0MFpRQDBnFRtCcO4m5YEQoxFFOnS1YjLZCOsSkyl3KBMJSuiInuCxTowxBLEeKkwm4HHzXvn3vbej0su19EyN1ilMuqaQiQnKACt-G4K3Ta1-tjP_UGOltV_q7K_3Tld51FaUXe_8-X9nyj3AoJwJXe8CEwtTOm6aowi9HYj6jEaMDtmnrzvrwVvcb6_Vi15r-76ui7HyQLUPX-h9XSpXikjHyBQChhoo</recordid><startdate>200004</startdate><enddate>200004</enddate><creator>Engel, Charles C.</creator><creator>Liu, Xian</creator><creator>Clymer, Roy</creator><creator>Miller, Ronald F.</creator><creator>Sjoberg, Terry</creator><creator>Shapiro, Jay R.</creator><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope></search><sort><creationdate>200004</creationdate><title>Rehabilitative Care of War-Related Health Concerns</title><author>Engel, Charles C. ; Liu, Xian ; Clymer, Roy ; Miller, Ronald F. ; Sjoberg, Terry ; Shapiro, Jay R.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4341-541a74b6f81675379060b4fec5745e78f0589bf2570188fcb31dd2a9a305b0963</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Female</topic><topic>General aspects</topic><topic>Health care</topic><topic>Health Status Indicators</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Medical disorders</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Persian Gulf Syndrome - epidemiology</topic><topic>Persian Gulf Syndrome - rehabilitation</topic><topic>Persian Gulf War</topic><topic>Planification. Prevention (methods). Intervention. Evaluation</topic><topic>PRACTICE GUIDELINES</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Rehabilitation</topic><topic>Risk Factors</topic><topic>Socioeconomic Factors</topic><topic>Treatment Outcome</topic><topic>United States - epidemiology</topic><topic>Veterans</topic><topic>Veterans - statistics & numerical data</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Engel, Charles C.</creatorcontrib><creatorcontrib>Liu, Xian</creatorcontrib><creatorcontrib>Clymer, Roy</creatorcontrib><creatorcontrib>Miller, Ronald F.</creatorcontrib><creatorcontrib>Sjoberg, Terry</creatorcontrib><creatorcontrib>Shapiro, Jay R.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Journal of occupational and environmental medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Engel, Charles C.</au><au>Liu, Xian</au><au>Clymer, Roy</au><au>Miller, Ronald F.</au><au>Sjoberg, Terry</au><au>Shapiro, Jay R.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rehabilitative Care of War-Related Health Concerns</atitle><jtitle>Journal of occupational and environmental medicine</jtitle><addtitle>J Occup Environ Med</addtitle><date>2000-04</date><risdate>2000</risdate><volume>42</volume><issue>4</issue><spage>385</spage><epage>390</epage><pages>385-390</pages><issn>1076-2752</issn><eissn>1536-5948</eissn><coden>JOEMFM</coden><abstract>The objective of this study was to pilot the effectiveness of a 3-week rehabilitative intervention that used medical review, graded exercise, education on Gulf War exposures, active coping, and nutrition to improve disability and related distress for Gulf War veterans with persistent symptoms. 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subjects | Adult Biological and medical sciences Female General aspects Health care Health Status Indicators Humans Longitudinal Studies Male Medical disorders Medical sciences Middle Aged Persian Gulf Syndrome - epidemiology Persian Gulf Syndrome - rehabilitation Persian Gulf War Planification. Prevention (methods). Intervention. Evaluation PRACTICE GUIDELINES Public health. Hygiene Public health. Hygiene-occupational medicine Rehabilitation Risk Factors Socioeconomic Factors Treatment Outcome United States - epidemiology Veterans Veterans - statistics & numerical data |
title | Rehabilitative Care of War-Related Health Concerns |
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