Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/33889
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Type: Journal article
Title: War-related psychological stressors and risk of psychological disorders in Australian veterans of the 1991 Gulf War
Author: Ikin, J.
Sim, M.
Creamer, M.
Forbes, A.
McKenzie, D.
Kelsall, H.
Glass, D.
McFarlane, A.
Abramson, M.
Ittak, P.
Dwyer, T.
Blizzard, L.
Delaney, K.
Horsley, K.
Harrex, W.
Schwarz, H.
Citation: British Journal of Psychiatry, 2004; 185(AUG.):116-126
Publisher: Royal College of Psychiatrists
Issue Date: 2004
ISSN: 0007-1250
1472-1465
Statement of
Responsibility: 
J. F. Ikin, M. R. Sim, M. C. Creamer, A. B. Forbes, D. P. Mckenzie, H. L. Kelsall, D. C. Glass, A. C. McFarlane, M. J. Abramson, P. Ittak, T. Dwyer, L. Blizzard, K. R. Delaney, K.W. A. Horsley, W. K. Harrex and H. Schwarz
Abstract: Background Questions remain about the long-term health impacts of the 1991 Gulf War on its veterans. Aims To measure psychological disorders in Australian Gulf War veterans and a military comparison group and to explore any association with exposure to Gulf War-related psychological stressors. Method Prevalences of DSM-IV psychological disorders were measured using the Composite International Diagnostic Interview. Gulf War-related psychological stressors were measured using a service experience questionnaire. Results A total of 31% of male Gulf War veterans and 21% of the comparison group met criteria for a DSM-IV disorder first present in the post-Gulf War period. The veterans were at greater risk of developing post-Gulf War anxiety disorders including post-traumatic stress disorder, affective disorders and substance use disorders. The prevalence of such disorders remained elevated a decade after deployment. The findings can be explained partly as a ‘war-deployment effect’. There was a strong dose-response relationship between psychological disorders and number of reported Gulf War-related psychological stressors. Conclusions Service in the 1991 Gulf War is associated with increased risk of psychological disorders and these are related to stressful experiences.
Keywords: Humans; Persian Gulf Syndrome; Substance-Related Disorders; Prevalence; Odds Ratio; Risk Factors; Stress, Psychological; Combat Disorders; Stress Disorders, Post-Traumatic; Mood Disorders; Adult; Aged; Middle Aged; Military Personnel; Australia; Male
Description: Copyright © 2004 The Royal College of Psychiatrists
RMID: 0020063330
DOI: 10.1192/bjp.185.2.116
Published version: http://bjp.rcpsych.org/cgi/reprint/185/2/116.pdf
Appears in Collections:Psychiatry publications

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