Engel C C, Ursano R, Magruder C, Tartaglione R, Jing Z, Labbate L A, Debakey S
Gulf War Health Center, Walter Reed Army Medical Center, Washington, DC, USA.
J Occup Environ Med. 1999 May;41(5):384-92. doi: 10.1097/00043764-199905000-00006.
The Comprehensive Clinical Evaluation Program is a US military program that provides a voluntary, clinically oriented evaluation for Gulf War health concerns. This article presents administrative data on psychological conditions (as coded using the International Classification of Diseases, 9th Revision) from the first year of the program. The most commonly diagnosed psychological conditions were medically unexplained physical-symptom syndromes; depression and anxiety, including post-traumatic stress disorder; and alcohol abuse or dependence. Psychological conditions were significantly related to a higher number of workdays lost, and the 19% of veterans with a primary diagnosis of a psychological condition reported 28% of the lost workdays among veteran who participated. Stressful Gulf War experiences were weakly but significantly related to psychological conditions. We conclude that among Gulf War veterans seeking evaluation for Gulf War-related health concerns, psychological conditions are common and are associated with important occupational morbidity.
综合临床评估项目是一项美国军方项目，该项目针对海湾战争相关的健康问题提供自愿的、以临床为导向的评估。本文呈现了该项目第一年中有关心理状况（按照《国际疾病分类》第九版编码）的管理数据。最常诊断出的心理状况是医学上无法解释的身体症状综合征；抑郁和焦虑，包括创伤后应激障碍；以及酒精滥用或依赖。心理状况与更多的工作日损失显著相关，在参与项目的退伍军人中，初步诊断为心理状况的19%的退伍军人报告了28%的工作日损失。充满压力的海湾战争经历与心理状况之间存在微弱但显著的关联。我们得出结论，在寻求对与海湾战争相关的健康问题进行评估的海湾战争退伍军人中，心理状况很常见，并且与重要的职业发病率相关。
