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Military Sexual Trauma

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https://www.readbyqxmd.com/read/28913683/an-evidence-map-of-the-women-veterans-health-research-literature-2008-2015
#1
Elisheva R Danan, Erin E Krebs, Kristine Ensrud, Eva Koeller, Roderick MacDonald, Tina Velasquez, Nancy Greer, Timothy J Wilt
BACKGROUND: Women comprise a growing proportion of Veterans seeking care at Veterans Affairs (VA) healthcare facilities. VA initiatives have accelerated changes in services for female Veterans, yet the corresponding literature has not been systematically reviewed since 2008. In 2015, VA Women's Health Services and the VA Women's Health Research Network requested an updated literature review to facilitate policy and research planning. METHODS: The Minneapolis VA Evidence-based Synthesis Program performed a systematic search of research related to female Veterans' health published from 2008 through 2015...
September 14, 2017: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/28906037/patterns-of-smoking-and-unhealthy-alcohol-use-following-sexual-trauma-among-u-s-service-members
#2
Amber D Seelig, Anna C Rivera, Teresa M Powell, Emily C Williams, Arthur V Peterson, Alyson J Littman, Charles Maynard, Amy E Street, Jonathan B Bricker, Edward J Boyko
In the first known longitudinal study of the topic, we examined whether experiencing sexual assault or sexual harassment while in the military was associated with increased risk for subsequent unhealthy alcohol use and smoking among U.S. service members in the Millennium Cohort Study (2001-2012). Adjusted complementary log-log models were fit to estimate the relative risk of (a) smoking relapse among former smokers (men: n = 4,610; women: n = 1,453); (b) initiation of unhealthy alcohol use (problem drinking and/or drinking over recommended limits) among those with no known history of unhealthy alcohol use (men: n = 8,459; women: n = 4,816); and (c) relapse among those previously reporting unhealthy alcohol use (men: n = 3,487; women: n = 1,318)...
September 14, 2017: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/28885952/military-sexual-trauma-in-female-veterans-is-associated-with-chronic-pain-conditions
#3
Sara B Cichowski, Rebecca G Rogers, Elizabeth A Clark, Erin Murata, Allison Murata, Glen Murata
INTRODUCTION: Little is known about the impact of MST on chronic pain conditions among female Veterans. The primary objective of this study was to compare the prevalence of chronic pain conditions among U.S. female veterans with a history of military sexual trauma (MST) to those without a history of MST. We anticipated that female Veterans with a history of MST would have higher associations with chronic pain conditions than the female Veterans without a history of MST. MATERIALS AND METHODS: This was a large-scale, retrospective study using the Veterans' Health Administration Corporate Data Warehouse with institutional approval (15-H175)...
September 2017: Military Medicine
https://www.readbyqxmd.com/read/28880738/military-sexual-trauma-and-obesity-among-women-veterans
#4
Nivedita Pandey, Samir N Ashfaq, Edward W Dauterive, Andrea A MacCarthy, Laurel A Copeland
BACKGROUND/OBJECTIVE: Posttraumatic stress disorder (PTSD), the experience of military sexual trauma (MST) that may contribute to PTSD, and obesity are three issues that complicate care for our population of new veterans. Our aim was to analyze the association of MST and diagnosed PTSD with obesity among female veterans. MATERIALS AND METHODS: Women 20-103 years old using the Veterans Health Administration (VA) in fiscal year 2014 (October 2013-September 2014) with diagnosis and body-mass data were identified in administrative databases (213,985 of 404,183 women)...
September 7, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28880607/mind-body-therapy-for-military-veterans-with-post-traumatic-stress-disorder-a-systematic-review
#5
Robin E Cushing, Kathryn L Braun
OBJECTIVE: About a third of service members returning from post-9/11 deployment in Afghanistan and Iraq report combat-related mental health conditions, but many do not seek conventional treatment. Mind-body therapies have been offered as alternative approaches to decreasing post-traumatic stress disorder (PTSD), but no review of studies with veterans of post-9/11 operations was found. The objective of this study was to fill that gap. DESIGN: A systematic literature review was conducted following the preferred items for systematic reviews and meta-analyses (PRISMA) guidelines...
