几十年前经历过军事性创伤的女性退伍军人寻求创伤后应激障碍治疗的障碍：制度背叛的作用。
Barriers to PTSD treatment-seeking by women veterans who experienced military sexual trauma decades ago: The role of institutional betrayal.
机构信息
Atlanta VA Health Care System, Decatur, GA; Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, GA.
出版信息
Nurs Outlook. 2021 May-Jun;69(3):458-470. doi: 10.1016/j.outlook.2021.02.002. Epub 2021 Apr 15.
BACKGROUND
While some barriers to PTSD treatment engagement among veterans are well-identified, e.g., stigma, little is known about the barriers to VA PTSD treatment-seeking among women veterans who experienced military sexual trauma (MST) decades ago.
PURPOSE
To explore the barriers to PTSD treatment-seeking of women veterans with PTSD related to MST experienced prior to 2000.
METHOD
Data were collected from women veterans (n = 14) who had experienced MST and sought VA PTSD treatment. Data analyses utilized a constructivist grounded theory approach.
FINDINGS
The context of the MST experience, including the military environment at the time, the era in which they experienced MST and the response of others to their reporting or disclosure of MST created decades-long barriers to PTSD treatment-seeking.
DISCUSSION
Understanding institutional betrayal as a barrier to PTSD treatment-seeking among women veterans who experienced MST decades ago is necessary to develop effective targeted outreach and programs for this population.
背景
虽然已经明确了一些退伍军人 PTSD 治疗参与的障碍，例如耻辱感，但对于几十年前经历过军事性创伤（MST）的女性退伍军人寻求 VA PTSD 治疗的障碍知之甚少。
目的
探索 PTSD 与 MST 相关的 PTSD 治疗寻求障碍的女性退伍军人的 PTSD 治疗寻求障碍，MST 发生在 2000 年之前。
方法
数据来自曾经历过 MST 并寻求 VA PTSD 治疗的女性退伍军人（n=14）。数据分析采用建构主义扎根理论方法。
结果
MST 经历的背景，包括当时的军事环境、她们经历 MST 的时代以及他人对她们报告或披露 MST 的反应，导致了长达数十年的 PTSD 治疗寻求障碍。
讨论
了解机构背叛是几十年前经历过 MST 的女性退伍军人 PTSD 治疗寻求障碍的一个因素，对于为这一人群制定有效的针对性外展和计划是必要的。
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