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Pages 317-322

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From page 317...
... Prior life experiences known to be modifiers of health effects were infrequently assessed. Researchers that compared the accuracy of self-reports with objective measures, such as physical examinations or medical records, often found conflicting results; and the correlation between self-reports and objective measures or diagnoses was sufficiently poor that the committee decided that, although self-reports provided valuable information, a self-report alone was not sufficient to show an association between deployment and a specific health effect.
From page 318...
... Normative Aging Study, which has followed World War II and Korean War veterans since 1961. Those and other studies that evaluated specific health effects formed the backbone of the committee's assessment of the association between deployment-related stress and various health effects.
From page 319...
... , other anxiety disorders, and depression; alcohol abuse; accidental death and suicide in the first few years after return from deployment; and marital and family conflict, including interpersonal violence. For several health and psychosocial effects -- such as unexplained illness, drug abuse, chronic fatigue syndrome, gastrointestinal symptoms consistent with functional gastrointestinal disorders, skin diseases, incarceration, and fibromyalgia and chronic widespread pain -- there was limited and suggestive evidence of an association.
From page 320...
... • Incarceration. Inadequate/Insufficient Evidence to Determine Whether an Association Exists Evidence from available studies is of insufficient quantity, quality, or consistency to permit a conclusion regarding the existence of an association between deployment to a war zone and a specific health outcome in humans.
From page 321...
... The committee recommends that DoD conduct comprehensive, standardized predeployment and postdeployment evaluations of medical conditions, psychiatric symptoms and diagnoses, and psychosocial status and trauma history. Predeployment evaluation would serve two purposes.
From page 322...
... :416-419. Jordan BK, Marmar CR, Fairbank JA, Schlenger WE, Kulka RA, Hough RL, Weiss DS.

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