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Military Sexual Trauma

Christine Anne Ganzer
: A review of recent research and its relevance for nurses in all settings. ABSTRACT: The last two decades have seen increasing numbers of women entering all branches of the U.S. armed forces. Now that women in the military are no longer prohibited from holding direct combat positions, they are often exposed to traumatic events that place them at higher risk for mental health conditions. Nurses working within the Veterans Affairs (VA) system and those working in non-VA settings are likely to encounter female veterans...
October 13, 2016: American Journal of Nursing
Adrienne J Heinz, Nicole L Cohen, Lori Holleran, Jennifer A Alvarez, Marcel O Bonn-Miller
Post-traumatic stress disorder (PTSD), a condition that disproportionately affects military veterans, is associated with heightened rates of aggression and suicide. Although experience with firearms is common among this population, virtually nothing is known regarding who is more likely to own a firearm and whether firearm ownership is differentially associated with psychological and behavioral risk factors among veterans with PTSD. Of 465 veterans (79% male) entering PTSD treatment, 28% owned a firearm (median number of firearms among owners = 3, range = 1-40)...
October 2016: Military Medicine
Guy Divita, Marjorie E Carter, Le-Thuy Tran, Doug Redd, Qing T Zeng, Scott Duvall, Matthew H Samore, Adi V Gundlapalli
INTRODUCTION: Substantial amounts of clinically significant information are contained only within the narrative of the clinical notes in electronic medical records. The v3NLP Framework is a set of "best-of-breed" functionalities developed to transform this information into structured data for use in quality improvement, research, population health surveillance, and decision support. BACKGROUND: MetaMap, cTAKES and similar well-known natural language processing (NLP) tools do not have sufficient scalability out of the box...
2016: EGEMS
William B Elder, Jessica L Domino, Timothy O Rentz, Emma L Mata-Galán
Objective: Male sexual trauma is understudied, leaving much to be known about the unique mental health needs of male survivors. This study examined veteran men's perceptions of the effects of military sexual trauma. Method: Military sexual trauma was defined as physically forced, verbally coerced, or substance-incapacitated acts experienced during military service. Interviews were conducted with 21 male veterans who reported experiencing military sexual trauma. Data were drawn together using a grounded theory methodology...
September 26, 2016: Psychological Trauma: Theory, Research, Practice and Policy
Blair E Wisco, Brian P Marx, Mark W Miller, Erika J Wolf, Natalie P Mota, John H Krystal, Steven M Southwick, Robert H Pietrzak
OBJECTIVE: With the publication of DSM-5, important changes were made to the diagnostic criteria for posttraumatic stress disorder (PTSD), including the addition of 3 new symptoms. Some have argued that these changes will further increase the already high rates of comorbidity between PTSD and other psychiatric disorders. This study examined the prevalence of DSM-5 PTSD, conditional probability of PTSD given certain trauma exposures, endorsement of specific PTSD symptoms, and psychiatric comorbidities in the US veteran population...
September 13, 2016: Journal of Clinical Psychiatry
Rajeev Ramchand, Lynsay Ayer, Virginia Kotzias, Charles Engel, Zachary Predmore, Patricia Ebener, Janet E Kemp, Elizabeth Karras, Gretchen Haas
BACKGROUND: Women veterans are at increasingly high risk of suicide, but little is known about the concerns and needs of this population. This is, in part, owing to the low base rate of suicide and the inability to conduct retrospective interviews with individuals who died. In this study, we used a qualitative approach to gain insight about the concerns and nature of comments regarding suicidal ideation and intent among women veterans calling the Veterans Crisis Line (VCL). METHODS: Fifty-four VCL call responders were interviewed in the spring of 2015...
