Iraq and Afghanistan Veterans report symptoms consistent with chronic multisymptom illness one year after deployment
Many Veterans returning from service in Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) experience chronic pain. What is not known is whether for some OIF/OEF Veterans this pain is part of a larger condition of diffuse multisystem symptoms consistent with chronic multisymptom illness (C...
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| Veröffentlicht in: | Journal of rehabilitation research and development 2016, Vol.53 (1), p.59-70 |
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| creator | McAndrew, Lisa M Helmer, Drew A Phillips, L Alison Chandler, Helena K Ray, Kathleen Quigley, Karen S |
| description | Many Veterans returning from service in Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) experience chronic pain. What is not known is whether for some OIF/OEF Veterans this pain is part of a larger condition of diffuse multisystem symptoms consistent with chronic multisymptom illness (CMI). We use data from a prospective longitudinal study of OIF/OEF Veterans to determine the frequency of CMI. We found that 1 yr after deployment, 49.5% of OIF/OEF Veterans met criteria for mild to moderate CMI and 10.8% met criteria for severe CMI. Over 90% of Veterans with chronic pain met criteria for CMI. CMI was not completely accounted for either by posttraumatic stress disorder or by predeployment levels of physical symptoms. Veterans with symptoms consistent with CMI reported significantly worse physical health function than Veterans who did not report symptoms consistent with CMI. This study suggests that the presence of CMI should be considered in the evaluation of OIF/OEF Veterans. Further, it suggests the pain management for these Veterans may need to be tailored to take CMI into consideration. |
| doi_str_mv | 10.1682/JRRD.2014.10.0255 |
| format | Article |
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What is not known is whether for some OIF/OEF Veterans this pain is part of a larger condition of diffuse multisystem symptoms consistent with chronic multisymptom illness (CMI). We use data from a prospective longitudinal study of OIF/OEF Veterans to determine the frequency of CMI. We found that 1 yr after deployment, 49.5% of OIF/OEF Veterans met criteria for mild to moderate CMI and 10.8% met criteria for severe CMI. Over 90% of Veterans with chronic pain met criteria for CMI. CMI was not completely accounted for either by posttraumatic stress disorder or by predeployment levels of physical symptoms. Veterans with symptoms consistent with CMI reported significantly worse physical health function than Veterans who did not report symptoms consistent with CMI. This study suggests that the presence of CMI should be considered in the evaluation of OIF/OEF Veterans. Further, it suggests the pain management for these Veterans may need to be tailored to take CMI into consideration.</description><identifier>ISSN: 0748-7711</identifier><identifier>EISSN: 1938-1352</identifier><identifier>DOI: 10.1682/JRRD.2014.10.0255</identifier><identifier>PMID: 27006173</identifier><identifier>CODEN: JRRDDB</identifier><language>eng</language><publisher>United States: Department of Veterans Affairs</publisher><subject>Adult ; Afghan Campaign 2001 ; Care and treatment ; Chronic Disease - epidemiology ; Chronic illnesses ; Chronic pain ; Complications and side effects ; Disease control ; Female ; Funding ; Health aspects ; Humans ; Incidence ; Iraq War, 2003-2011 ; Male ; Mental depression ; Military deployment ; Military personnel ; Pain management ; Post-traumatic stress disorder ; Prevalence ; Retrospective Studies ; Risk factors ; Studies ; United States - epidemiology ; Veterans ; Veterans Health</subject><ispartof>Journal of rehabilitation research and development, 2016, Vol.53 (1), p.59-70</ispartof><rights>COPYRIGHT 2016 Department of Veterans Affairs</rights><rights>Copyright Superintendent of Documents 