Grant N Marshall - A Review of the Scientific Literature As It Pertains to Gulf War Illnesses, Volume 4: Stress (Gulf War Illnesses Series)
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A Review of the Scientific Literature As It Pertains to Gulf War Illnesses, Volume 4: Stress (Gulf War Illnesses Series)
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Reports that stress can produce myriad health effects, and these effects can manifest themselves as symptoms and conditions similar to those that veterans report.
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A Review of the Scientific Literature As It Pertains to Gulf War Illnesses, Stress Gulf War Illnesses Series ; V. 4
author
:
Golomb, Beatrice Alexandra.; Marshall, Grant N.; Harley, Naomi H.; Spektor, Dalia M.
publisher
:
RAND
isbn10 | asin
:
0833026798
print isbn13
:
9780833026798
ebook isbn13
:
9780585302362
language
:
English
subject
Persian Gulf syndrome.
publication date
:
1999
lcc
:
RB152.7.R48 1999eb
ddc
:
616.9/8023
subject
:
Persian Gulf syndrome.
The research described in this report was sponsored by the Office of the Secretary of Defense (OSD). The research was conducted in RAND's National Defense Research Institute, a federally funded research and development center supported by the OSD, the Joint Staff, the unified commands, and the defense agencies under Contract No. DASW01-95-C-0059.
Library of Congress Cataloging-in-Publication Data A review of the scientific literature as it pertains to GulfWar illnesses. p. cm. "Prepared for the Office of the Secretary of Defense by RAND's National Defense Research Institute." "MR-1018/4-OSD." Includes bibliographical references. Contents: v. 4. Stress / Grant N. Marshall ISBN 0-8330-2679-8 (v. 4) 1. Persian Gulf syndrome. I. Marshall, Grant N. II. United States. Dept. of Defense. Office of the Secretary of Defense. III. National Defense Research Institute (U.S.). RB152.7.R48 1999 616.9 ' 8023dc21 98-31679 CIP
RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND is a registered trademark. RAND's publications do not necessarily reflect the opinions or policies of its research sponsors.
Copyright 1999 RAND
All rights reserved. No part of this book may be reproduced in any form by any electronic or mechanical means (including photocopying, recording, or information storage and retrieval) without permission in writing from RAND.
Published 1999 by RAND 1700 Main Street, P.O. Box 2138, Santa Monica, CA 90407-2138 1333 H St., N.W., Washington, D.C. 20005-4707 RAND URL: http://www.rand.org/ To order RAND documents or to obtain additional information, contact Distribution Services: Telephone: (310) 451-7002; Fax: (310) 451-6915; Internet: order@rand.org
Stress
Titles in the Gulf War Illnesses series
Volume 1 Infectious Diseases LEE H. HILBORNE AND BEATRICE ALEXANDRA GOLOMB
Volume 2 Pyridostigmine Bromide BEATRICE ALEXANDRA GOLOMB
Volume 3 Immunizations BEATRICE ALEXANDRA GOLOMB
Volume 4 Stress GRANT MARSHALL, LOIS DAVIS, AND CATHY SHERBOURNE, WITH ASSISTANCE FROM DAVID FOY, LISA JAYCOX, AND LESLIE MORLAND
Volume 5 Chemical and Biological Warfare Agents WILLIAM S. AUGERSON
Volume 6 Oil Well Fires DALIA M. SPEKTOR
Volume 7 Depleted Uranium NAOMI H. HARLEY, ERNEST C. FOULKES, LEE H. HILBORNE, ARLENE HUDSON, AND C. ROSS ANTHONY
Volume 8 Pesticides SANDRA GESCHWIND AND BEATRICE ALEXANDRA GOLOMB
Also included in the Gulf War Illnesses series
Military Use of Drugs Not Yet Approved by the FDA for CW/BW Defense: Lessons from the Gulf War RICHARD A. RETTIG
Assessing the Health Consequences of Military Deployments: DoD's Activities Following the Gulf War ELIZABETH M. SLOSS, WILLIAM M. HIX, AND C. ROSS ANTHONY
Psychological and Psychosocial Consequences of Combat and Deployment with Special Emphasis on the Gulf War DAVID H. MARLOWE
Page i
A Review of the Literature As It Pertains to Gulf War Illnesses
Volume 4: Stress
Grant N. Marshall Lois M. Davis Cathy D. Sherbourne
with David W. Foy Lisa H. Jaycox Leslie Morland
Page iii
Preface
This literature review, one of eight commissioned by the Special Assistant to the Deputy Secretary of Defense for Gulf War Illnesses, summarizes the existing scientific literature on the health effects of stress that may have affected military personnel who served in Operations Desert Shield and Desert Storm. The eight RAND reviews are intended to complement efforts by the Defense Department and other federal agencies in their attempt to understand the full range of health implications of service in that conflict.
Many veterans have reported an array of physical and mental health complaints since the war. Whether veterans are experiencing either higher-than-expected rates of identifiable illnesses with known etiologies or other illnesses from unidentified origins is not yet clear.
The other seven RAND literature reviews deal with chemical and biological warfare agents, depleted uranium, pesticides, pyridostigmine bromide, immunizations, oil well fires, and infectious diseases. These represent plausible causes of some of the illnesses Gulf War veterans have reported.
The reviews are intended principally to summarize the scientific literature on the known health effects of given exposures to these risk factors. Where available evidence permits, the reviews also summarize what is known about the range of actual exposures in the Gulf and assess the plausibility of the risk factor at hand as a cause of illnesses. Statements related to the Gulf War experience should be regarded as suggestive rather than definitive, for more research on health effects and exposures remains to be completed before definitive statements can be made. Recommendations for additional research where appropriate are included.
These reviews are limited to literature published or accepted for publication in peer-reviewed journals, books, government publications, and conference proceedings. Unpublished information was occasionally used, but only to develop hypotheses.
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