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. 2002 Feb 9;324(7333):321-4.
doi: 10.1136/bmj.324.7333.321.

Post-combat syndromes from the Boer war to the Gulf war: a cluster analysis of their nature and attribution

Edgar Jones  1 , Robert Hodgins-Vermaas, Helen McCartney, Brian Everitt, Charlotte Beech, Denise Poynter, Ian Palmer, Kenneth Hyams, Simon Wessely
Affiliations

Post-combat syndromes from the Boer war to the Gulf war: a cluster analysis of their nature and attribution

Edgar Jones et al. BMJ. .

Erratum in

  • BMJ 2002 Feb 16;324(7334):397

Abstract

Objectives: To discover whether post-combat syndromes have existed after modern wars and what relation they bear to each other.

Design: Review of medical and military records of servicemen and cluster analysis of symptoms.

Data sources: Records for 1856 veterans randomly selected from war pension files awarded from 1872 and from the Medical Assessment Programme for Gulf war veterans.

Main outcome measures: Characteristic patterns of symptom clusters and their relation to dependent variables including war, diagnosis, predisposing physical illness, and exposure to combat; and servicemen's changing attributions for post-combat disorders.

Results: Three varieties of post-combat disorder were identified-a debility syndrome (associated with the 19th and early 20th centuries), somatic syndrome (related primarily to the first world war), and a neuropsychiatric syndrome (associated with the second world war and the Gulf conflict). The era in which the war occurred was overwhelmingly the best predictor of cluster membership.

Conclusions: All modern wars have been associated with a syndrome characterised by unexplained medical symptoms. The form that these assume, the terms used to describe them, and the explanations offered by servicemen and doctors seem to be influenced by advances in medical science, changes in the nature of warfare, and underlying cultural forces.

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Figures

Figure
Figure
Mean incidence of 25 commonest symptoms in 1856 British servicemen with post-combat syndromes
See this image and copyright information in PMC

References

    1. Unwin C, Blatchley N, Coker W, Ferry S, Hotopf M, Hull L, et al. Health of UK servicemen who served in Persian Gulf war. Lancet. 1999;353:169–178. - PubMed
    1. Ismail K, Everitt BS, Blatchley N, Hull L, Unwin C, David A, et al. Is there a Gulf war syndrome? Lancet. 1999;353:179–189. - PubMed
    1. Doebbeling BN, Clarke WR, Watson D, Torner JC, Woolson RF, Voelker MD, et al. Is there a Gulf war syndrome? Evidence from a large population-based survey of veterans and nondeployed controls. Am J Med. 2000;108:695–704. - PubMed
    1. Haley RW, Thomas KL, Hom J. Is there a Gulf war syndrome? Searching for syndromes by factor analysis of symptoms. JAMA. 1997;277:215–222. , 278:388. - PubMed
    1. Hyams KC, Wignall FS, Roswell R. War syndromes and their evaluation: from the U.S. civil war to the Persian Gulf war. Ann Intern Med. 1996;125:398–405. - PubMed

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