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To screen for current (past month) posttraumatic stress disorder, we used the Posttraumatic Stress Disorder Checklist, which is widely accepted and has excellent reliability and validity.
Its cutoff value of ≥50 has been established using a receiver operator characteristic curve compared with a structured psychiatric interview.
Its overall diagnostic accuracy is 96% for panic disorder and 94% generalized anxiety disorder, respectively. These investigators compared telephone administration by trained raters with a computer-generated form using interactive voice response technology.
To assess the prevalence of and risk factors for current anxiety disorders in Gulf War veterans, we administered a structured telephone interview to a population-based sample of 4886 military personnel from Iowa at enlistment.
Participants were randomly drawn from Gulf War regular military, Gulf War National Guard/Reserve, non-Gulf War regular military, and non-Gulf War National Guard/Reserve.
Predeployment psychiatric difficulties are robustly associated with the development of anxiety.
Healthcare providers and policymakers need to consider panic disorder and generalized anxiety disorder, in addition to posttraumatic stress disorder, to ensure their proper assessment, treatment, and prevention in veteran populations. This work was partially supported by CDC Cooperative Agreement, U50/CCU711513, and Department of Defense Grant #DAMD17-97-1. Voelker was also partially supported through NIMH training grant #5T32-MH15158-23. Black, Psychiatry Research—MEB, University of Iowa College of Medicine, Iowa City, IA 52242.
Veterans of the first Gulf War reported a markedly higher prevalence of current anxiety disorders than nondeployed military personnel (5.9% vs.
2.8%; odds ratio = 2.1; 95% confidence interval = 1.3–3.1), and their anxiety disorders are associated with co-occurring psychiatric disorders.
From the *Department of Psychiatry, The University of Iowa Roy J. Carver College of Medicine, Iowa City, Iowa; the †Department of Internal Medicine, Indiana University School of Medicine, Indianapolis, Indiana; the ‡Department of Internal Medicine, The University of Iowa Roy J. Carver College of Medicine, Iowa City, Iowa; the §Department of Biometry and Epidemiology, Medical University of South Carolina, Charleston, South Carolina; the ¶Department of Internal Medicine, Duke University School of Medicine, Durham, North Carolina; the ∥Department of Epidemiology, The University of Iowa College of Public Health, Iowa City, Iowa; the **Division of Environmental Hazards and Health Effects Centers for Disease Control and Prevention, Atlanta, Georgia; and ††Roudebush VA Medical Center, Indianapolis, Indiana. E-mail: Veterans of the first Gulf War (Operations Desert Shield and Desert Storm) have reported medical symptoms and complaints leading some investigators to propose the existence of a “Gulf War syndrome.” Reported symptoms range in severity from skin rash to neurologic complaints and cognitive impairment.
Nonetheless, these complaints are frequently reported by Gulf War veterans and, to some extent, remain unexplained.
(Non-Gulf War military personnel were on active duty at the time of the first Gulf War but were not deployed to the Gulf.) For National Guard/Reserve personnel to be eligible for the study, they had to be classified as National Guard or United States Reserve personnel at some time during the same time period as the Gulf War.Tags: Adult Dating, affair dating, sex dating