September 7, 2017: Journal of Alternative and Complementary Medicine: Research on Paradigm, Practice, and Policy
https://www.readbyqxmd.com/read/28810979/women-veterans-a-population-at-risk-for-fibromyalgia-the-associations-between-fibromyalgia-symptoms-and-quality-of-life
#6
Rita F D'Aoust, Alicia Gill Rossiter, Amanda Elliott, Ming Ji, Cecile Lengacher, Maureen Groer
BACKGROUND: The Institute of Federal Health Care recently published an executive summary from a round table discussion indicating that active duty and retired female military personnel are at high risk for adverse health outcomes unique to military service including complications related to post-traumatic stress disorder (PTSD), unreported sexual trauma, and musculoskeletal problems. In 2008, the Institute of Medicine began to review, evaluate, and summarize the literature on health outcomes in Gulf War-deployed and found sufficient evidence of a causal relationship with PTSD and suggestive evidence of an association with fibromyalgia (FM)...
July 2017: Military Medicine
https://www.readbyqxmd.com/read/28806368/increased-health-care-utilization-and-costs-among-veterans-with-a-positive-screen-for-military-sexual-trauma
#7
Emily Brignone, Adi V Gundlapalli, Rebecca K Blais, Rachel Kimerling, Tyson S Barrett, Richard E Nelson, Marjorie E Carter, Matthew H Samore, Jamison D Fargo
BACKGROUND: The effects of sexual trauma on long-term health care utilization and costs are not well understood due to infrequent documentation of sexual trauma history in health care systems. The Veteran's Health Administration provides a unique opportunity to address this constraint as sexual trauma is actively screened for as part of routine care. METHODS: We used a retrospective cohort design to analyze Veteran's Health Administration mental health and medical service utilization and costs as a function of a positive screen for exposure to military sexual trauma (MST) among Veterans of recent conflicts in Iraq and Afghanistan...
September 2017: Medical Care
https://www.readbyqxmd.com/read/28802575/military-experience-can-influence-women-s-eating-habits
#8
Jessica Y Breland, Rosemary Donalson, Andrea Nevedal, Julie V Dinh, Shira Maguen
BACKGROUND: Disordered eating, ranging from occasional binge eating or restriction to behaviors associated with eating disorder diagnoses, is common among military personnel and veterans. However, there is little information on how military service affects eating habits. OBJECTIVE: To describe possible pathways between military service and disordered eating among women veterans, a high risk group. MATERIALS AND METHODS: Twenty women veterans who reported changing eating habits in response to stress participated in audio-recorded focus groups or dyadic interviews between April 2013 and October 2014...
August 9, 2017: Appetite
https://www.readbyqxmd.com/read/28793834/a-preliminary-examination-of-the-role-of-psychotherapist-fidelity-on-outcomes-of-cognitive-processing-therapy-during-an-rct-for-military-sexual-trauma-related-ptsd
#9
Nicholas Holder, Ryan Holliday, Rush Williams, Kacy Mullen, Alina Surís
While cognitive processing therapy (CPT) is an effective evidence-based treatment for many veterans with military-related post-traumatic stress disorder (PTSD), not all veterans experience therapeutic benefit. To account for the discrepancy in outcomes, researchers have investigated patient- and research design-related factors; however, therapist factors (e.g. fidelity) have received less attention. The present study is a preliminary examination of the effect of psychotherapists' fidelity during CPT on clinical outcomes during a randomized clinical trial (RCT) for military sexual trauma-related PTSD...
August 10, 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/28767012/role-of-borderline-personality-disorder-in-the-treatment-of-military-sexual-trauma-related-posttraumatic-stress-disorder-with-cognitive-processing-therapy
#10
Nicholas Holder, Ryan Holliday, Anushka Pai, Alina Surís
Cognitive Processing Therapy (CPT) is an effective evidence-based treatment for many, but not all, veterans with posttraumatic stress disorder (PTSD). Understanding the factors that contribute to poorer response to CPT is important for providing the best care to veterans diagnosed with PTSD. Researchers investigating the effectiveness of CPT for individuals with comorbid personality symptoms have found that borderline personality disorder (BPD) characteristics do not negatively affect treatment outcome; however, participants in those studies were not diagnosed with BPD...
