دورية أكاديمية
Veterans with Gulf War Illness perceptions of management strategies.
| العنوان: | Veterans with Gulf War Illness perceptions of management strategies. |
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| المؤلفون: | Winograd DM; University at Albany, State University of New York, 1400 Washington Ave., Albany, NY 12222, USA., Sullivan NL; War Related Illness and Injury Study Center, Veterans Affairs New Jersey Healthcare System, East Orange, NJ 07018, USA., Thien SR; War Related Illness and Injury Study Center, Veterans Affairs New Jersey Healthcare System, East Orange, NJ 07018, USA., Pigeon WR; VISN 2 Center of Excellence for Suicide Prevention, Veterans Affairs Finger Lakes Healthcare System, Canandaigua, NY, USA; Department of Psychiatry, University of Rochester Medical Center, Rochester, NY, USA., Litke DR; War Related Illness and Injury Study Center, Veterans Affairs New Jersey Healthcare System, East Orange, NJ 07018, USA; Department of Rehabilitation Medicine, NYU Grossman School of Medicine, New York, NY 10016, USA., Helmer DA; Center for Innovations in Quality, Effectiveness, and Safety (IQuESt), Michael E. DeBakey VA Medical Center, Houston, TX 77030, USA., Rath JF; Department of Rehabilitation Medicine, NYU Grossman School of Medicine, New York, NY 10016, USA., Lu SE; Rutgers Unviersity, Piscataway, NJ 08854, USA., McAndrew LM; University at Albany, State University of New York, 1400 Washington Ave., Albany, NY 12222, USA; War Related Illness and Injury Study Center, Veterans Affairs New Jersey Healthcare System, East Orange, NJ 07018, USA. Electronic address: lisa.mcandrew@va.gov. |
| المصدر: | Life sciences [Life Sci] 2021 Aug 15; Vol. 279, pp. 119219. Date of Electronic Publication: 2021 Feb 13. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 0375521 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1879-0631 (Electronic) Linking ISSN: 00243205 NLM ISO Abbreviation: Life Sci Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2008->: Amsterdam : Elsevier Original Publication: Oxford; Elmsford, N. Y. [etc.] Pergamon Press. |
| مواضيع طبية MeSH: | Cognitive Behavioral Therapy/*methods , Persian Gulf Syndrome/*complications , Sleep Initiation and Maintenance Disorders/*therapy , Veterans/*psychology, Adult ; Aged ; Disease Management ; Female ; Humans ; Life Style ; Male ; Middle Aged ; Perception ; Persian Gulf Syndrome/psychology ; Randomized Controlled Trials as Topic ; Sleep Initiation and Maintenance Disorders/etiology ; Sleep Initiation and Maintenance Disorders/psychology ; Surveys and Questionnaires |
| مستخلص: | Aims: Gulf War Illness (GWI) is a prevalent and disabling condition characterized by persistent physical symptoms. Clinical practice guidelines recommend self-management to reduce the disability from GWI. This study evaluated which GWI self-management strategies patients currently utilize and view as most effective and ineffective. Materials and Methods: Data were collected from 267 Veterans during the baseline assessment of a randomized clinical trial for GWI. Respondents answered 3 open-ended questions regarding which self-management strategies they use, view as effective, and view as ineffective. Response themes were coded, and code frequencies were analyzed. Key Findings: Response frequencies varied across questions (in-use: n = 578; effective: n = 470; ineffective: n = 297). Healthcare use was the most commonly used management strategy (38.6% of 578), followed by lifestyle changes (28.5% of 578), positive coping (13% of 578), and avoidance (13.7% of 578). When asked about effective strategies, healthcare use (25.9% of 470), lifestyle change (35.7% of 470), and positive coping (17.4% of 470) were identified. Avoidance was frequently identified as ineffective (20.2% of 297 codes), as was invalidating experiences (14.1% of 297) and negative coping (10.4% of 297). Significance: Patients with GWI use a variety of self-management strategies, many of which are consistent with clinical practice guidelines for treating GWI, including lifestyle change and non-pharmacological strategies. This suggests opportunities for providers to encourage effective self-management approaches that patients want to use. (Copyright © 2021. Published by Elsevier Inc.) |
| فهرسة مساهمة: | Keywords: Gulf War Illness; Medically unexplained symptoms; Primary care; Self-management; Veteran's health |
| تواريخ الأحداث: | Date Created: 20210216 Date Completed: 20210705 Latest Revision: 20210705 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.lfs.2021.119219 |
| PMID: | 33592197 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1879-0631 |
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| DOI: | 10.1016/j.lfs.2021.119219 |