Clinician attributions for symptoms and treatment of Gulf War-related health concerns

Ralph D. Richardson, Charles C. Engel, Miles McFall, Katherine McKnight, James Boehnlein, Stephen C. Hunt

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Background: Several clinical syndromes are defined solely on the basis of symptoms, absent an identifiable medical etiology. When evaluating and treating individuals with these syndromes, clinicians' beliefs might shape decisions regarding referral, diagnostic testing, and treatment. To assess clinician beliefs about the etiology and treatment of "Gulf War illness," we surveyed a sample of general internal medicine clinicians (GIMCs) and mental health clinicians (MHCs). Methods: Clinicians (77 GIMCs and 214 MHCs) at the Veterans Affairs Puget Sound Health Care System, Seattle, Wash, and the Veterans Affairs Medical Center in Portland, Ore, responded to a mailed survey of their beliefs about Gulf War illness. Results: Compared with GIMCs, MHCs were more likely to believe that Gulf War illness was the result of a "physical disorder" and that symptoms resulted from viruses or bacteria, immunizations, exposure to toxins, chemical weapons, or a combination of toxins and stress (P

Original languageEnglish (US)
Pages (from-to)1289-1294
Number of pages6
JournalArchives of Internal Medicine
Volume161
Issue number10
StatePublished - 2001
Externally publishedYes

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Gulf War
Internal Medicine
Mental Health
Veterans
Health
Weapons
Immunization
Therapeutics
Referral and Consultation
Viruses
Bacteria
Delivery of Health Care

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Richardson, R. D., Engel, C. C., McFall, M., McKnight, K., Boehnlein, J., & Hunt, S. C. (2001). Clinician attributions for symptoms and treatment of Gulf War-related health concerns. Archives of Internal Medicine, 161(10), 1289-1294.

Clinician attributions for symptoms and treatment of Gulf War-related health concerns. / Richardson, Ralph D.; Engel, Charles C.; McFall, Miles; McKnight, Katherine; Boehnlein, James; Hunt, Stephen C.

In: Archives of Internal Medicine, Vol. 161, No. 10, 2001, p. 1289-1294.

Research output: Contribution to journalArticle

Richardson, RD, Engel, CC, McFall, M, McKnight, K, Boehnlein, J & Hunt, SC 2001, 'Clinician attributions for symptoms and treatment of Gulf War-related health concerns', Archives of Internal Medicine, vol. 161, no. 10, pp. 1289-1294.
Richardson, Ralph D. ; Engel, Charles C. ; McFall, Miles ; McKnight, Katherine ; Boehnlein, James ; Hunt, Stephen C. / Clinician attributions for symptoms and treatment of Gulf War-related health concerns. In: Archives of Internal Medicine. 2001 ; Vol. 161, No. 10. pp. 1289-1294.
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