numerous health effects associated with various types of stressors, the human literature is much more challenging to interpret.

I am deeply appreciative of the hard work of our committee members: Kathryn Basham, Evelyn Bromet, Gregory Burke, Dennis Charney, Michael Davis, Douglas Drossman, Dwight Evans, Vincent Felitti, Janice Krupnick, William Malarkey, Bruce McEwen, Thomas Pickering, Jerrold Rosenbaum, and Timothy Walsh, and of our expert consultants Carol North, Kerry Knox, and Miriam Davis. The committee would like to thank Jack Gorman for his thoughtful input. Although the committee developed conclusions independently of input from IOM staff, we deeply appreciate their hard work and attention to detail and the extensive research that they conducted to ensure that we had all the information that we needed from the outset. It has been a privilege and a pleasure to work with the IOM staff directed by Roberta Wedge and Carolyn Fulco. Without them, this report would not have been possible. Most of all, our committee appreciates the veterans who have served in this country’s wars. It is for them that we do this work, and we hope that this report will inform those who have given so much to our nation.


Richard Mayeux, MD, MSc (Chair)

Sergievsky Professor of Neurology, Psychiatry, and Epidemiology

Director, Sergievsky Center; Codirector, Taub Institute

College of Physicians and Surgeons

Columbia University



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