Mental Health Service, VA Puget Sound Health Care System, Seattle, Washington 98108, USA.
J Trauma Dissociation. 2011;12(3):261-74. doi: 10.1080/15299732.2011.551504.
The purpose of this study was to explore the relationship between military sexual assault (MSA) and posttraumatic stress disorder (PTSD) and other symptoms associated with trauma, referred to as disorders of extreme stress not otherwise specified (DESNOS) or complex PTSD within a Veterans Affairs (VA) Medical Center outpatient mental health treatment-seeking sample. The present results focus on female Veterans only because of the low rates of endorsement of MSA among male Veterans resulting in a sample too small to use in analyses. Compared with those who did not endorse MSA, those who did reported greater frequency of other potentially traumatic events; PTSD symptoms; and symptoms characteristic of DESNOS, such as difficulties with interpersonal relationships, emotion regulation, dissociation, somatization, and self-perception. When childhood and other adulthood interpersonal trauma were both taken into account, MSA continued to contribute unique variance in predicting PTSD and DESNOS symptoms. VA patients reporting MSA may represent notably heterogeneous groups that include more complex posttraumatic reactions. Treatment interventions focused on complex PTSD may be warranted for a subset of female veterans who endorse MSA.
本研究旨在探讨军事性侵犯 (MSA) 与创伤后应激障碍 (PTSD) 及其他与创伤相关的症状之间的关系，这些症状被称为未特定的极端应激障碍 (DESNOS) 或复杂 PTSD，研究对象为退伍军人事务部 (VA) 医疗中心门诊寻求心理健康治疗的患者。本研究仅关注女性退伍军人，因为男性退伍军人中 MSA 的报告率较低，导致样本太小，无法进行分析。与未报告 MSA 的退伍军人相比，报告 MSA 的退伍军人经历过其他创伤性事件的频率更高；有 PTSD 症状；且具有 DESNOS 的特征症状，如人际关系困难、情绪调节障碍、分离、躯体化和自我认知障碍。当同时考虑童年和成年期的人际创伤时，MSA 继续对 PTSD 和 DESNOS 症状的预测有独特的影响。报告 MSA 的 VA 患者可能代表着明显不同的群体，其中包括更复杂的创伤后反应。对于那些报告 MSA 的女性退伍军人中的亚组，可能需要针对复杂 PTSD 的治疗干预。
