Evidence map›Paper›PMID 40340723›Full record

ArticleThe Permanente journal2025

Navigating Psychiatric Concerns in a Veteran Reporting Gulf War Illness: A Case Report.

Christian Alan Botz-Zapp, Jami Wang, Eric Kazangian, Jennifer Ferrer

Abstract readCase Reports
In one paragraph

Article in The Permanente journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Christian Alan Botz-ZappKaiser Permanente Bernard J Tyson School of Medicine, Pasadena, CA, USA.ORCID 0000-0002-7428-6238
Jami WangKaiser Permanente Southern California, Fontana, CA, USA.ORCID 0000-0002-6814-1817
Eric KazangianKaiser Permanente Southern California, Fontana, CA, USA.ORCID 0009-0008-0519-2407
Jennifer FerrerKaiser Permanente Southern California, Fontana, CA, USA.ORCID 0009-0006-4647-7711

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gulf War illness (GWI) is a chronic condition affecting nearly a third of Gulf War veterans and is characterized by persistent symptoms across a number of physical and neuropsychiatric domains. This case study examined a 52-year-old veteran admitted on a psychiatric hold for danger to others. The patient's symptoms, including chronic migraine, widespread musculoskeletal pain, skin sensitivities, environmental allergies, and mood and cognitive disturbances, met criteria for GWI according to 2 accepted case definitions. Initial misdiagnosis of psychosis was corrected upon evaluation, which identified severe anxiety consistent with generalized anxiety disorder. Treatment focused on providing validation of the patient's chronic symptoms and managing his anxiety through pharmacologic intervention. This case underscored the importance of recognizing GWI to ensure accurate diagnoses and targeted care for veterans.

Indexed as

Anxiety DisordersPersian Gulf SyndromeVeteransGulf WarHumansMaleMiddle AgedPersian Gulf IllnessPTSDsomatic symptom disorder

Identifiers

PMID40340723
PMCPMC12168036

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.