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Fatigue in Cambodia veterans.

M de Vries1, P M Soetekouw, J W Van Der Meer

  • 1Departments of Medical Psychology, and. Internal Medicine, University Hospital Nijmegen, The Netherlands. M.deVries@cksmps.azn.nl

QJM : Monthly Journal of the Association of Physicians
|May 29, 2000
PubMed
Summary

Dutch military veterans deployed in Cambodia reported health issues similar to Gulf War veterans. Fatigue, forgetfulness, and concentration difficulties were common, affecting 17% of Cambodia veterans and others.

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Area of Science:

  • Military Medicine
  • Occupational Health
  • Epidemiology

Background:

  • Dutch military personnel deployed in UNTAC, Cambodia (1992-1993) reported health complaints attributed to service.
  • These symptoms resemble those reported by Gulf War veterans, suggesting potential shared environmental or operational factors.

Purpose of the Study:

  • To investigate the prevalence and predictors of health symptoms in Cambodia veterans four years post-deployment.
  • To compare symptom profiles between Cambodia veterans and other military deployment comparison groups.

Main Methods:

  • A cross-sectional survey was conducted using questionnaires distributed to Cambodia veterans and four comparison groups.
  • An operational case definition for fatigue was established using a validated fatigue severity questionnaire.

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Main Results:

  • Forgetfulness, difficulty concentrating, and fatigue were the most frequently reported symptoms among Cambodia veterans.
  • 17% of Cambodia veterans met the case definition for fatigue. Notably, 28% of Rwanda veterans and 11% of Bosnia veterans also met this definition.
  • Fatigue severity was associated with pre-mission, during-mission, and post-mission variables, including vaccine side-effect recall and causal attributions.

Conclusions:

  • Health symptoms, particularly fatigue, are prevalent in Cambodia veterans and are not unique to this group.
  • Factors influencing fatigue severity extend beyond the deployment period and may involve psychological and physiological responses to service and its aftermath.
  • Further research into the long-term health consequences of military deployments and the specific contributing factors is warranted.