Gulf War Illness-related Medical Research &
Other Health Outcomes
E.W. Disease and Suspicion After the Persian Gulf War (editorial). New
Eng J Med 1996; 335: 1525-1527. This editorial comments
on the studies on mortality (Kang et al.) and hospitalization (Gray
et al.) which appeared in the same issue of the journal. The author
mentions the many, publicized factors which have been suggested as causes
of veterans' symptoms and the distrust that many veterans have of the government.
He emphasizes the need for careful, epidemiologic studies, and he cautions
that physicians caring for ailing veterans must resist the pressure to
diagnose a disease for which scientific evidence is lacking, must win veterans'
trust by conducting careful, unbiased, and thorough evaluations, and must
keep their allegiance to their patients, not to any third party or unfounded
M.J. et al. Signs, Symptoms, and Ill-Defined Conditions in Persian Gulf
War Veterans: Findings from the Comprehensive Clinical Evaluation Program.
Psychosomatic Medicine 60: 663-668, 1998. The authors examine CCEP
diagnoses of "Signs, Symptoms, and Ill-Defined Conditions" (SSID) that
were found in 41.8% of 21,579 veterans evaluated through January 7, 1997.
The three most common symptom diagnoses were fatigue, headache, and memory
loss. As the depth of the CCEP evaluation increased, the proportion of
diagnoses that were SSID decreased but the proportion of psychological
diagnoses increased. Limitations of the study and of the CCEP database
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