Sexual Violence and Mental Health Symptoms Among National Guard and Reserve Soldiers
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Reserve and National Guard (NG) soldiers report disproportionate mental health problems relative to active duty military upon returning from the Iraq and Afghanistan conflicts. However, few studies have examined whether exposure to particular types of traumatic events (e.g., lifetime sexual violence) is associated with this increased burden of psychopathology.
The current study examined the prevalence of lifetime sexual violence exposure as well as the adjusted odds and population attributable fraction of psychopathology associated with sexual violence in a large sample of male and female Reserve and NG soldiers.
Baseline structured telephone interviews were conducted in 2009.
1,030 Reserve (23 % female) and 973 NG (15 % female) soldiers.
Four items assessed lifetime and deployment-related sexual violence. Probable lifetime and past-year posttraumatic stress disorder (PTSD) and depression were assessed with the PTSD Checklist and the Patient Health Questionnaire, respectively.
Lifetime sexual violence prevalence was 37.4 % and 27.6 % among Reserve and NG women, and 4.3 % and 3.7 % among Reserve and NG men, respectively. Recent deployment-related sexual violence ranged from 1.4 to 2.6 % for women and 0 % for men. Regression analyses indicated that the adjusted odds of probable past-year and lifetime PTSD and depression were 1.2 to 3.5 times greater among those reporting sexual violence relative to non-victims. The proportion of probable lifetime PTSD and depression attributable to sexual violence was 45.2 % and 16.6 %, respectively, in the Reserves, and 10.3 % and 6.2 %, respectively, in the NG.
Lifetime sexual violence prevalence was high among female soldiers, with approximately one-third of Reserve and National Guard women reporting a history. The majority of sexual violence was not related to the most recent deployment; however, sexual violence contributed to a high burden of psychopathology. Findings emphasize a need to screen for lifetime sexual violence and associated mental disorders in military samples.
- Black MC, Basile KC, Breiding MJ, et al. The National Intimate Partner and Sexual Violence Survey (NISVIS): 2010 Summary Report. Atlanta, GA: National Center for Injury Prevention and Control, Centers for Disease Control and Prevention.
- Dolan P, Loomes G, Peasgood T, Tsuchiya A. Estimating the intangible victim costs of violent crime. Br J Criminol. 2005;45:958–976. CrossRef
- Post LA, Mezey NJ, Maxwell C, Wibert WN. The rape tax: tangible and intangible costs of sexual violence. J Interpers Violence. 2002;17:773–782. CrossRef
- Darves-Bornoz J-M, Alonso J, de Girolamo G, et al. Main traumatic events in Europe: PTSD in the European study of the epidemiology of mental disorders survey. J Trauma Stress. 2008;21:455–462. CrossRef
- Elliott DM, Mok DS, Briere J. Adult sexual assault: prevalence, symptomatology, and sex differences in the general population. J Trauma Stress. 2004;17:203–211. CrossRef
- Hapke Um Schumann A, Rumf H-J, John U, Meyer C. Posttraumatic stress disorder: the role of trauma, pre-existing psychiatric disorders, and gender. Eur Arch Psychiatry Clin Neurosci. 2006;256:299–306. CrossRef
- Kaminer D, Grimsund A, Myer L, Stein DJ, Williams DR. Risk for posttraumatic stress disorder associated with different forms of interpersonal violence in South Africa. Soc Sci Med. 2008;67:1589–1595. CrossRef
- Hoge CW, Auchterlonie JL, Miliken CS. Mental health problems, use of mental health services, and attrition from military service after returning from deployment to Iraq or Afghanistan. JAMA. 2006;295:1023–1032. CrossRef
- Milliken CS, Auchterlonie JL, Hoge CW. Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war. JAMA. 2007;298:2141–2148. CrossRef
