Sexton Minden B, Raggio Greer A, McSweeney Lauren B, Authier Caitlin C, Rauch Sheila A M
1 Mental Health Service, Ann Arbor Veterans Healthcare System , Ann Arbor, Michigan.
2 Department of Psychiatry, University of Michigan Medical School , Ann Arbor, Michigan.
J Womens Health (Larchmt). 2017 Sep;26(9):933-940. doi: 10.1089/jwh.2016.6080. Epub 2017 May 10.
Military sexual trauma (MST) and military combat trauma (MCT) are significant risk factors for posttraumatic stress disorder (PTSD). However, no studies have directly contrasted the clinical profiles of Veterans between military-related traumas. Moreover, a notable gender difference in the likelihood of trauma exposure limits our ability to disentangle gender and trauma type.
To address these gaps, we aimed at (1) contrasting psychiatric complaints in Veterans with MST versus MCT exposure and (2) investigating gender differences in Veterans with MST histories. Treatment-seeking Veterans (N = 563) completed semi-structured diagnostic interviews and self-report assessments of PTSD, depressive, and dissociative symptoms.
Psychiatric complaints and morbidity were notable after all military-associated traumas, although those seeking care for MST-related events demonstrated more severe PTSD, depressive, and dissociative symptoms and were more likely to meet criteria for non-PTSD anxiety and psychotic disorders. In contrast, few gender-related differences were noted between male and female Veterans with histories of MST.
The experience of MST may reduce typically observed gender-related buffering effects for certain conditions.
军事性创伤（MST）和军事战斗创伤（MCT）是创伤后应激障碍（PTSD）的重要风险因素。然而，尚无研究直接对比与军事相关创伤的退伍军人的临床特征。此外，创伤暴露可能性方面显著的性别差异限制了我们区分性别和创伤类型的能力。
为填补这些空白，我们旨在（1）对比有MST暴露史与有MCT暴露史的退伍军人的精神症状，以及（2）调查有MST病史的退伍军人中的性别差异。寻求治疗的退伍军人（N = 563）完成了半结构化诊断访谈以及PTSD、抑郁和解离症状的自我报告评估。
所有与军事相关的创伤后精神症状和发病率都很显著，尽管因与MST相关事件寻求治疗的人表现出更严重的PTSD、抑郁和解离症状，并且更有可能符合非PTSD焦虑和精神障碍的标准。相比之下，有MST病史的男性和女性退伍军人之间未观察到明显的性别差异。
MST经历可能会减少某些情况下通常观察到的性别相关缓冲效应。
