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Psychiatric diagnoses in Gulf War veterans with fatiguing illness - Chronic Fatigue Syndrome related research

  [ 115 votes ]   [ Discuss This Article ]
www.ProHealth.com • December 13, 1999


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.

Lange G, Tiersky L, DeLuca J, Peckerman A, Pollet C, Policastro T,
Scharer J, Ottenweller JE, Fiedler N, Natelson BH




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