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Military Sexual Trauma

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https://www.readbyqxmd.com/read/28682107/eating-disorder-symptoms-in-female-veterans-the-role-of-childhood-adult-and-military-trauma-exposure
#1
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
#2
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
#3
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
#4
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
#5
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
#6
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
#7
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
https://www.readbyqxmd.com/read/28488917/contrasting-gender-and-combat-versus-military-sexual-traumas-psychiatric-symptom-severity-and-morbidities-in-treatment-seeking-veterans
#8
Minden B Sexton, Greer A Raggio, Lauren B McSweeney, Caitlin C Authier, Sheila A M Rauch
BACKGROUND: Military sexual trauma (MST) and military combat trauma (MCT) are significant risk factors for posttraumatic stress disorder (PTSD). However, no studies have directly contrasted the clinical profiles of Veterans between military-related traumas. Moreover, a notable gender difference in the likelihood of trauma exposure limits our ability to disentangle gender and trauma type. MATERIALS AND METHODS: To address these gaps, we aimed at (1) contrasting psychiatric complaints in Veterans with MST versus MCT exposure and (2) investigating gender differences in Veterans with MST histories...
May 10, 2017: Journal of Women's Health
https://www.readbyqxmd.com/read/28486955/changes-in-affect-after-completing-a-mailed-survey-about-trauma-two-pre-and-post-test-studies-in-former-disability-applicants-for-posttraumatic-stress-disorder
#9
Maureen Murdoch, Shannon Marie Kehle-Forbes, Melissa Ruth Partin
BACKGROUND: One potential concern with using mailed surveys containing trauma-related content is the possibility of re-traumatizing survivors without a trained mental health professional present. Prior research provides insufficient guidance regarding the prevalence and magnitude of this risk because the psychological harms of trauma-related surveys have typically been estimated using single post-test observations. Post-test observations cannot quantify magnitude of change in participants' emotional states and may over or under estimate associations between participants' characteristics (risk factors) and post-survey upset...
May 10, 2017: BMC Medical Research Methodology
https://www.readbyqxmd.com/read/28485687/therapeutic-response-to-cognitive-processing-therapy-in-white-and-black-female-veterans-with-military-sexual-trauma-related-ptsd
#10
Ryan P Holliday, Nicholas D Holder, Meredith L C Williamson, Alina Surís
Cognitive Processing Therapy (CPT) is an evidence-based treatment (EBT) for posttraumatic stress disorder (PTSD) which has been validated for female veterans with military-related PTSD. Existing trials have enrolled predominantly White veterans with some studies documenting higher rates of early termination from EBTs among Black females when compared to White females. Data from a previously published randomized clinical trial were used to evaluate the effectiveness of CPT for Black female veterans with military sexual trauma (MST)-related PTSD...
May 9, 2017: Cognitive Behaviour Therapy
https://www.readbyqxmd.com/read/28401580/military-sexual-trauma-is-associated-with-post-deployment-eating-disorders-among-afghanistan-and-iraq-veterans
#11
Rebecca K Blais, Emily Brignone, Shira Maguen, Marjorie E Carter, Jamison D Fargo, Adi V Gundlapalli
OBJECTIVE: Evaluate the association of military sexual trauma (MST) screen status with eating disorder diagnoses among veterans within 1- and 5-years after initiating Veterans Health Administration (VHA) care, and whether the association varied by sex. METHOD: Retrospective cohort study of US Afghanistan/Iraq veterans who used VHA services between FY 2004 and 2014 (N = 595,525). This study used VHA administrative data to assess the presence of eating disorder diagnoses in medical records within 1- and 5-years of initiating VHA care, and whether a positive screen for MST was associated with eating disorders...
April 12, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28358525/veterans-individual-placement-and-support-towards-advancing-recovery-methods-and-baseline-clinical-characteristics-of-a-multisite-study
#12
Lori L Davis, Tassos C Kyriakides, Alina Suris, Lisa Ottomanelli, Robert E Drake, Pamela E Parker, Lisa Mueller, Sandra G Resnick, Richard Toscano, Catherine M Blansett, Kimberly P McCall, Grant D Huang
OBJECTIVE: This article describes the methodology and the baseline characteristics of veterans with posttraumatic stress disorder (PTSD) enrolled in a multisite trial comparing supported employment individual placement and support (IPS) to a stepwise vocational transitional work program (TWP). METHOD: The Veterans Affairs Cooperative Studies Program randomized 541 veterans with PTSD across 12 Veterans Affairs Medical Centers to either IPS or TWP. Demographic and clinical characteristics were evaluated at baseline...
March 30, 2017: Psychiatric Rehabilitation Journal
https://www.readbyqxmd.com/read/28314434/acceptability-of-medication-and-nonmedication-treatment-for-insomnia-among-female-veterans-effects-of-age-insomnia-severity-and-psychiatric-symptoms
#13
Najwa C Culver, Yeonsu Song, Sarah Kate McGowan, Constance H Fung, Michael N Mitchell, Juan Carlos Rodriguez, Joseph M Dzierzewski, Karen R Josephson, Stella Jouldjian, Donna L Washington, Elizabeth M Yano, C Amanda Schweizer, Cathy A Alessi, Jennifer L Martin
PURPOSE: Female veterans are at high risk for sleep problems, and there is a need to provide effective treatment for this population who experience insomnia. This study's primary goal was to compare the acceptability of medication versus nonmedication treatments for insomnia among female veterans. In addition, we examined the role of patient age, severity of sleep disturbance, and psychiatric symptoms on acceptability of each treatment approach and on the differences in acceptability between these approaches...
