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Seventeen per cent of British servicemen and women who served in
the 1991 Gulf war believe that they have Gulf war syndrome, which is
associated with psychological distress, a high number of syndromes, and
reduced activity. This belief is also associated with the veteran
having poor health, not currently being in the army, and having a high
number of vaccinations before deployment to the Gulf. Chalder and
colleagues (p 473) received 2961 responses (70%) to a
questionnaire sent to a random sample of 4250 British Gulf war
veterans. Since a combination of biological, psychological, and
sociological factors is associated with this belief, these factors
should be addressed in clinical practice.