July 2017: Behavioral Medicine
https://www.readbyqxmd.com/read/28758768/characteristics-of-veterans-and-military-service-members-who-endorse-causing-harm-injury-or-death-to-others-in-the-military
#11
Philip Held, Randy A Boley, Niranjan S Karnik, Mark H Pollack, Alyson K Zalta
OBJECTIVE: The purpose of the present research was to examine the demographic and mental health characteristics of veterans and service members who endorsed having caused harm, injury, or death to another person on deployment, while taking these individuals' total number of other lifetime traumas into account. METHOD: Data for the present study were collected as part of the standard clinical evaluation for 228 treatment-seeking veterans and service members. RESULTS: Those who reported having caused harm, injury, or death to another person on deployment (22...
July 31, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28754476/primary-care-providers-with-more-experience-and-stronger-self-efficacy-beliefs-regarding-women-veterans-screen-more-frequently-for-interpersonal-violence
#12
Lisa S Meredith, Gulrez Azhar, Adeyemi Okunogbe, Ismelda A Canelo, Jill E Darling, Amy E Street, Elizabeth M Yano
BACKGROUND: Military sexual trauma (MST) and/or intimate partner violence (IPV) are common experiences in the growing group of women veterans using the Veterans Health Administration health care system. And even though MST screening is closely monitored at the facility level, little is known about individual primary care provider (PCP) behavior with regard to screening women for MST and IPV. OBJECTIVES: To understand how PCP experiences and beliefs regarding women's health care influence PCP-reported screening for MST and IPV...
September 2017: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
https://www.readbyqxmd.com/read/28741810/gender-differences-in-machine-learning-models-of-trauma-and-suicidal-ideation-in-veterans-of-the-iraq-and-afghanistan-wars
#13
Jaimie L Gradus, Matthew W King, Isaac Galatzer-Levy, Amy E Street
Suicide rates among recent veterans have led to interest in risk identification. Evidence of gender-and trauma-specific predictors of suicidal ideation necessitates the use of advanced computational methods capable of elucidating these important and complex associations. In this study, we used machine learning to examine gender-specific associations between predeployment and military factors, traumatic deployment experiences, and psychopathology and suicidal ideation (SI) in a national sample of veterans deployed during the Iraq and Afghanistan conflicts (n = 2,244)...
August 2017: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/28682107/eating-disorder-symptoms-in-female-veterans-the-role-of-childhood-adult-and-military-trauma-exposure
#14
Kimberly A Arditte Hall, Brooke A Bartlett, Katherine M Iverson, Karen S Mitchell
OBJECTIVE: Eating disorders are understudied among female U.S. military veterans, who may be at increased risk due to their high rates of trauma exposure and trauma-related sequelae. The current study sought to examine whether different types of trauma in childhood and adulthood confer differential risk for eating disorder symptoms (EDSs) in this population. METHOD: We analyzed survey data from a sample of female Veterans Health Administration patients (N = 186) to examine the association between 5 trauma types (i...
July 6, 2017: Psychological Trauma: Theory, Research, Practice and Policy
https://www.readbyqxmd.com/read/28679904/using-structured-and-unstructured-data-to-refine-estimates-of-military-sexual-trauma-status-among-us-military-veterans
#15
Adi V Gundlapalli, Emily Brignone, Guy Divita, Audrey L Jones, Andrew Redd, Ying Suo, Warren B P Pettey, April Mohanty, Lori Gawron, Rebecca Blais, Matthew H Samore, Jamison D Fargo
Sexual trauma survivors are reluctant to disclose such a history due to stigma. This is likely the case when estimating the prevalence of sexual trauma experienced in the military. The Veterans Health Administration has a program by which all former US military service members (Veterans) are screened for military sexual trauma (MST) using a questionnaire. Administrative data on MST screens and a change of status from an initial negative answer to positive and natural language processing (NLP) on electronic medical notes to extract concepts related to MST were used to refine initial estimates of MST among a random sample of 20,000 Veterans...
