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|Title:||War-related psychological stressors and risk of psychological disorders in Australian veterans of the 1991 Gulf War|
|Citation:||British Journal of Psychiatry, 2004; 185(AUG.):116-126|
|Publisher:||Royal College of Psychiatrists|
|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|
|Appears in Collections:||Psychiatry publications|
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