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老兵对海湾战争疾病病因的看法和对改善的期望。

Veteran Beliefs About the Causes of Gulf War Illness and Expectations for Improvement.

机构信息

Department of Veterans Affairs, War Related Illness and Injury Study Center, VA New Jersey Health Care System, East Orange, NJ, USA.

VA Ann Arbor Healthcare System, Ann Arbor, USA.

出版信息

Int J Behav Med. 2024 Feb;31(1):169-174. doi: 10.1007/s12529-023-10166-1. Epub 2023 Mar 27.

DOI:10.1007/s12529-023-10166-1
PMID:36973578
Abstract

BACKGROUND

Individuals' beliefs about the etiology of persistent physical symptoms (PPS) are linked to differences in coping style. However, it is unclear which attributions are related to greater expectations for improvement.

METHOD AND RESULTS

A cross-sectional regression analysis (N = 262) indicated that Veterans with Gulf War Illness (GWI) who attributed their GWI to behavior, (e.g., diet and exercise), had greater expectations for improvement (p = .001) than those who attributed their GWI to deployment, physical, or psychological causes (p values > .05).

CONCLUSIONS

Findings support the possible clinical utility of exploring perceived contributing factors of PPS, which may increase perceptions that improvement of PPS is possible.

TRIAL REGISTRATION

ClinicalTrials.gov Identifier: NCT02161133.

摘要

背景

个体对持续性躯体症状(PPS)病因的信念与应对方式的差异有关。然而,目前尚不清楚哪些归因与对改善的更高期望有关。

方法和结果

横断面回归分析(N=262)表明,将海湾战争病(GWI)归因于行为(如饮食和锻炼)的海湾战争老兵对改善的期望更高(p=0.001),而将 GWI 归因于部署、身体或心理原因的老兵对改善的期望较低(p 值>0.05)。

结论

研究结果支持探索持续性躯体症状的潜在可归因因素的可能临床意义,这可能会增加对改善持续性躯体症状的可能性的认知。

试验注册

ClinicalTrials.gov 标识符:NCT02161133。

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Coping with Medically Unexplained Physical Symptoms: the Role of Illness Beliefs and Behaviors.应对医学无法解释的躯体症状:疾病信念和行为的作用。
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Iraq and Afghanistan Veterans report symptoms consistent with chronic multisymptom illness one year after deployment.伊拉克和阿富汗退伍军人报告称,在部署一年后出现了与慢性多症状疾病相符的症状。
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