Military Sexual Trauma in Female Veterans is Associated With Chronic Pain Conditions

Cichowski, Sara; Rogers, Rebecca G.; Clark, Elizabeth A.; Murata, Erin; Murata, Allison; Murata, Glen H.

doi:10.7205/milmed-d-16-00393

Cited by 37 publications

(34 citation statements)

References 18 publications

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“…The nine articles selected for the review of the relationship between ASA and the CVD outcomes of heart attack, stroke, hypertension, diabetes, dyslipidaemia and obesity are presented in Table 1 , and comprised a total of 855 206 women. These included three longitudinal articles [ 34 35 36 ] and six cross-sectional studies [ 37 38 39 40 41 42 ]; all were conducted in the United States. It was not possible to infer causality from the cross-sectional studies.…”

Section: Resultsmentioning

confidence: 99%

“…The included studies evaluated specific groups such as military veterans [ 37 41 42 ], nurses [ 34 35 ], enrolees with a specific health insurer [ 38 ], school attendees (at baseline) [ 36 ], heterosexual and lesbian women [ 39 ] and 45–60-year-old post-menopausal women who were divorced or separated from a stressful relationship [ 40 ] (Table 1 ). Participants in the included studies were selected from communities (convenience samples) [ 39 40 ], Veterans Administration (VA) clinics [ 37 ], schools [ 36 ] and databases or registries [ 34 35 38 42 ].…”

Section: Resultsmentioning

confidence: 99%

“…The most frequently used data collection technique was telephonic interviews [ 38 ] followed by questionnaire interviews alone [ 40 ] or with clinical assessments [ 39 ]. Other data collection methods employed were postal surveys alone [ 34 35 37 ] or with review of electronic medical records [ 41 42 ]. A single included study used a combination of data collection methods; mailed questionnaires at baseline and online or paper surveys on follow-up [ 36 ].…”

Section: Resultsmentioning

confidence: 99%

“…Two studies gathered outcome data from clinical records i.e. electronic medical databases [ 41 42 ] and four relied on participants’ self-report to determine clinical outcomes [ 34 35 36 37 ]. Two articles did not provide details on outcome assessments i.e.…”

Section: Resultsmentioning

confidence: 99%

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A Systematic Review of the Associations of Adult Sexual Abuse in Women with Cardiovascular Diseases and Selected Risk Factors

2020

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Aim: To systematically assess the association between adult sexual abuse (ASA) and cardiovascular diseases (CVDs) of heart attack and stroke, and their risk factors of hypertension, diabetes, dyslipidaemia and obesity. Methods: Two authors conducted a PubMed, Scopus and Web of Science review of the literature published prior to 1 October 2019. Relevant English language studies irrespective of study design and data collection techniques were included. Included articles needed to have examined ASA per se independent of physical or psychological/emotional abuse, and childhood sexual abuse. Results: Of the 3260 articles identified, nine were selected from 97 full-text articles assessed for eligibility (n = 855 206 women). Six studies were cross-sectional in design while three articles were from longitudinal studies; all emanated from the United States. One study only (n = 867) performed clinical assessments (heights and weights) to determine the relevant outcome (obesity), four presented self-reported outcomes (heart attack, stroke, hypertension, diabetes, obesity), two reviewed clinical records and two did not provide details on outcome assessments (obesity). Sexual abuse by an intimate partner was examined in five articles, three assessed military sexual trauma and a single study evaluated any perpetrator. A meta-analysis could not be conducted because of the heterogeneity across studies. The available evidence was insufficient to quantify the relationship, if any, between ASA and CVDs and their risk factors. Conclusions: Currently, no longitudinal studies of ASA in general populations have objectively investigated the development of CVDs and their risk factors using clinical and biochemical measurements. In view of the high CVD burden, and the frequency of ASA, it is important to fully understand the relationship between the two.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A Systematic Review of the Associations of Adult Sexual Abuse in Women with Cardiovascular Diseases and Selected Risk Factors