- Seal KH, Metzler TJ, Gima KS, Bertenthal D, Maguen S, Marmar CR. Trends and risk factors for mental health diagnoses among Iraq and Afghanistan veterans using Department of Veterans Affairs health care, 2002–2008. Am J Public Health. 2009;99:1651–1658. CrossRef
- Hoyt T, Rielage JK, Williams LF. Military sexual trauma in men: a review of reported rates. J Trauma & Dissociation. 2011;12:244–260. CrossRef
- Kimerling R, Street AE, Pavao J, et al. Military-related sexual trauma among veteran’s health administration patients returning from Afghanistan and Iraq. Am J Public Health. 2010;100:1409–1412. CrossRef
- Street AE, Stafford JA, Mahan CM, Hendricks AM. Sexual harassment and assault experienced by reservists during military service: prevalence and health correlates. J Rehabil Res Dev. 2008;45:409–419. CrossRef
- Suris A, Lind L. Military sexual trauma: a review of prevalence and associated health consequences in veterans. Trauma Violence & Abuse. 2008;9:250–269. CrossRef
- Bostock DJ, Daley JG. Lifetime and current sexual assault and harassment victimization rates of active-duty United States air force women. Violence Against Women. 2007;13:927–944. CrossRef
- Stander VA, Merrill LL, Thomsen CJ, Crouch JL, Milner JS. Premilitary adult sexual assault victimization and perpetration in a Navy recruit sample. J Interpersonal Violence. 2008;23:1636–1653. CrossRef
- Martin L, Rosen LN, Durand DB, Knudson KH, Stretch RH. Psychological and physical health effects of sexual assaults and nonsexual traumas among male and female United States Army soldiers. Behav Med. 2000;26:23–33. CrossRef
- American Association for Public Opinion Research. Standard Definitions: Final Dispositions of Case Codes and Outcome Rates for Surveys. 7th edition. AAPOR, 2011.
- Weathers F, Ford J. Psychometric review of PTSD Checklist (PCL-C, PCL-S, PCL-M, PCL-PR). In: Stamm BH, ed. Measurement of Stress, Trauma, and Adaptation. Lutherville: Sidran Press; 1996.
- Blanchard EB, Jones-Alexander J, Buckley TC, Forneris CA. Psychometric properties of the PTSD checklist. Behav Res Ther. 1996;34:669–673. CrossRef
- Calabrese JR, Prescott M, Tamburrino M, Liberzon I, Slembarski R, Goldmann E, et al. PTSD comorbidity and suicidal ideation associated with PTSD within the Ohio Army National Guard. J Clin Psychiatry. 2011;72:1072–1078. CrossRef
- Marshall BDL, Prescott MR, Liberzon I, Tamburrino MB, Calabrese JR, Galea S. Coincident posttraumatic stress disorder and depression predict alcohol abuse during and after deployment among army national guard soldiers. Drug and Alcohol Dependence 2012.
- Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16:606–613. CrossRef
- Afifi TO, Enns MW, Cox BJ, Asmundson JG, Stein MB, Sareen J. Population attributable fractions of psychiatric disorders and suicide ideation and attempts associated with adverse childhood experiences. Am J Public Health. 2008;98:946–952. CrossRef
- Koss MP, Gidycz CA, Wisniewski N. The scope of rape: incidence and prevalence of sexual aggression and victimization among a national sample of students in higher education. J Consult Clin Psychol. 1987;55:162–170. CrossRef
- Galea S, Tracy M. Participation rates in epidemiologic studies. Annals of Epi. 2007;17:643–653. CrossRef
- Tjaden P, Thoennes N. Extent, nature, and consequences of rape victimization: findings from the national violence against women survey. Washington, DC: National Institute of Justice; 2006.
- Sexual Violence and Mental Health Symptoms Among National Guard and Reserve Soldiers
Journal of General Internal Medicine
Volume 29, Issue 1 , pp 104-109
- Cover Date
- Print ISSN
- Online ISSN
- Springer US
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- national guard
- sexual violence
- Industry Sectors
- Author Affiliations
- 1. Department of Epidemiology, Columbia University, 722 West 168th Street, Rm 520, New York, NY, 10032, USA
- 2. Uniformed Services University of the Health Sciences, Bethesda, USA