San Francisco VA Medical Center, San Francisco, CA 94121, USA.
Womens Health Issues. 2012 Jan-Feb;22(1):e61-6. doi: 10.1016/j.whi.2011.07.010. Epub 2011 Sep 9.
We examined correlates of posttraumatic stress disorder (PTSD), including military sexual trauma (MST), in Iraq and Afghanistan veterans. We also compared mental health comorbidities by gender among veterans with PTSD, with and without MST.
Retrospective data analyses were conducted using Department of Veterans Affairs (VA) administrative data from 213,803 Iraq and Afghanistan veterans and the subset diagnosed with PTSD from April 1, 2002, to October 1, 2008. We used descriptive statistics and multivariate logistic regression compared by gender to investigate independent correlates and mental health comorbidities associated with PTSD, with and without MST.
Among women with PTSD, 31% screened positive for MST; 1% of men with PTSD screened positive for MST. Among those with PTSD, veterans with MST had more comorbid mental health diagnoses than those without MST. Women with PTSD and MST were more likely to receive comorbid depression, anxiety, and eating disorder diagnoses, and men were more likely to receive comorbid substance use disorder diagnoses.
MST is associated with an increased prevalence of mental health disorders comorbid with PTSD. Better understanding comorbidity patterns will allow for targeted evaluation and treatment of returning veterans with MST.
我们研究了与创伤后应激障碍（PTSD）相关的因素，包括伊拉克和阿富汗退伍军人的军事性创伤（MST）。我们还比较了 PTSD 退伍军人中有无 MST 的性别之间的心理健康共病情况。
使用退伍军人事务部（VA）从 2002 年 4 月 1 日至 2008 年 10 月 1 日期间的行政数据，对 213803 名伊拉克和阿富汗退伍军人以及从 PTSD 诊断子集进行了回顾性数据分析。我们使用描述性统计和多变量逻辑回归，通过性别进行比较，以调查与 PTSD 相关的独立相关因素和心理健康共病情况，包括有无 MST。
在患有 PTSD 的女性中，有 31%的人筛查出 MST；在患有 PTSD 的男性中，有 1%的人筛查出 MST。在患有 PTSD 的退伍军人中，患有 MST 的退伍军人比没有 MST 的退伍军人有更多的共患精神健康诊断。患有 PTSD 和 MST 的女性更有可能同时患有抑郁、焦虑和饮食障碍的诊断，而男性更有可能同时患有物质使用障碍的诊断。
MST 与 PTSD 共患精神障碍的患病率增加有关。更好地了解共病模式将允许对患有 MST 的退伍军人进行有针对性的评估和治疗。
