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Military Sexual Trauma and Co-occurring Posttraumatic Stress Disorder, Depressive Disorders, and Substance Use Disorders among Returning Afghanistan and Iraq Veterans.
Womens Health Issues. 2016 Sep-Oct; 26(5):546-54.WH

Abstract

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.

METHODS

The sample included 494,822 Department of Veterans Affairs service-seeking veterans (12.5% women) deployed to Iraq and Afghanistan who recently separated from the military and were screened for MST between 2004 and 2013.

MAIN FINDINGS

Veterans with positive MST screens had higher odds than those with negative screens of individual and co-occurring PTSD, DD, and SUD. The association between positive MST screens and diagnostic outcomes, including PTSD, was stronger for women than for men, and the association between positive MST screens and some diagnostic outcomes, including DD, was stronger for men than for women.

CONCLUSIONS

These results highlight the importance of assessing for and recognizing the potential MST and gender interactions in the clinical context among veterans with co-occurring PTSD, DD, and/or SUD.

Authors+Show Affiliations

Department of Psychiatry, National Crime Victims Research & Treatment Center, Medical University of South Carolina, Charleston, South Carolina; VA Puget Sound Health Care System, Seattle Division, Seattle, Washington. Electronic address: gilmoram@musc.edu.Department of Psychology, Utah State University, Logan, Utah; VA Salt Lake City Health Care System, Salt Lake City, Utah.VA Puget Sound Health Care System, Seattle Division, Seattle, Washington.VA Puget Sound Health Care System, Seattle Division, Seattle, Washington.Department of Psychology, Utah State University, Logan, Utah; VA Salt Lake City Health Care System, Salt Lake City, Utah.VA Salt Lake City Health Care System, Salt Lake City, Utah; Department of Internal Medicine, University of Utah, Salt Lake City, Utah.VA Puget Sound Health Care System, Seattle Division, Seattle, Washington.VA Salt Lake City Health Care System, Salt Lake City, Utah.Department of Psychology, Utah State University, Logan, Utah.VA Salt Lake City Health Care System, Salt Lake City, Utah; Department of Internal Medicine, University of Utah, Salt Lake City, Utah.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27528358

Citation

Gilmore, Amanda K., et al. "Military Sexual Trauma and Co-occurring Posttraumatic Stress Disorder, Depressive Disorders, and Substance Use Disorders Among Returning Afghanistan and Iraq Veterans." Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, vol. 26, no. 5, 2016, pp. 546-54.
Gilmore AK, Brignone E, Painter JM, et al. Military Sexual Trauma and Co-occurring Posttraumatic Stress Disorder, Depressive Disorders, and Substance Use Disorders among Returning Afghanistan and Iraq Veterans. Womens Health Issues. 2016;26(5):546-54.
Gilmore, A. K., Brignone, E., Painter, J. M., Lehavot, K., Fargo, J., Suo, Y., Simpson, T., Carter, M. E., Blais, R. K., & Gundlapalli, A. V. (2016). Military Sexual Trauma and Co-occurring Posttraumatic Stress Disorder, Depressive Disorders, and Substance Use Disorders among Returning Afghanistan and Iraq Veterans. Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health, 26(5), 546-54. https://doi.org/10.1016/j.whi.2016.07.001
Gilmore AK, et al. Military Sexual Trauma and Co-occurring Posttraumatic Stress Disorder, Depressive Disorders, and Substance Use Disorders Among Returning Afghanistan and Iraq Veterans. Womens Health Issues. 2016 Sep-Oct;26(5):546-54. PubMed PMID: 27528358.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Military Sexual Trauma and Co-occurring Posttraumatic Stress Disorder, Depressive Disorders, and Substance Use Disorders among Returning Afghanistan and Iraq Veterans. AU - Gilmore,Amanda K, AU - Brignone,Emily, AU - Painter,Janelle M, AU - Lehavot,Keren, AU - Fargo,Jamison, AU - Suo,Ying, AU - Simpson,Tracy, AU - Carter,Marjorie E, AU - Blais,Rebecca K, AU - Gundlapalli,Adi V, Y1 - 2016/08/12/ PY - 2015/12/05/received PY - 2016/06/23/revised PY - 2016/06/29/accepted PY - 2016/8/17/entrez PY - 2016/8/17/pubmed PY - 2017/12/30/medline SP - 546 EP - 54 JF - Women's health issues : official publication of the Jacobs Institute of Women's Health JO - Womens Health Issues VL - 26 IS - 5 N2 - 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. METHODS: The sample included 494,822 Department of Veterans Affairs service-seeking veterans (12.5% women) deployed to Iraq and Afghanistan who recently separated from the military and were screened for MST between 2004 and 2013. MAIN FINDINGS: Veterans with positive MST screens had higher odds than those with negative screens of individual and co-occurring PTSD, DD, and SUD. The association between positive MST screens and diagnostic outcomes, including PTSD, was stronger for women than for men, and the association between positive MST screens and some diagnostic outcomes, including DD, was stronger for men than for women. CONCLUSIONS: These results highlight the importance of assessing for and recognizing the potential MST and gender interactions in the clinical context among veterans with co-occurring PTSD, DD, and/or SUD. SN - 1878-4321 UR - https://www.unboundmedicine.com/medline/citation/27528358/Military_Sexual_Trauma_and_Co_occurring_Posttraumatic_Stress_Disorder_Depressive_Disorders_and_Substance_Use_Disorders_among_Returning_Afghanistan_and_Iraq_Veterans_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1049-3867(16)30077-9 DB - PRIME DP - Unbound Medicine ER -