2017: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/28657995/one-and-the-same-nocturnal-enuresis-and-overactive-bladder-in-the-female-veteran-population-evaluation-of-a-large-national-database
#16
Cara Ninivaggio, Heather Riese, Gena C Dunivan, Peter C Jeppson, Yuko M Komesu, Allison Murata, Glen Murata, Rebecca G Rogers, Sara B Cichowski
OBJECTIVES: The aims of this study were to describe relationships between women given a diagnosis of nocturnal enuresis (NE) and controls without any urinary complaints and to compare women with NE with those with overactive bladder (OAB). We hypothesized that NE has unique associations with demographics and medical and psychosocial diagnoses. METHODS: This is a secondary analysis of a database that included all female veterans who established care with a primary care provider from 1997 to 2015...
June 27, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28642253/military-related-sexual-assault-in-canada-a-cross-sectional-survey
#17
Kimberley Watkins, Rachel Bennett, Mark A Zamorski, Isabelle Richer
BACKGROUND: Most research on military-related sexual assault is based on the United States military and has important limitations, such as low response rates. We sought to estimate the lifetime prevalence of sexual assault, assess its relation to military service and identify the circumstances, correlates and associations with mental disorders of military-related sexual assault among Canadian military personnel. METHODS: We used the 2013 Canadian Forces Mental Health Survey, a cross-sectional representative survey of Canadian Regular Force personnel (n = 6696)...
June 22, 2017: CMAJ Open
https://www.readbyqxmd.com/read/28558740/experiences-with-vha-care-a-qualitative-study-of-u-s-women-veterans-with-self-reported-trauma-histories
#18
Shannon M Kehle-Forbes, Eileen M Harwood, Michele R Spoont, Nina A Sayer, Heather Gerould, Maureen Murdoch
BACKGROUND: Women veterans in the United States, particularly those with posttraumatic stress disorder (PTSD) or a history of military sexual assault, have unique health care needs, but their minority status in the US Veterans Health Administration (VHA) has led to documented healthcare disparities when compared to men. This study's objective was to obtain a richer understanding of the challenges and successes encountered by women veterans with self-reported service-related trauma histories (particularly those with a history of military sexual assault and/or posttraumatic stress symptomology) receiving VHA care...
May 30, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28555662/event-centrality-as-a-unique-predictor-of-posttraumatic-stress-symptoms-and-perceived-disability-following-spinal-cord-injury
#19
A Boals, Z Trost, D Berntsen, L Nowlin, T Wheelis, K R Monden
STUDY DESIGN: We conducted a cross-sectional study involving completion of self-report measures. OBJECTIVES: Individuals who acquire a spinal cord injury (SCI) face numerous physical and psychological challenges, with the former receiving considerable less attention during the rehabilitation process. In this article, we examined event centrality as a unique predictor of psychological outcomes in a sample of individuals receiving rehabilitation for SCI. Event centrality refers to the extent to which individuals construe a stressful experience as a core part of their identity...
May 30, 2017: Spinal Cord
https://www.readbyqxmd.com/read/28493727/military-sexual-trauma-is-associated-with-eating-disorders-while-combat-exposure-is-not
#20
Jessica Y Breland, Rosemary Donalson, Yongmei Li, Claire L Hebenstreit, Lizabeth A Goldstein, Shira Maguen
OBJECTIVE: There are strong associations among trauma and eating disorders. However, while trauma and eating disorders are more common among veterans than other populations, there is little information on how military-specific stressors affect eating disorder risk. This study's objective was to determine whether military sexual trauma and combat exposure were independent predictors of eating disorders among women veterans, a high-risk group. METHOD: Participants were women age 18-70, using VA medical center services, without psychotic disorders or suicidal ideation (N = 407)...
May 11, 2017: Psychological Trauma: Theory, Research, Practice and Policy
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