November 2016: Clinical Therapeutics
https://www.readbyqxmd.com/read/28293767/gambling-in-a-national-u-s-veteran-population-prevalence-socio-demographics-and-psychiatric-comorbidities
#14
Elina A Stefanovics, Marc N Potenza, Robert H Pietrzak
This study aimed to examine associations between gambling level and clinically relevant measures, including psychiatric disorders and suicidality, in a nationally representative sample of U.S. veterans. Data on 3157 U.S. veterans were analyzed from the National Health and Resilience in Veterans Study. Chi square tests and analyses of variance were used to assess associations between gambling level, and demographic, military, and personality characteristics. Multinomial logistic regressions using stepwise selection were used to identify independent correlates of recreational gambling and at-risk/problem gambling (ARPG)...
March 14, 2017: Journal of Gambling Studies
https://www.readbyqxmd.com/read/28186637/perceived-burdensomeness-thwarted-belongingness-and-fearlessness-about-death-associations-with-suicidal-ideation-among-female-veterans-exposed-to-military-sexual-trauma
#15
Lindsey L Monteith, Nazanin H Bahraini, Deleene S Menefee
OBJECTIVE: Military sexual trauma (MST) is prevalent among female Veterans and is associated with increased risk for suicidal self-directed violence. Yet research examining processes which contribute to suicidal ideation and attempts among MST survivors has been sparse, focusing primarily on psychiatric symptoms or diagnoses, rather than employing a theory-driven approach. The interpersonal-psychological theory (Joiner, 2005) is a leading theory of suicide that may be particularly relevant for understanding suicidal ideation among female Veterans who have experienced MST...
February 10, 2017: Journal of Clinical Psychology
https://www.readbyqxmd.com/read/28135599/impact-of-military-trauma-exposures-on-posttraumatic-stress-and-depression-in-female-veterans
#16
Lizabeth A Goldstein, Julie Dinh, Rosemary Donalson, Claire L Hebenstreit, Shira Maguen
Previous research has demonstrated the deleterious effects of traumatic military experiences on symptoms of posttraumatic stress disorder (PTSD) and depression in female veterans. However, more research is needed to identify the unique predictors of distressing psychological symptoms when both combat-related and sexual trauma are considered, particularly as women's combat exposure in the military increases. Female veterans who had attended at least one appointment at a large Veterans Health Administration medical center were invited to complete questionnaires about traumatic military exposures and psychiatric symptoms...
March 2017: Psychiatry Research
https://www.readbyqxmd.com/read/28129258/the-impact-of-trauma-type-or-number-of-traumatic-events-on-ptsd-diagnosis-and-symptom-severity-in-treatment-seeking-veterans
#17
Jeanne M D Jakob, Kristen Lamp, Sheila A M Rauch, Erin R Smith, Katherine R Buchholz
Trauma history and increased exposure to combat and sexual trauma may account for heightened rates of PTSD among military populations. This study assessed trauma type and exposure history, diagnostic impressions, and PTSD severity in a large clinical dataset (n = 2463) of veterans presenting for PTSD evaluation at a Midwestern VA Medical Center between the years 2006 and 2013. The degree of lifetime trauma exposure was pronounced, with approximately 76% of the sample reporting exposure to at least four traumatic events...
February 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/27868261/mental-health-of-transgender-veterans-of-the-iraq-and-afghanistan-conflicts-who-experienced-military-sexual-trauma
#18
Jan A Lindsay, Colt Keo-Meier, Sonora Hudson, Annette Walder, Lindsey A Martin, Michael R Kauth
Little is known about military sexual trauma (MST) in transgender veterans. To address this gap, we examined archival data regarding transgender veterans from the Iraq and Afghanistan conflicts. There were 332 transgender veterans treated at the Veterans Health Administration between 2000 and 2013 (78 men, 254 women; mean age 33.86 years), with most being non-Hispanic White. Transgender status and mental health conditions were identified using the International Classification of Diseases, 9(th) Revision (ICD-9; World Health Organization, 1980) codes and chart review...
December 2016: Journal of Traumatic Stress
https://www.readbyqxmd.com/read/27863701/the-many-wounds-of-war-the-association-of-service-related-and-clinical-characteristics-with-problems-with-the-law-in-iraq-and-afghanistan-veterans
#19
Autumn Backhaus, Shadi Gholizadeh, Kathryn M Godfrey, James Pittman, Niloofar Afari
Previous research has demonstrated that veterans with posttraumatic stress disorder (PTSD) are at higher risk for aggression, hostility, and anger, potentially leading to problems with the law or disciplinary action while in the military. There have been calls for increased consideration of the unique aspects of the judicial system in legal matters with veterans involved. The bulk of the research so far has considered the link between PTSD, traumatic brain injury (TBI), and combat exposure, but little is known about the potential role of chronic pain and Military Sexual Trauma (MST) in a veteran's experience of anger, aggression, and discipline while in the military and legal concerns...
November 2016: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/27769835/older-age-associated-with-mental-health-resiliency-in-sexual-minority-us-veterans
#20
Joan K Monin, Natalie Mota, Becca Levy, John Pachankis, Robert H Pietrzak
OBJECTIVES: Objectives were to: (a) identify the mental health needs of older and younger sexual minority and heterosexual U.S. veterans and (b) examine whether sexual minority status confers vulnerability or resiliency in older adulthood. Support and trauma exposure were examined as potential mechanisms for age by sexual orientation differences. METHODS: Participants were a nationally representative sample of 3,095 U.S. veterans (ages 21 to 96 years). Measures included demographics, military characteristics, sexual orientation (lesbian, gay, or bisexual; LGB), social support, trauma, and mental health indicators (lifetime and present depression and post-traumatic stress disorder (PTSD); lifetime anxiety and suicidal ideation)...
January 2017: American Journal of Geriatric Psychiatry
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