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2. Identifying Conditions for Study
Pages 23-30

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From page 23...
... Many of the studies have shown that Gulf War veterans report a higher level of symptoms and self-reported illness, as well as functional impairment than do nondeployed veterans; however, none has been able to link these health problems to a specific condition, etiological agent, or exposure. To do so involves a long and complex process.
From page 24...
... is implementing a longitudinal study of health status that may yield useful information in planning for the future care of veterans of conflict; however, physicians treating Gulf War veterans need guidance now on treatment, and patients need to feel there is an approach to treatment that results in improved health. The committee was asked to identify illnesses and conditions present among Gulf War veterans, to identify valid models of treatment for such illnesses to the extent they exist, and to identify new approaches, theories, or research on management of these conditions if validated treatment models are not available.
From page 25...
... Symptoms reported correspond closely to symptoms experienced by people in other than veteran populations who have recognized diagnoses of unknown etiology. Symptoms experienced by Gulf War veterans have a significant degree of overlap with symptoms of patients diagnosed with these conditions, such as fibromyalgia (joint pain, sleep disturbances, fatigue)
From page 26...
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From page 28...
... Because research on the efficacy and effectiveness of treatments has been diagnosis specific, the committee, of necessity, has followed the categorical approach in evaluating treatments and has grouped symptoms experienced by Gulf War veterans into the following diagnostic categories that have been the subject of efficacy or effectiveness research: · Chronic fatigue syndrome · Depression · Fibromyalgia · Headache · Irritable bowel syndrome · Panic disorder · Posttraumatic stress disorder As with all symptom-based conditions, however, there are veterans who have symptoms that do not fit into any of the above categories. To address these patients' illnesses, the committee has taken a dual approach.
From page 29...
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