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DSM-IV diagnosed posttraumatic stress disorder in women veterans with and without military sexual trauma

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Abstract

BACKGROUND: This study compares rates of post-traumatic stress disorder (PTSD) in female veterans who had military sexual trauma (MST) with rates of PTSD in women veterans with all other types of trauma.

METHODS: Subjects were recruited at the Women’s Comprehensive Healthcare Center when attending medical or psychiatric appointments or through a mailing; 230 women agreed and 196 completed the study. They completed questionnaires on health and military history, along with the Stressful Life Events Questionnaire (SLEQ). Those who met DSM-IV PTSD Criterion A completed the PTSD Symptom Scale-Interview (PSS-I) on which PTSD diagnoses were based.

RESULTS: Ninety-two percent reported at least 1 trauma. Forty-one percent had MST, alone or with other trauma, and 90% had other trauma, with or without MST. Overall, 43% of subjects with trauma had PTSD. Those with MST had higher rates of PTSD than those with other trauma. Sixty percent of those with MST had PTSD; 43% of subjects with other traumas (with or without MST) had PTSD. Military sexual trauma and other trauma both significantly predicted PTSD in regression analyses (P=.0001 and .02, respectively) but MST predicted it more strongly. Prior trauma did not contribute to the relationship between MST and PTSD.

DISCUSSION: Findings suggest that MST is common and that it is a trauma especially associated with PTSD.

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References

  1. Sadler AG, Booth BM, Cook BL, Torner JC, Doebbeling BN. The military environment: risk factors for women’s non-fatal assaults. J Occup Environ Med. 2001;43:325–34.

    Article  CAS  PubMed  Google Scholar 

  2. Sadler AG, Booth BM, Nielson D, Doebbeling BN. Health-related consequences of physical and sexual violence: women in the military. Obstet Gynecol. 2000;96:473–9.

    Article  CAS  PubMed  Google Scholar 

  3. Hankin CS, Skinner KM, Sullivan LM, Miller DR, Frayne S, Tripp TJ. Prevalence of depressive and alcohol abuse symptoms among women VA outpatients who report experiencing sexual assault while in the military. J Trauma Stress. 1999;12:601–12.

    Article  CAS  PubMed  Google Scholar 

  4. Coyle BS, Wolan DL, Van Horn S. The prevalence of physical and sexual abuse in women veterans seeking care at a Veterans Affairs Medical Center. Mil Med. 1996;161:588–93.

    CAS  PubMed  Google Scholar 

  5. Sadler AG, Booth BM, Cook BL, Doebbeling BN. Factors associated with women’s risk of rape in the military environment. Am J Ind Med. 2003;43:262–73.

    Article  PubMed  Google Scholar 

  6. Kessler RC, Sonnega A, Bromet E, Hughes M, Nelson CB. Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry. 1995;52:1048–60.

    Article  CAS  PubMed  Google Scholar 

  7. Kilpatrick DG, Saunders BE, Veronen LJ, Best CL, Von JM. Criminal victimization: lifetime prevalence, reporting to police, and psychological impact. Crime Delinquency. 1987;33:479–89.

    Article  Google Scholar 

  8. Dobie DJ, Kivlahan DR, Maynard C, Bush KR, Davis TM, Bradley KA. Posttraumatic stress disorder in female veterans: association with self reported health problems and functional impairment. Arch Intern Med. 2004;164:394–400.

    Article  PubMed  Google Scholar 

  9. Wolfe J, Sharkansky EJ, Read JP, Dawson R, Martin JA, Ouimette PC. Sexual harassment and assault as predictors of PTSD symptomatology among US female Persian Gulf War military personnel. J Interpers Violence. 1998;13:40–57.

    Article  Google Scholar 

  10. Fontana A, Rosenheck R. Duty-related and sexual stress in the etiology of PTSD among women veterans who seek treatment. Psychiatric Serv. 1998;49:658–9.

    CAS  Google Scholar 

  11. Fontana A, Schwartz LA, Rosenheck R. Posttraumatic stress disorder among female Vietnam veterans: a causal model of etiology. Am J Public Health. 1997;87:169–75.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  12. Suris A, Lind L, Kashner M, Borman PD, Petter F. Sexual assault in women veterans: an examination of PTSD risk, health care utilization, and cost of care. Psychosom Med. 2004;66:749–56.

    Article  PubMed  Google Scholar 

  13. Skinner K, Sullivan L, Tripp T, et al. Comparing the health status of male and female veterans who use VA health care: results from the VA Women’s Health Project. Women Health. 1999;2:17–31.