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c429t-343c9b40791b1aff1b296e24ca5ff05405bf220bba26cc86a716990656de06bd3</citedby><cites>FETCH-LOGICAL-c429t-343c9b40791b1aff1b296e24ca5ff05405bf220bba26cc86a716990656de06bd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,4010,27904,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27006173$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McAndrew, Lisa M</creatorcontrib><creatorcontrib>Helmer, Drew A</creatorcontrib><creatorcontrib>Phillips, L Alison</creatorcontrib><creatorcontrib>Chandler, Helena K</creatorcontrib><creatorcontrib>Ray, Kathleen</creatorcontrib><creatorcontrib>Quigley, Karen S</creatorcontrib><title>Iraq and Afghanistan Veterans report symptoms consistent with chronic multisymptom illness one year after deployment</title><title>Journal of rehabilitation research and development</title><addtitle>J Rehabil Res Dev</addtitle><description>Many Veterans returning from service in Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) experience chronic pain. What is not known is whether for some OIF/OEF Veterans this pain is part of a larger condition of diffuse multisystem symptoms consistent with chronic multisymptom illness (CMI). We use data from a prospective longitudinal study of OIF/OEF Veterans to determine the frequency of CMI. We found that 1 yr after deployment, 49.5% of OIF/OEF Veterans met criteria for mild to moderate CMI and 10.8% met criteria for severe CMI. Over 90% of Veterans with chronic pain met criteria for CMI. CMI was not completely accounted for either by posttraumatic stress disorder or by predeployment levels of physical symptoms. Veterans with symptoms consistent with CMI reported significantly worse physical health function than Veterans who did not report symptoms consistent with CMI. This study suggests that the presence of CMI should be considered in the evaluation of OIF/OEF Veterans. Further, it suggests the pain management for these Veterans may need to be tailored to take CMI into consideration.</description><subject>Adult</subject><subject>Afghan Campaign 2001</subject><subject>Care and treatment</subject><subject>Chronic Disease - epidemiology</subject><subject>Chronic illnesses</subject><subject>Chronic pain</subject><subject>Complications and side effects</subject><subject>Disease control</subject><subject>Female</subject><subject>Funding</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Incidence</subject><subject>Iraq War, 2003-2011</subject><subject>Male</subject><subject>Mental depression</subject><subject>Military deployment</subject><subject>Military personnel</subject><subject>Pain management</subject><subject>Post-traumatic stress disorder</subject><subject>Prevalence</subject><subject>Retrospective Studies</subject><subject>Risk factors</subject><subject>Studies</subject><subject>United States - epidemiology</subject><subject>Veterans</subject><subject>Veterans Health</subject><issn>0748-7711</issn><issn>1938-1352</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNptkV9rFDEUxYModlv9AL5IwBdfZs3N353HpWqtFISivg6ZTNJNmUmmSQbZb2-Grooi9-HC4XcOl3sQegVkC3JH332-vX2_pQT4tiqECvEEbaBluwaYoE_Rhii-a5QCOEPnOd8TQiij8BydUUWIBMU2qFwn_YB1GPDe3R108LnogL_bYpMOGSc7x1RwPk5ziVPGJoZcERsK_uHLAZtDisEbPC1j8ScK-3EMNmccg8VHqxPWrsbhwc5jPE7V-wI9c3rM9uVpX6BvHz98vfzU3Hy5ur7c3zSG07Y0jDPT9pyoFnrQzkFPW2kpN1o4RwQnoneUkr7XVBqzk1qBbFsihRwskf3ALtDbx9w5xYfF5tJNPhs7jjrYuOQOlBKSgRC0om_-Qe_jkkK9rlJSAd8xgD_UnR5t54OLJWmzhnZ7zlsgbQ2r1PY_VJ3BTr5-0Dpf9b8M8GgwKeacrOvm5Cedjh2Qbm26W5vu1qZXZW26el6fDl76yQ6_Hb-qZT8Bf1ekIw</recordid><startdate>2016</startdate><enddate>2016</enddate><creator>McAndrew, Lisa M</creator><creator>Helmer, Drew A</creator><creator>Phillips, L Alison</creator><creator>Chandler, Helena K</creator><creator>Ray, Kathleen</creator><creator>Quigley, Karen S</creator><general>Department of Veterans Affairs</general><general>Superintendent of Documents</general><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>3V.