2020

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“…Moreover, veterans are significantly more likely than civilians to suffer from post-traumatic stress disorder (PTSD), bipolar disorder, depression, and anxiety (Fortney, et al, 2016;Lehavot et al, 2018;Liu, Collins, Wang, & Bie, 2019;National Center for PTSD, 2018;Shepardson, Kosiba, Bernstein, & Funderburk, 2019). Not surprisingly, veterans are also 40% more likely to suffer from chronic pain when compared to the general population (Akhtar, Ballew, Orr, Mayorga, & Khan, 2018;Cichowski, et al, 2017: Nahin, 2017. Obviously, many of these health conditions are the direct result of combat conditions, and a sufficient body of evidence pertaining to the acceptability, practicality, and efficacy of various treatment options has yet to be developed.…”

Section: Introductionmentioning

confidence: 99%

Toward Veteran-Centered Research: A Veteran-Focused Community Engagement Project

Flynn

Krause‐Parello

Chase

et al. 2019

JVS

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Although it is widely acknowledged that consumer engagement in healthcare research is a promising pathway to actionable patient-centered findings, there remains some ambiguity regarding effective patient-centered engagement strategies. Therefore, the purpose of this US-based multi-state project was to create a platform from which US veterans could dialogue and articulate (1) their research priorities; (2) perceived barriers to research partnerships and participation; (3) recommendations for engaging other veterans in the research enterprise; and (4) preferences about how they would like to receive research findings. A total of 283 veterans and 101 community stakeholders participated across 54 dialogue sessions or Think Tank Meetings (TTMs) held in six states with the largest veteran populations: California, Texas, Florida, Pennsylvania, New York, and Ohio. Each TTM was led by a local veteran with strong ties to the veteran community. To address veteran concerns about the research process, a local researcher from the project team recorded field notes rather than audiotaping, which were analyzed by the lead research team using open and axial coding. Based on veterans' recommendations, a list of veteran-centered research priorities is presented, as are two checklists designed to guide research teams seeking to engage veterans in research and disseminate findings to the veteran community.

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Chronic Pelvic Pain in Women

Lamvu

Carrillo

Ouyang

et al. 2021

JAMA

180

139

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ImportanceChronic pelvic pain (CPP) is a challenging condition that affects an estimated 26% of the world’s female population. Chronic pelvic pain accounts for 40% of laparoscopies and 12% of hysterectomies in the US annually even though the origin of CPP is not gynecologic in 80% of patients. Both patients and clinicians are often frustrated by a perceived lack of treatments. This review summarizes the evaluation and management of CPP using recommendations from consensus guidelines to facilitate clinical evaluation, treatment, improved care, and more positive patient-clinician interactions.ObservationsChronic pelvic pain conditions often overlap with nonpelvic pain disorders (eg, fibromyalgia, migraines) and nonpain comorbidities (eg, sleep, mood, cognitive impairment) to contribute to pain severity and disability. Musculoskeletal pain and dysfunction are found in 50% to 90% of patients with CPP. Traumatic experiences and distress have important roles in pain modulation. Complete assessment of the biopsychosocial factors that contribute to CPP requires obtaining a thorough history, educating the patient about pain mechanisms, and extending visit times. Training in trauma-informed care and pelvic musculoskeletal examination are essential to reduce patient anxiety associated with the examination and to avoid missing the origin of myofascial pain. Recommended treatments are usually multimodal and require an interdisciplinary team of clinicians. A single-organ pathological examination should be avoided. Patient involvement, shared decision-making, functional goal setting, and a discussion of expectations for long-term care are important parts of the evaluation process.Conclusions and RelevanceChronic pelvic pain is like other chronic pain syndromes in that biopsychosocial factors interact to contribute and influence pain. To manage this type of pain, clinicians must consider centrally mediated pain factors as well as pelvic and nonpelvic visceral and somatic structures that can generate or contribute to pain.

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Military Sexual Trauma in Female Veterans is Associated With Chronic Pain Conditions

Cited by 37 publications

References 18 publications

A Systematic Review of the Associations of Adult Sexual Abuse in Women with Cardiovascular Diseases and Selected Risk Factors

A Systematic Review of the Associations of Adult Sexual Abuse in Women with Cardiovascular Diseases and Selected Risk Factors

Toward Veteran-Centered Research: A Veteran-Focused Community Engagement Project

Chronic Pelvic Pain in Women

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