    Article  Google Scholar 

  14. Goodman LA, Corcoran C, Turner K, Yuan N, Green BL. Assessing traumatic event exposure: general issues and preliminary findings for the Stressful Life Events Screening Questionnaire. J Trauma Stress. 1998;11:521–42.

    Article  CAS  PubMed  Google Scholar 

  15. Resnick HS, Kilpatrick DG, Dansky BS, Saunders BE, Best CL. Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women. J Consult Clin Psychol. 1993;61:984–91.

    Article  CAS  PubMed  Google Scholar 

  16. Kilpatrick DG, Edmunds CN, Seymour AK. Rape in America: A REPORT to the Nation. Arlington, VA: National Victim Center and Medical University of South Carolina; 1992.

    Google Scholar 

  17. Foa E, Riggs DS, Dancu CV, Rothbaum BO. Reliability and validity of a brief instrument for assessing posttraumatic stress disorder. J Trauma Stress. 1993;6:459–79.

    Article  Google Scholar 

  18. American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders. 4th edn. Washington, DC: American Psychiatric Association; 1994.

    Google Scholar 

  19. SPSS. Version 13.0.1 for Windows. Chicago, IL: SPSS Inc.; 2004.

    Google Scholar 

  20. Washington DL, Yano EM, Simon B, Sun S. To use or not to use—what influences why women veterans choose VA healthcare? J Gen Intern Med. 2006;21(3):S11-S18.

    Article  PubMed Central  PubMed  Google Scholar 

  21. Skinner KM, Christiansen CL, Frayne SM, et al. Status of VA women veterans health program perceptions of women veterans coordinators: Results of a national survey: final report. Bedford, MA: Center for Health Quality, Outcomes, and Economic Research, Health Services Research and Development Service; 2000. Project No.: XVA 65-003.

    Google Scholar 

  22. Martin L, Rosen LN, Durand DB, Stretch RH, Knudson KJ. Prevalence and timing of sexual assaults in a sample of male and female U.S. Army soldiers. Mil Med. 1998;163:213–6.

    CAS  PubMed  Google Scholar 

  23. Skinner KM, Kressin N, Frayne S, et al. The prevalence of military and sexual assault among female Veterans Administration outpatients. J Interpers Violence. 2000;15:291–310.

    Article  Google Scholar 

  24. Moffeit M, Herdy A. Betrayal in the ranks. The Denver Post. 2003 November 15; Sect. 1:A (col. 1).

  25. Calhoun PS, Bosworth HB, Grambow SC, et al. Medical service utilization by veterans seeking help for posttraumatic stress disorder. Am J Psychiatry. 2002;159:2081–6.

    Article  PubMed  Google Scholar 

  26. Zoellner LA, Goodwin ML, Foa EB. PTSD severity and health perceptions in the female victims of sexual assault. J Trauma Stress. 2000;13:635–49.

    Article  CAS  PubMed  Google Scholar 

  27. Zatzick DF, Weiss DS, Marmar CR, et al. Post-traumatic stress disorder and functioning and quality of life outcomes in female Vietnam veterans. Mil Med. 1997;162:661–5.

    CAS  PubMed  Google Scholar 

  28. Calhoun PS, Bosworth HB, Grambow SC, Dudley TK, Beckham JC. Medical service utilization by veterans seeking help for posttraumatic stress disorder. Am J Psychiatry. 2002;159:2081–6.

    Article  PubMed  Google Scholar 

  29. Schnurr PP, Friedman MJ, Sengupta A, Jankowski MK, Holmes T. PTSD and utilization of medical treatment services among male Vietnam veterans. J Nerv Ment Dis. 2000;188:496–504.

    Article  CAS  PubMed  Google Scholar 

  30. Hoge CW, Lesikar SE, Guevara R, et al. Mental disorder among U.S. military personnel in the 1990s: association with high levels of health care utilization and early military attrition. Am J Psychiatry. 2002;159:1576–83.

    Article  PubMed  Google Scholar 

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Correspondence to Deborah Yaeger MD.

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Conflict of Interest: There was no outside funding for this study. None of the authors have financial interests in any company that might be interested in the study’s results.

There was no grant support for this study. Donations from the VA’s Women Veteran Coordinator and from the Jewish War Veterans enabled us to give a small payment to each participating veteran.

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Yaeger, D., Himmelfarb, N., Cammack, A. et al. DSM-IV diagnosed posttraumatic stress disorder in women veterans with and without military sexual trauma. J GEN INTERN MED 21 (Suppl 3), S65–S69 (2006). https://doi.org/10.1111/j.1525-1497.2006.00377.x

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  • DOI: https://doi.org/10.1111/j.1525-1497.2006.00377.x

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