Marian University, United States.
Palo Alto VA Health Care System, United States.
Addict Behav. 2018 May;80:28-33. doi: 10.1016/j.addbeh.2017.12.026. Epub 2017 Dec 27.
Servicewomen exposed to traumatic stressors over the course of their military service are at increased risk of developing symptoms of substance use disorder (SUD) and posttraumatic stress (PTS). They are also at risk for exposure to military sexual assault (MSA), which is also associated with SUD and PTS symptomology. Research is unclear about the incremental contributions of different forms of traumatic stressors on co-occurring SUD and PTS symptomology. In this study we examined the independent and combined effects of MSA and other military stressors on SUD and PTS symptomology in a sample of female veterans (N=407). Results indicate that MSA and other military stressors exhibit incremental effects on SUD and PTS symptomology. Results further suggest that women exposed to both MSA and other military stressors are at increased risk for developing co-occurring SUD and PTSD. These findings extend previous research on comorbid SUD and PTSD, highlighting the cumulative effects of traumatic stressors on posttraumatic psychopathology, and have implications for future research and clinical practice with female veterans.
服务女性在军队服役期间接触创伤性压力源的风险增加，易出现物质使用障碍（SUD）和创伤后应激（PTS）的症状。她们还面临着遭受性侵犯的风险，这也与 SUD 和 PTS 的症状有关。研究不清楚不同形式的创伤性压力源对同时出现的 SUD 和 PTS 症状的增量贡献。在这项研究中，我们研究了女退伍军人样本（N=407）中军事性侵犯和其他军事压力源对 SUD 和 PTS 症状的独立和综合影响。结果表明，军事性侵犯和其他军事压力源对 SUD 和 PTS 症状有增量影响。结果进一步表明，同时遭受军事性侵犯和其他军事压力源的女性发生共病 SUD 和 PTSD 的风险增加。这些发现扩展了关于共病 SUD 和 PTSD 的先前研究，强调了创伤性压力源对创伤后精神病理学的累积影响，并对女性退伍军人的未来研究和临床实践具有意义。
