Effects of Military Trauma Exposure on Women Veterans’ Use and Perceptions of Veterans Health Administration Care

Kelly, Megan M.; Vogt, Dawne; Scheiderer, Emily M.; Ouimette, Paige; Daley, Jennifer; Wolfe, Jessica

doi:10.1007/s11606-008-0589-x

Cited by 54 publications

(37 citation statements)

References 39 publications

(39 reference statements)

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“…All of these issues are frequently identified in the mandated screens and subsequent mental health referral process as part of standard VHA care and may not necessarily be performed by community providers who are less familiar with the common mental health symptoms experienced by women Veterans with exposure to MST and combat trauma. Thus the lack of a unique association between MST and treatment utilization was unexpected, as treatment for conditions secondary to MST are covered by VHA services and MST is typically associated with greater VHA service use in multi-generational samples of women Veterans (Kelly, Vogt, Scheiderer, Ouimette, et al, 2008). One explanation for this finding is that MST is often perpetrated by men in uniform, and this may produce reluctance to pursue healthcare in a military environment.…”

Section: Discussionmentioning

confidence: 99%

Predicting utilization of healthcare services in the veterans health administration by returning women veterans: The role of trauma exposure and symptoms of posttraumatic stress.

Ryan¹,

McGrath²,

Creech³

et al. 2015

Psychological Services

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Combat exposure and military sexual trauma (MST) are prevalent among returning women Veterans and associated with increased alcohol use and psychological distress. However, it remains unclear the extent to which combat exposure and MST are associated with utilization of healthcare in the Veterans Health Administration (VHA). The current study explored the relationships among alcohol use and distress in women who deployed in support of Operations Enduring Freedom, Iraqi Freedom, and New Dawn (OEF/OIF/OND). It was hypothesized that increased PTSD and depression symptomatology and trauma exposure would be related greater VHA utilization, whereas alcohol misuse would predict lower VHA use. Participants (N = 133) completed an internet-based survey of deployment experiences, substance use, mental health, and utilization of VHA services. In this sample, 33% endorsed MST exposure, 64% endorsed combat exposure, and 78% indicated exposure to the aftermath of battle. Multiple regression models found combat exposure – but not MST or aftermath – to be significantly associated with alcohol use and symptoms of PTSD and depression. Only 37% of participants reported use of VHA services, and logistic regression models indicated that PTSD symptomatology was the only unique predictor of VHA use. Findings suggest potential barriers for women who endured sexually based trauma in a military setting in seeking treatment at the VHA.

show abstract

Section: Discussionmentioning

confidence: 99%

Predicting utilization of healthcare services in the veterans health administration by returning women veterans: The role of trauma exposure and symptoms of posttraumatic stress.

Ryan¹,

McGrath²,

Creech³

et al. 2015

Psychological Services

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show abstract

“…Social supports may help in redefining the harm potential of a situation, reduce or eliminate negative affective reactions to a stressful event and/or alleviate the impact of stress (Kelly et al, 2008). Previous research has noted that unit cohesion also serves to buffer the negative effects of war while keeping the unit together to carry out its mission (Figley, 1978;Kukla et al, 1990).…”

Section: Social Supportmentioning

confidence: 99%

Social Support Throughout the Deployment Cycle for Women Veterans Returning From Iraq and Afghanistan

Mankowski

Haskell

Brandt

et al. 2015

Social Work in Health Care

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Social support throughout the deployment cycle and the challenges of readjustment to civilian life for veterans returning from Operation Iraqi Freedom and Operation Enduring Freedom were explored. Eighteen participants from the New England and Indiana Veterans Administration catchment area were interviewed using a semi-structured interview guide. All participants identified perceptions of social support but their utilization of these supports was compromised due to the need to protect family and friends from the strain of war, post-traumatic stress symptoms, and depressive symptoms. Resilience, fortitude, and commitment to their military mission were evidenced by all the women of this study. Implications for future service delivery are identified.

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“…Previous research examining PTSD among women Veterans has shown that women tend to report a higher incidence of military sexual trauma (MST) than men and higher symptoms of PTSD. 117 Additional barriers to engagement in treatment are also present for women Veterans and range from low income, a lack of womenspecific care, and the male-oriented nature of care at the VA. [117][118][119][120] For this reason, a women's Veterans program manager is identified and available at all sites who can help women Veterans receive needed service and advocate for the needs of women Veterans. In addition, gender-specific services are available for women Veterans, including Women's Stress Disorder Treatment Teams, specialized inpatient and residential programs for women, cohort treatment or separate wings for women, Women Veterans Comprehensive Health Centers, and Women Veterans Homelessness Programs.…”

Section: For Further Information)mentioning

confidence: 99%

Evidence-based Treatments for Military-related Posttraumatic Stress Disorder in a Veterans Affairs Setting

Driesenga

Rodríguez

Picard

2015

Critical Care Nursing Clinics of North America

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Effects of Military Trauma Exposure on Women Veterans’ Use and Perceptions of Veterans Health Administration Care

Cited by 54 publications

References 39 publications

Predicting utilization of healthcare services in the veterans health administration by returning women veterans: The role of trauma exposure and symptoms of posttraumatic stress.

Predicting utilization of healthcare services in the veterans health administration by returning women veterans: The role of trauma exposure and symptoms of posttraumatic stress.

Social Support Throughout the Deployment Cycle for Women Veterans Returning From Iraq and Afghanistan

Evidence-based Treatments for Military-related Posttraumatic Stress Disorder in a Veterans Affairs Setting

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