</scope><scope>4T-</scope><scope>7QO</scope><scope>7RV</scope><scope>7TK</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>2016</creationdate><title>Iraq and Afghanistan Veterans report symptoms consistent with chronic multisymptom illness one year after deployment</title><author>McAndrew, Lisa M ; Helmer, Drew A ; Phillips, L Alison ; Chandler, Helena K ; Ray, Kathleen ; Quigley, Karen S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c429t-343c9b40791b1aff1b296e24ca5ff05405bf220bba26cc86a716990656de06bd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Afghan Campaign 2001</topic><topic>Care and treatment</topic><topic>Chronic Disease - epidemiology</topic><topic>Chronic illnesses</topic><topic>Chronic pain</topic><topic>Complications and side effects</topic><topic>Disease control</topic><topic>Female</topic><topic>Funding</topic><topic>Health aspects</topic><topic>Humans</topic><topic>Incidence</topic><topic>Iraq War, 2003-2011</topic><topic>Male</topic><topic>Mental depression</topic><topic>Military deployment</topic><topic>Military personnel</topic><topic>Pain management</topic><topic>Post-traumatic stress disorder</topic><topic>Prevalence</topic><topic>Retrospective Studies</topic><topic>Risk factors</topic><topic>Studies</topic><topic>United States - epidemiology</topic><topic>Veterans</topic><topic>Veterans Health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>McAndrew, Lisa M</creatorcontrib><creatorcontrib>Helmer, Drew A</creatorcontrib><creatorcontrib>Phillips, L Alison</creatorcontrib><creatorcontrib>Chandler, Helena K</creatorcontrib><creatorcontrib>Ray, Kathleen</creatorcontrib><creatorcontrib>Quigley, Karen S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Docstoc</collection><collection>Biotechnology Research Abstracts</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of rehabilitation research and development</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>McAndrew, Lisa M</au><au>Helmer, Drew A</au><au>Phillips, L Alison</au><au>Chandler, Helena K</au><au>Ray, Kathleen</au><au>Quigley, Karen S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Iraq and Afghanistan Veterans report symptoms consistent with chronic multisymptom illness one year after deployment</atitle><jtitle>Journal of rehabilitation research and development</jtitle><addtitle>J Rehabil Res Dev</addtitle><date>2016</date><risdate>2016</risdate><volume>53</volume><issue>1</issue><spage>59</spage><epage>70</epage><pages>59-70</pages><issn>0748-7711</issn><eissn>1938-1352</eissn><coden>JRRDDB</coden><abstract>Many Veterans returning from service in Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) experience chronic pain. What is not known is whether for some OIF/OEF Veterans this pain is part of a larger condition of diffuse multisystem symptoms consistent with chronic multisymptom illness (CMI). We use data from a prospective longitudinal study of OIF/OEF Veterans to determine the frequency of CMI. We found that 1 yr after deployment, 49.5% of OIF/OEF Veterans met criteria for mild to moderate CMI and 10.8% met criteria for severe CMI. Over 90% of Veterans with chronic pain met criteria for CMI. CMI was not completely accounted for either by posttraumatic stress disorder or by predeployment levels of physical symptoms. Veterans with symptoms consistent with CMI reported significantly worse physical health function than Veterans who did not report symptoms consistent with CMI. This study suggests that the presence of CMI should be considered in the evaluation of OIF/OEF Veterans. Further, it suggests the pain management for these Veterans may need to be tailored to take CMI into consideration.</abstract><cop>United States</cop><pub>Department of Veterans Affairs</pub><pmid>27006173</pmid><doi>10.1682/JRRD.2014.10.0255</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of rehabilitation research and development, 2016, Vol.53 (1), p.59-70 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; U.S. Government Documents |
| subjects | Adult Afghan Campaign 2001 Care and treatment Chronic Disease - epidemiology Chronic illnesses Chronic pain Complications and side effects Disease control Female Funding Health aspects Humans Incidence Iraq War, 2003-2011 Male Mental depression Military deployment Military personnel Pain management Post-traumatic stress disorder Prevalence Retrospective Studies Risk factors Studies United States - epidemiology Veterans Veterans Health |
| title | Iraq and Afghanistan Veterans report symptoms consistent with chronic multisymptom illness one year after deployment |
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