TY - JOUR
T1 - Psychiatric diagnoses in Gulf War veterans with fatiguing illness
AU - Lange, Gudrun
AU - Tiersky, Lana
AU - Deluca, John
AU - Peckerman, Arnold
AU - Pollet, Claudia
AU - Policastro, Theresa
AU - Scharer, Jennifer
AU - Ottenweller, John E.
AU - Fiedler, Nancy
AU - Natelson, Benjamin H.
N1 - Funding Information:
This work was supported by the Department of Veterans Affairs establishing a Center for Environmental Hazards Research at the East Orange VA Medical Center.
PY - 1999/12/13
Y1 - 1999/12/13
N2 - The purpose of this study was to determine whether Gulf War Illness (GWI) can be explained by the presence of psychiatric disorders as assessed by DSM-III-R. To reduce the heterogeneity amongst Persian Gulf War veterans with GWI (PGV-F), only those were studied who presented with severe fatigue as a major complaint and also fulfilled clinical case definitions for Chronic Fatigue Syndrome, Idiopathic Chronic Fatigue, and/or Multiple Chemical Sensitivity. A total of 95 Registry PGVs were examined; 53 presented with GWI and 42 did not report any post-war health problems (PGV-H). All subjects were assessed for the presence of DSM-III-R Axis I psychiatric disorders. Compared to PGV-Hs, 49% of PGV-Fs had similar post-war psychiatric profiles: either no, or only one, psychiatric disorder was diagnosed. Psychiatric profiles of the remaining 51% of PGV-Fs were significantly different from PGV-Hs in that most of these veterans suffered from multiple post-war psychiatric diagnoses. The presence of psychiatric disorders as assessed by DSM-III-R criteria cannot explain symptoms of Gulf War Illness among all Persian Gulf veterans with severe fatiguing illness. Copyright (C) 1999 Elsevier Science Ireland Ltd.
AB - The purpose of this study was to determine whether Gulf War Illness (GWI) can be explained by the presence of psychiatric disorders as assessed by DSM-III-R. To reduce the heterogeneity amongst Persian Gulf War veterans with GWI (PGV-F), only those were studied who presented with severe fatigue as a major complaint and also fulfilled clinical case definitions for Chronic Fatigue Syndrome, Idiopathic Chronic Fatigue, and/or Multiple Chemical Sensitivity. A total of 95 Registry PGVs were examined; 53 presented with GWI and 42 did not report any post-war health problems (PGV-H). All subjects were assessed for the presence of DSM-III-R Axis I psychiatric disorders. Compared to PGV-Hs, 49% of PGV-Fs had similar post-war psychiatric profiles: either no, or only one, psychiatric disorder was diagnosed. Psychiatric profiles of the remaining 51% of PGV-Fs were significantly different from PGV-Hs in that most of these veterans suffered from multiple post-war psychiatric diagnoses. The presence of psychiatric disorders as assessed by DSM-III-R criteria cannot explain symptoms of Gulf War Illness among all Persian Gulf veterans with severe fatiguing illness. Copyright (C) 1999 Elsevier Science Ireland Ltd.
KW - Chronic Fatigue Syndrome
KW - Gulf War Illness
KW - Multiple Chemical Sensitivity
UR - http://www.scopus.com/inward/record.url?scp=0032762671&partnerID=8YFLogxK
U2 - 10.1016/S0165-1781(99)00095-5
DO - 10.1016/S0165-1781(99)00095-5
M3 - Article
C2 - 10643876
AN - SCOPUS:0032762671
SN - 0165-1781
VL - 89
SP - 39
EP - 48
JO - Psychiatry Research
JF - Psychiatry Research
IS - 1
ER -