因军队性创伤而寻求治疗的退伍军人中与年龄相关的生态资源差异

IF 2.6 3区心理学 Q1 CRIMINOLOGY & PENOLOGY

Journal of Interpersonal Violence Pub Date : 2024-10-08 DOI:10.1177/08862605241285924

Peter P. Grau, Meredith R. Boyd, Joseph W. Tu, Julia L. Paulson, Katherine E. Porter, Minden B. Sexton

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引用次数: 0

摘要

约有 16% 的退伍军人经历过军事性创伤 (MST)，即在服兵役期间遭受性侵犯或性骚扰。不同生命阶段的退伍军人可能拥有不同的资源，并面临独特的压力，这些都会影响他们接受心理健康治疗的能力或需要额外的联络服务。本研究试图从经济充足性、住房、精神应对、支持性关系和人际暴力等方面，描述退伍军人在遭受性暴力和性骚扰后寻求心理健康治疗的社会生态环境中与年龄相关的差异。从 2009 年到 2019 年，在遭受创伤后应激障碍后寻求心理健康服务的退伍军人（N = 640）参加了中西部退伍军人健康管理局创伤后应激障碍专科诊所的评估和治疗计划会议。退伍军人完成了包括调查和诊断筛查在内的半结构化访谈，以评估社会心理需求和资源。方差分析和序数回归用于评估不同年龄段在社会生态资源方面可能存在的差异。虽然大多数退伍军人（57%）都表示有经济困难，但在经济充足性和稳定住房方面并没有出现与年龄相关的差异。认可精神信仰的退伍军人的年龄明显高于不认可精神信仰的退伍军人。报告拥有支持系统的退伍军人明显比否认拥有支持系统的退伍军人年轻。只有不到一半（46%）的退伍军人表示有同伴关系。表示经常与同龄人交往的退伍军人明显比不经常交往的退伍军人年长。报告在过去一年中遭受过人际暴力的退伍军人明显更年轻。更清楚地了解退伍军人社会生态环境中与年龄相关的差异，可以帮助临床医生提供有针对性的心理健康治疗，并将退伍军人与其他退伍军人健康管理局资源联系起来。

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Age-Related Variation in Ecological Resources Among Veterans Seeking Treatment Related to Military Sexual Trauma

Approximately 16% of Veterans experience military sexual trauma (MST), defined as sexual assault or harassment experienced during military service. Veterans across life stages may possess differing resources and face unique stressors that impact their ability to engage in mental health treatment or require additional liaison to services. The present study sought to characterize age-related differences in the socioecological contexts of Veterans seeking mental health treatment following MST in the domains of economic sufficiency, housing, spiritual coping, supportive relationships, and interpersonal violence. From 2009 to 2019, Veterans ( N = 640) seeking mental health services following exposure to MST attended evaluation and treatment planning sessions at a Midwestern Veterans Health Administration posttraumatic stress disorder specialty clinic. Veterans completed semistructured interviews that included surveys and diagnostic screenings to assess psychosocial needs and resources. ANOVA and ordinal regressions were used to evaluate potential disparities in socioecological resources by age. No age-related differences in economic sufficiency and stable housing emerged, though most Veterans (57%) endorsed financial difficulties. Veterans who endorsed spiritual beliefs were significantly older than those who did not. Veterans who reported having a support system were significantly younger than Veterans who denied having a support system. Less than half (46%) of Veteran reported having peer relationships. Veterans who endorsed frequent interaction with their peers were significantly older than those who did not. Veterans who reported past-year exposure to interpersonal violence were significantly younger. Greater clarity about age-related differences in the socioecological contexts of Veterans can support clinicians in providing responsive mental health treatment and connecting Veterans to additional Veterans Health Administration resources following MST.

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来源期刊

Journal of Interpersonal Violence Multiple-

CiteScore

6.20

自引率

12.00%

发文量

375

期刊介绍： The Journal of Interpersonal Violence is devoted to the study and treatment of victims and perpetrators of interpersonal violence. It provides a forum of discussion of the concerns and activities of professionals and researchers working in domestic violence, child sexual abuse, rape and sexual assault, physical child abuse, and violent crime. With its dual focus on victims and victimizers, the journal will publish material that addresses the causes, effects, treatment, and prevention of all types of violence. JIV only publishes reports on individual studies in which the scientific method is applied to the study of some aspect of interpersonal violence. Research may use qualitative or quantitative methods. JIV does not publish reviews of research, individual case studies, or the conceptual analysis of some aspect of interpersonal violence. Outcome data for program or intervention evaluations must include a comparison or control group.