TY - BOOK ED - Institute of Medicine (U.S.). ED - Institute of Medicine (U.S.). TI - Gulf War and Health SN - 9780309278034 AV - DS79.744.M44 I57 2013 U1 - 616.9/8 23 PY - 2013/// CY - Washington, D.C. PB - The National Academies Press KW - Persian Gulf War, 1991 KW - Veterans KW - Medical care KW - United States KW - Health aspects KW - Persian Gulf syndrome KW - Post-traumatic stress disorder KW - Psychology KW - Combat KW - Psychological aspects KW - Physiological aspects KW - War neuroses KW - Persian Gulf Syndrome KW - Stress Disorders, Post-Traumatic KW - Brain Injuries KW - Gulf War KW - Combat Disorders KW - psychology KW - Guerre du golfe Persique, 1991 KW - Anciens combattants KW - Soins médicaux KW - États-Unis KW - Syndrome de la guerre du Golfe KW - État de stress post-traumatique KW - Psychologie KW - Aspect physiologique KW - Cerveau KW - Lésions et blessures KW - Névroses de guerre KW - HEALTH & FITNESS KW - Diseases KW - General KW - bisacsh KW - MEDICAL KW - Clinical Medicine KW - Evidence-Based Medicine KW - Internal Medicine KW - fast KW - Electronic books N1 - Includes bibliographical references and index; Introduction -- Characterizing chronic multisymptom illness -- Methods -- Treament for chronic multisymptom illness -- Review of treatments for comorbid and related conditions -- Patient-centered care of veterans who have chronic multisymptom illness -- Implementation and models of care for veterans who have chronic multisymptom illness -- Recommendations N2 - "Chronic multisymptom illness (CMI) is a serious condition that imposes an enormous burden of suffering on our nation's veterans. Veterans who have CMI often have physical symptoms (such as fatigue, joint and muscle pain, and gastrointestinal symptoms) and cognitive symptoms (such as memory difficulties). For the purposes of this report, the committee defined CMI as the presence of a spectrum of chronic symptoms experienced for 6 months or longer in at least two of six categories - fatigue, mood, and cognition, musculoskeletal, gastrointestinal, respiratory, and neurologic - that may overlap with but are not fully captured by known syndromes (such as CFS, fibromyalgia, and IBS) or other diagnoses. Despite considerable efforts by researchers in the United States and elsewhere, there is no consensus among physicians, researchers, and others as to the cause of CMI. There is a growing belief that no specific causal factor or agent will be identified. Many thousands of Gulf War veterans who have CMI live with sometimes debilitating symptoms and seek an effective way to manage their symptoms. Estimates of the numbers of 1991 Gulf War veterans who have CMI range from 175,000 to 250,000 (about 25-35% of the 1991 Gulf War veteran population), and there is evidence that CMI in 1991 Gulf War veterans may not resolve over time. Preliminary data suggest that CMI is occurring in veterans of the Iraq and Afghanistan wars as well. In addition to summarizing the available scientific and medical literature regarding the best treatments for chronic multisymptom illness among Gulf War veterans, Gulf War and Health: Volume 9: Treatment for Chronic Multisymptom Illness recommends how best to disseminate this information throughout the VA to improve the care and benefits provided to veterans, recommends additional scientific studies and research initiatives to resolve areas of continuing scientific uncertainty and recommends such legislative or administrative action as the IOM deems appropriate in light of the results of its review"--Publisher's description UR - https://search.ebscohost.com/login.aspx?direct=true&scope=site&db=nlebk&AN=867958 ER -