对患有慢性疲劳的澳大利亚海湾战争退伍军人进行医学评估的心理和身体健康状况。

Medically evaluated psychological and physical health of Australian Gulf War veterans with chronic fatigue.

作者信息

Kelsall Helen, Sim Malcolm, McKenzie Dean, Forbes Andrew, Leder Karin, Glass Deborah, Ikin Jillian, McFarlane Alexander

机构信息

Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.

出版信息

J Psychosom Res. 2006 Jun;60(6):575-84. doi: 10.1016/j.jpsychores.2006.04.002.

DOI:10.1016/j.jpsychores.2006.04.002

PMID:16731232

Abstract

OBJECTIVE

The aim of this study was to evaluate fatigue in Australian Gulf War veterans and a military comparison group according to the 1994 chronic fatigue syndrome (CFS) definition and investigate the relation with exposures.

METHODS

Comprehensive medical, psychological and reported exposure assessments of 1,456 veterans and 1,588 comparison group in a cross-sectional study.

RESULTS

More Gulf War veterans had fatigue at all levels than did the military comparison group. The findings may be at least partly explained as an "active-deployment effect." The odds ratios increased with increasing clinical evaluation of the nature of the fatigue, even after adjustment for current psychiatric disorders in addition to other possible confounding factors.

CONCLUSION

Medically unexplained chronic fatigue was more common, but not more disabling, in veterans than in the comparison group, but veterans with unexplained chronic fatigue had poorer health than veterans without. Within both populations, CFS is uncommon and at a similar level to the general community.

摘要