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EDITOR
We have read the results of the questionnaire based study by
Chalder et al from the Gulf war research unit at King's College.1 They found that 17% of the 2961 Gulf war
veterans believe themselves to be suffering from Gulf war syndrome,
although the group has found no evidence to support such a
syndrome.2 The veterans' belief was reinforced if they
knew someone with similar symptoms. We believe that this represents
post-conflict dysfunction expressed according to health beliefs
prevailing at the time the questionnaire was administered.
Hyams et al investigated the health of veterans without organic disease
from conflicts since the American civil war ("disordered action of
the heart").3 He showed that veterans complained of a
range of physical and cognitive symptoms, the nature of which was
independent of the conflict and gained diagnoses based on the then
current aetiological beliefs. The Gulf veterans' medical assessment
programme of the
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