August 26, 2016: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
Matthew M Burg, Robert Soufer
Post-traumatic stress disorder (PTSD) is a disabling condition that develops consequent to trauma exposure such as natural disasters, sexual assault, automobile accidents, and combat that independently increases risk for early incident cardiovascular disease (CVD) and cardiovascular (CV) mortality by over 50 % and incident hypertension risk by over 30 %. While the majority of research on PTSD and CVD has concerned initially healthy civilian and military veteran samples, emerging research is also demonstrating that PTSD consequent to the trauma of an acute cardiac event significantly increases risk for early recurrence and mortality and that patient experiences in the clinical pathway that are related to the emergency department environment may provide an opportunity to prevent PTSD onset and thus improve outcomes...
October 2016: Current Cardiology Reports
Emily Contrada
No abstract text is available yet for this article.
September 2016: American Journal of Nursing
Lori S Katz
This is a program evaluation of the Warrior Renew treatment protocol delivered in an outpatient therapy group for survivors of military sexual trauma (MST) at a Department of Veterans Affairs medical center. The group was delivered via a manualized protocol with 12 weekly topics. It includes coping skills for affect management (e.g., triggers and anxiety) and addresses unique aspects of MST including anger/resentments because of injustice and lack of closure, betrayal, and self-blame. It also addresses interpersonal factors such as relationship patterns and healthy interpersonal skills...
August 18, 2016: Psychological Services
Alina Surís, Nicholas Holder, Ryan Holliday, E Ellen Morris, Alina Surís, Nicholas Holder, Ryan Holliday, E Ellen Morris
No abstract text is available yet for this article.
2016: Journal of Rehabilitation Research and Development
Amanda K Gilmore, Emily Brignone, Janelle M Painter, Keren Lehavot, Jamison Fargo, Ying Suo, Tracy Simpson, Marjorie E Carter, Rebecca K Blais, Adi V Gundlapalli
PURPOSE: Posttraumatic stress disorder (PTSD), depressive disorders (DD), and substance use disorders (SUD) are prevalent among veterans. A positive military sexual trauma (MST) screen is associated with higher likelihood of each of these disorders. The current study examined the associations between MST, gender, and co-occurring PTSD, DD, and SUD among veterans receiving services at the Department of Veterans Affairs to inform assessment and treatment. We were specifically interested in the interactions between MST and gender on co-occurring disorders...
September 2016: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
Denise M Eckerlin, Andrea Kovalesky, Matthew Jakupcak
: The experience of military sexual trauma (MST), which can result from assault, battery, or harassment of a sexual nature, may jeopardize the mental health of service members as well as that of their family members, colleagues, and community members. Although a greater proportion of female than male service members are subjected to MST, the Department of Defense estimates that the absolute numbers of affected men and women, across all ranks and branches of military service, are nearly equal because roughly 85% of military members are men...
September 2016: American Journal of Nursing
Lindsey L Monteith, Nazanin H Bahraini, Bridget B Matarazzo, Holly R Gerber, Kelly A Soberay, Jeri E Forster
No studies have examined whether military sexual trauma, as measured and defined within the Veterans Health Administration (VHA), is associated with suicidal ideation among Veterans in VHA care, when taking prior suicide attempts into account. Research regarding the role of gender in this association is also limited. The present study examined: (1) whether military sexual trauma was associated with the presence of past-week suicidal ideation among 354 Veterans in VHA (310 men, 44 women); (2) whether gender moderated the association between military sexual trauma and suicidal ideation...
October 30, 2016: Psychiatry Research
Lance Brendan Young, Christine Timko, Kimberly A Tyler, Kathleen M Grant
PURPOSE: The objective of this study is to determine whether rural residence is associated with trauma exposure or posttraumatic stress disorder symptoms among military veterans seeking treatment for substance use disorder (SUD) through the Department of Veterans Affairs (VA), Delivering mental health services to veterans in rural areas is a challenge, so identifying differences in the causes and outcomes of trauma exposure would assist in effectively targeting service delivery. METHODS: Veterans (N = 196) entering SUD treatment at 3 Midwestern VA treatment centers were designated as either urban or rural, based on rural-urban commuting area (RUCA) codes...
