Chronic Multisymptom Illness: A Comparison of Iraq and Afghanistan Deployers With Veterans of the 1991 Gulf War

Symptoms and illnesses reported by veterans of the 1991 Gulf War era are a cause of potential concern for those military members who have deployed to the Gulf region in support of more recent contingency operations in Iraq and Afghanistan. In the present study, we quantified self-reported symptoms f...

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Veröffentlicht in:American journal of epidemiology 2014-12, Vol.180 (12), p.1176-1187
Hauptverfasser: SMITH, Tyler C, POWELL, Teresa M, JACOBSON, Isabel G, SMITH, Besa, HOOPER, Tomoko I, BOYKO, Edward J, GACKSTETTER, Gary D
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container_end_page 1187
container_issue 12
container_start_page 1176
container_title American journal of epidemiology
container_volume 180
creator SMITH, Tyler C
POWELL, Teresa M
JACOBSON, Isabel G
SMITH, Besa
HOOPER, Tomoko I
BOYKO, Edward J
GACKSTETTER, Gary D
description Symptoms and illnesses reported by veterans of the 1991 Gulf War era are a cause of potential concern for those military members who have deployed to the Gulf region in support of more recent contingency operations in Iraq and Afghanistan. In the present study, we quantified self-reported symptoms from participants in the Millennium Cohort Study, a prospective study representing all US service branches, including both active duty and Reserve/National Guard components (2001-2008). Self-reported symptoms were uniquely compared with those in a cohort of subjects from the 1991 Gulf War to gain context for the present report. Symptoms were then aggregated to identify cases of chronic multisymptom illness (CMI) based on the case definition from the Centers for Disease Control and Prevention. The prevalence of self-reported CMI symptoms was compared with that collected in 1997-1999 from a study population of US Seabees from the 1991 Gulf War, as well as from deployed and nondeployed subgroups. Although overall symptom reporting was much less in the Millennium Cohort than in the 1991 Gulf War cohort, a higher prevalence of reported CMI was noted among deployed compared with nondeployed contemporary cohort members. An increased understanding of coping skills and resilience and development of well-designed screening instruments, along with appropriate clinical and psychological follow-up for returning veterans, might help to focus resources on early identification of potential long-term chronic disease manifestations.
doi_str_mv 10.1093/aje/kwu240
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subjects Adult
Afghanistan
Age Factors
Biological and medical sciences
Chronic Disease - epidemiology
Chronic Disease - psychology
Chronic illnesses
Clinical psychology
Epidemiology
Fatigue - epidemiology
Female
General aspects
Gulf War
Health Behavior
Humans
Iraq
Male
Medical sciences
Medical screening
Mental Disorders - epidemiology
Middle Aged
Military deployment
Miscellaneous
Musculoskeletal Pain - epidemiology
Occupations - statistics & numerical data
Persian Gulf War
Prevalence
Prospective Studies
Public health. Hygiene
Public health. Hygiene-occupational medicine
Sex Factors
Socioeconomic Factors
Time Factors
United States
Veterans
Veterans - psychology
Veterans - statistics & numerical data
War
title Chronic Multisymptom Illness: A Comparison of Iraq and Afghanistan Deployers With Veterans of the 1991 Gulf War
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