Ferrari R, Russell A S
Edmonton, Alberta, Canada.
Med Hypotheses. 2001 Jun;56(6):697-701. doi: 10.1054/mehy.2001.1311.
Following a war with widespread attention to and concern over the potential for numerous biological and chemical warfare exposures, some Gulf War veterans returned home and developed various illnesses. Although some of these illnesses are readily diagnosable, the so-called Gulf War syndrome has remained a controversial and nebulous diagnosis. It is characterized by multiple, subjective symptoms, and by a lack of objective pathology. To date, the search for a single disease entity and a biological model to explain this illness has been unsuccessful. Wars have long affected the health of veterans in multiple ways, and a single disease entity is not likely as a viable explanation for these outcomes. Given the nature of the illness, and its overlap with many other controversial chronic illnesses, we suggest that the biopsychosocial model may provide a better solution to this diagnostic conundrum.
在一场引发广泛关注并令人担忧可能遭受大量生物和化学战暴露的战争之后，一些海湾战争退伍军人回国后患上了各种疾病。尽管其中一些疾病很容易诊断，但所谓的海湾战争综合征仍然是一个有争议且模糊不清的诊断。它的特征是出现多种主观症状，且缺乏客观病理表现。迄今为止，寻找单一疾病实体和生物学模型来解释这种疾病的努力尚未成功。长期以来，战争以多种方式影响退伍军人的健康，单一疾病实体不太可能成为这些结果的可行解释。鉴于这种疾病的性质，以及它与许多其他有争议的慢性疾病的重叠情况，我们认为生物心理社会模型可能为这个诊断难题提供更好的解决方案。
