Symptom Patterns Among Gulf War Registry Veterans

Hallman, William K.; Kipen, Howard M.; Diefenbach, Michael A.; Boyd, Kendal C.; Kang, Han K.; Leventhal, Howard; Wartenberg, Daniel

doi:10.2105/ajph.93.4.624

Cited by 47 publications

(44 citation statements)

References 17 publications

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“…9 We have labelled the three factors identified in the Gulf War and comparison group subjects in this study as psychophysiological distress, cognitive distress, and arthroneuromuscular distress. These factors display some similarity with those from each of the previous ten studies (six with a comparison group, 7-12 and four without a comparison group [13][14][15][16] ). Exact comparisons involving these studies are difficult because of the use of different symptom questionnaires.…”

Section: Discussionmentioning

confidence: 52%

“…Most of these studies have included a military comparison group whose members did not deploy to the Gulf, 7-12 although four were confined to Gulf War veterans only. [13][14][15][16] Of the studies that included comparison groups, all except one found no important differences in the pattern of self-reported symptoms between the study groups. These studies did not provide evidence to support the existence of a unique syndrome among Gulf War veterans beyond the possibility that Gulf War veterans may lie at different locations on the same underlying dimensions, when compared to members of the comparison group.…”

mentioning

confidence: 96%

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The health of Australian veterans of the 1991 Gulf War: factor analysis of self-reported symptoms

et al. 2004

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Background: A recent report showed that Australian veterans of the 1991 Gulf War displayed a greater prevalence of a multitude of self-reported symptoms than a randomly sampled comparison group of military personnel who were eligible for deployment but were not deployed to the Gulf. Aims: To investigate whether the pattern, rather than frequency, of symptom reporting in these Australian Gulf War veterans differed from that of the comparison group personnel. Methods: Factor analysis was used to determine whether the co-occurrence of 62 symptoms in 1322 male Gulf War veterans can be explained by a number of underlying dimensions, called factors. The methodology was also applied to 1459 male comparison group subjects and the factor solutions of the two groups were compared. Results: For the Gulf War veterans, a three factor solution displayed replicability and construct validity. The three factors were labelled as psycho-physiological distress, somatic distress, and arthroneuromuscular distress, and were broadly similar to those described in previous studies of Gulf War veterans. A concordant three factor solution was also found for the comparison group subjects, with strong convergence of the factor loadings and factor scores across the two groups being displayed. Conclusion: Results did not display evidence of a unique pattern of self-reported symptoms among Gulf War veterans. Results also indicated that the differences between the groups lie in the degrees of expression of the three underlying factors, consistent with the well documented evidence of increased selfreported symptom prevalence in Gulf War veterans.

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Section: Discussionmentioning

confidence: 52%

mentioning

confidence: 96%

The health of Australian veterans of the 1991 Gulf War: factor analysis of self-reported symptoms

et al. 2004

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“…Veterans from the Korean and Vietnam conflicts are aging along with the rest of the U.S. population. Evidence of increased susceptibility to ALS and MS also exists among veterans of the first gulf war [100][101][102]. Finally, the incidence of polytrauma among veterans of Operation Iraqi Freedom and Operation Enduring Freedom is resulting in a cohort of veterans with multiple physical, cognitive, and perceptual impairments [103].…”

Section: Will Need For Smart Wheelchairs Grow?mentioning

confidence: 99%

How many people would benefit from a smart wheelchair?

Simpson

LoPresti²,

Cooper³

2008

JRRD

205

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Abstract-Independent mobility is important, but some wheelchair users find operating existing manual or powered wheelchairs difficult or impossible. Challenges to safe, independent wheelchair use can result from various overlapping physical, perceptual, or cognitive symptoms of diagnoses such as spinal cord injury, cerebrovascular accident, multiple sclerosis, amyotrophic lateral sclerosis, and cerebral palsy. Persons with different symptom combinations can benefit from different types of assistance from a smart wheelchair and different wheelchair form factors. The sizes of these user populations have been estimated based on published estimates of the number of individuals with each of several diseases who (1) also need a wheeled mobility device and (2) have specific symptoms that could interfere with mobility device use.

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“…Research | Article Veterans returning from the Gulf War of 1990-1991 described multiple-organ symptoms that included chemical sensitivity, chronic fatigue, fibromyalgia, neurocognitive deficits, irritable bowel syndrome, headaches, joint pains, fever, and a general unwellness, referred to as Gulf War syndrome (GWS) (Cherry et al 2001;Gray et al 2002;Haley and Kurt 1997;Hallman et al 2003;Iowa Persian Gulf Study Group 1997;Kang et al 2002;Kroenke et al 1998;Lashof and Cassells 1998). GWS probably has a multiplefactorial etiology involving possible chemical exposures (Haley and Kurt 1997).…”

mentioning

confidence: 99%