August 9, 2016: Journal of Rural Health
Theresa M Beckie, Allyson Duffy, Maureen W Groer
BACKGROUND: Allostatic load (AL) is a novel perspective for examining the damaging effects of stress on health and disease. Women veterans represent an understudied yet vulnerable subgroup of women with increased reports of traumatic stressors across their lifespan. AL has not been examined in this group. This study hypothesized that reports of sexual assault in childhood, civilian life, or in the military by women veterans was associated with AL and selected psychosocial measures. We also hypothesized that AL scores are positively associated with psychosocial characteristics...
September 2016: Women's Health Issues: Official Publication of the Jacobs Institute of Women's Health
Gerardo Villarreal, Mark B Hamner, José M Cañive, Sophie Robert, Lawrence A Calais, Valerie Durklaski, Yusheng Zhai, Clifford Qualls
OBJECTIVE: This was a 12-week randomized, placebo-controlled trial to assess the efficacy of quetiapine monotherapy in the treatment of posttraumatic stress disorder (PTSD). METHOD: Eighty patients were randomly assigned to treatment with either quetiapine or placebo. The primary outcome measure was the Clinician-Administered PTSD Scale (CAPS). Secondary efficacy measures included the CAPS subscales, the Davidson Trauma Scale, the Positive and Negative Syndrome Scale (PANSS), the Clinical Global Impressions (CGI) scales for severity of Illness and improvement, the Hamilton Depression Rating Scale (HAM-D), and the Hamilton Anxiety Rating Scale (HAM-A)...
July 15, 2016: American Journal of Psychiatry
Christina M Dardis, Timothy Amoroso, Katherine M Iverson
OBJECTIVES: Women veterans are at high risk for intimate partner violence (IPV), which has previously been defined as psychological, physical, or sexual violence from an intimate partner. The Centers for Disease Control and Prevention recently added stalking to its uniform definition of IPV, but little is known about the occurrence of stalking victimization among women veterans who experience IPV, its overlap with other forms of IPV, and its contribution to posttraumatic stress disorder (PTSD) symptomatology among this population...
July 14, 2016: Psychological Trauma: Theory, Research, Practice and Policy
Jillian C Shipherd, Kristalyn Salters-Pedneault, Alexis Matza
Although intrusive cognitions (ICs) are common posttrauma, little is known about trauma-related IC content, or associations between IC content and posttraumatic adjustment. A mixed-method cross-sectional approach was used in a secondary analysis of IC content and postdeployment distress. Participants were 1,521 U.S. Army soldiers 3-12 months postdeployment reporting their most distressing postdeployment ICs (mean number of ICs reported was 1.20). ICs were transcribed and content was categorized by 13 emergent themes...
August 2016: Journal of Traumatic Stress
Peter D Yeomans, Richard J Ross
While the Veterans Health Administration continues to treat Vietnam War Veterans, approximately two million service men and women have returned from Iraq and Afghanistan. However, our treatments can only be as effective as the quality of our clinical assessment. Disclosure of trauma is facilitated when the type of trauma is present in the sociocultural environment of patient and clinician. Topics that once were deemed too shameful for inquiry, specifically, childhood abuse, domestic violence, sexual abuse, and military sexual trauma are now part of a standard assessment...
July 2016: Military Medicine
Jonathan Purtle, Katherine Lynn, Mashal Malik
Public awareness about traumatic stress is needed to address trauma as a public health issue. News media influence public awareness, but little is known about how traumatic-related disorders are portrayed in the news. A content analysis was conducted of all articles that mentioned posttraumatic stress disorder (PTSD) in The New York Times between 1980-2015. There were 871 articles analyzed. The number of PTSD articles published annually increased dramatically, from 2 in 1980 to 70 in 2014. Overall, 50.6% of articles were focused on military populations...
May 16, 2016: American Journal of Orthopsychiatry
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