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Gulf War Illness Symptom Severity and Onset: A Cross-Sectional Survey

Published on Feb 2, 2020in Military Medicine0.853
路 DOI :10.1093/milmed/usz471
Cayla M Fappiano (Georgetown University), James N. Baraniuk42
Estimated H-index: 42
(Georgetown University)
Abstract
  • References (12)
  • Citations (0)
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References12
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Chronic fatigue syndrome in the emergency department Christian R Timbol,* James N Baraniuk* Division of Rheumatology, Immunology and Allergy, Georgetown University, Washington, DC, USA *Both authors contributed equally to this work Purpose: Chronic fatigue syndrome (CFS) is a debilitating disease characterized by fatigue, postexertional malaise, cognitive dysfunction, sleep disturbances, and widespread pain. A pilot, online survey was used to determine the common presentations of CFS patients in...
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#1Alexis L. MauleH-Index: 8
#2Patricia A. Janulewicz (BU: Boston University)H-Index: 10
Last. Roberta F. WhiteH-Index: 5
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Objectives Across diverse groups of Gulf War (GW) veterans, reports of musculoskeletal pain, cognitive dysfunction, unexplained fatigue, chronic diarrhoea, rashes and respiratory problems are common. GW illness is a condition resulting from GW service in veterans who report a combination of these symptoms. This study integrated the GW literature using meta-analytical methods to characterise the most frequently reported symptoms occurring among veterans who deployed to the 1990鈥1991 GW and to bet...
9 CitationsSource
#1Irina A. Strigo (UCSF: University of California, San Francisco)H-Index: 31
#2Arthur D. (Bud) Craig (Barrow Neurological Institute)H-Index: 42
We briefly review the evidence for distinct neuroanatomical substrates that underlie interoception in humans, and we explain how they substantialize feelings from the body (in the insular cortex) that are conjoined with homeostatic motivations that guide adaptive behaviours (in the cingulate cortex). This hierarchical sensorimotor architecture coincides with the limbic cortical architecture that underlies emotions, and thus we regard interoceptive feelings and their conjoint motivations as homeo...
39 CitationsSource
#2Roberta WedgeH-Index: 2
5 CitationsSource
Background: Chronic Fatigue Syndrome case designation criteria are scored as physicians鈥 subjective, nominal interpretations of patient fatigue, pain (headaches, myalgia, arthralgia, sore throat and lymph nodes), cognitive dysfunction, sleep and exertional exhaustion. Methods: Subjects self-reported symptoms using an anchored ordinal scale of 0 (no symptom), 1 (trivial complaints), 2 (mild), 3 (moderate), and 4 (severe). Fatigue of 3 or 4 distinguished 鈥淔atigued鈥 from 鈥淣ot Fatigued鈥 subjects. Th...
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#1Robert L. SpitzerH-Index: 88
#2Kurt Kroenke (Regenstrief Institute)H-Index: 95
Last. Bernd L枚we (Heidelberg University)H-Index: 47
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Background Generalized anxiety disorder (GAD) is one of the most common mental disorders; however, there is no brief clinical measure for assessing GAD. The objective of this study was to develop a brief self-report scale to identify probable cases of GAD and evaluate its reliability and validity. Methods A criterion-standard study was performed in 15 primary care clinics in the United States from November 2004 through June 2005. Of a total of 2740 adult patients completing a study questionnaire...
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#1Helen L Kelsall (Alfred Hospital)H-Index: 21
#2Malcolm Ross Sim (Alfred Hospital)H-Index: 33
Last. Peter Ittak (Alfred Hospital)H-Index: 8
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Aims: To investigate whether Australian Gulf War veterans have a higher than expected prevalence of recent symptoms and medical conditions that were first diagnosed in the period following the 1991 Gulf War; and if so, whether these effects were associated with exposures and experiences that occurred in the Gulf War. Methods: Cross-sectional study of 1456 Australian Gulf War veterans and a comparison group who were in operational units at the time of the Gulf War, but were not deployed to that c...
62 CitationsSource
#1Cynthia Bierl (CDC: Centers for Disease Control and Prevention)H-Index: 4
#2Rosane Nisenbaum (CDC: Centers for Disease Control and Prevention)H-Index: 36
Last. William C. Reeves (CDC: Centers for Disease Control and Prevention)H-Index: 61
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Background Chronic fatigue syndrome (CFS) is a debilitating illness with no known cause or effective therapy. Population-based epidemiologic data on CFS prevalence are critical to put CFS in a realistic context for public health officials and others responsible for allocating resources.
35 CitationsSource
#1Rosane Nisenbaum (CDC: Centers for Disease Control and Prevention)H-Index: 36
#2Khalida IsmailH-Index: 35
Last. William C. Reeves (CDC: Centers for Disease Control and Prevention)H-Index: 61
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Background Factor analysis is one of the most used statistical techniques to analyze the inter-relationships among symptoms reported by Gulf War veterans. The objective of this study was to apply factor analyses to binary symptom data from the UK study of Gulf War illness and the US Air Force study of Gulf War veterans, and to compare the symptom domains derived from the distinct samples.
9 CitationsSource
Gulf War veterans have reported health problems that they attribute to their military service, but little is understood about the nature or extent of these conditions. To determine whether Kansas Gulf War veterans are affected by excess health problems, a population-based survey of 1,548 veterans who served in the Persian Gulf War (PGW) and 482 veterans who served elsewhere (non-PGW) was conducted in 1998. Gulf War illness, defined as having chronic symptoms in three of six domains, occurred in ...
224 CitationsSource
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