Kelsall Helen, Sim Malcolm, McKenzie Dean, Forbes Andrew, Leder Karin, Glass Deborah, Ikin Jillian, McFarlane Alexander
Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia.
J Psychosom Res. 2006 Jun;60(6):575-84. doi: 10.1016/j.jpsychores.2006.04.002.
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.
Comprehensive medical, psychological and reported exposure assessments of 1,456 veterans and 1,588 comparison group in a cross-sectional study.
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.
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.
本研究旨在根据1994年慢性疲劳综合征（CFS）的定义，评估澳大利亚海湾战争退伍军人及一个军事对照组的疲劳状况，并调查其与暴露因素的关系。
在一项横断面研究中，对1456名退伍军人和1588名对照组人员进行全面的医学、心理及报告暴露评估。
各级疲劳程度的海湾战争退伍军人均多于军事对照组。这些发现至少部分可解释为“积极部署效应”。即使在调整了当前精神疾病及其他可能的混杂因素后，疲劳性质的临床评估越高，比值比也越高。
在退伍军人中，医学上无法解释的慢性疲劳比对照组更常见，但致残性并不更高，不过患有无法解释的慢性疲劳的退伍军人健康状况比没有的退伍军人更差。在这两个人群中，慢性疲劳综合征都不常见，且与普通人群处于相似水平。
