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Is the increased reporting of symptomatic ill health in Gulf War veterans related to how one asks the question?

Abstract：

BACKGROUND:Following the 1991 Gulf War (GW) there was much controversy surrounding service-related health effects. Evidence from the Vietnam experience suggested that self-reported ill health following that conflict might be related to how service during the conflict is framed. The aim of this article is to determine if a GW health effect persisted when the same questions were asked in a "non-GW" context. METHOD:Prevalence of physical and psychological health problems were ascertained in a study assessing health screening from a random sample of UK Armed Forces. Record linkage between the screening survey and service history was conducted to obtain information on participation in the GW. RESULTS:Differences in health outcomes were found between the GW and the non-GW groups. This difference existed for symptomatic measures (OR=1.84, 95% CI, 1.17-2.91) rather than psychological or behavioral measures. No differences were found in psychological measures such as PTSD or behavioral measures such as alcohol consumption. Those deployed to the GW had a poorer self-perception of health (OR=1.47, 95% CI 1.02-2.11). CONCLUSIONS:Even in the absence of framing, a Gulf-related ill health effect was found.

journal_name

J Psychosom Res

journal_title

Journal of psychosomatic research

authors

Murphy D,Hooper R,French C,Jones M,Rona R,Wessely S

doi

10.1016/j.jpsychores.2006.01.002

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

181-6

issue

2

eissn

0022-3999

issn

1879-1360

pii

S0022-3999(06)00003-1

journal_volume

61

pub_type

杂志文章

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