期刊
JOURNAL OF REHABILITATION RESEARCH AND DEVELOPMENT
卷 53, 期 1, 页码 59-69出版社
JOURNAL REHAB RES & DEV
DOI: 10.1682/JRRD.2014.10.0255
关键词
chronic multisymptom illness; chronic pain; combat deployment; mental health function; Operation Iraqi Freedom/Operation Enduring Freedom; pain management; Persian Gulf war; physical health function; PTSD; Veterans
资金
- VA Health Services Research & Development Service [IIR 0202-296, CDA-13-017]
- War Related Illness and Injury Study Center
- New Jersey Reserve Education Assistance program [REA 03-021]
- Deployment Health Clinical Center, Walter Reed Army Medical Center
- Veterans Affairs [IK2HX001369] Funding Source: NIH RePORTER
Many Veterans returning from service in Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) experience chronic pain. What is not known is whether for some OIF/OEF Veterans this pain is part of a larger condition of diffuse multisystem symptoms consistent with chronic multi symptom illness (CMI). We use data from a prospective longitudinal study of OIF/OEF Veterans to determine the frequency of CMI. We found that 1 yr after deployment, 49.5% of OIF/OEF Veterans met criteria for mild to moderate CMI and 10.8% met criteria for severe CMI. Over 90% of Veterans with chronic pain met criteria for CMI. CMI was not completely accounted for either by posttraumatic stress disorder or by pre deployment levels of physical symptoms. Veterans with symptoms consistent with CMI reported significantly worse physical health function than Veterans who did not report symptoms consistent with CMI. This study suggests that the presence of CMI should be considered in the evaluation of OIF/OEF Veterans. Further, it suggests that the pain management for these Veterans may need to be tailored to take CMI into consideration.
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