Abstract
Military sexual trauma (MST) is defined by the Department of Veterans Affairs as sexual assault or repeated, threatening sexual harassment that occurred during military service. In the last two decades, increasing awareness of the widespread occurrence of MST has been the catalyst for national conversation. Estimates suggest that approximately 16% of service members report MST and three times that many may experience harassment. The organizational climate and culture of the military has been perceived as tolerant of harassment, and prevalent harassment is associated with high rates of sexual assault. While many service members are resilient, the experience of MST is associated with posttraumatic stress disorder, as well as a variety of emotional, physical, and functional impairments. Much of the research has focused on women service members; however, there are important differences to consider when taking into account the experiences of male survivors or sexual and gender minorities. Several empirically based interventions have demonstrated efficacy among survivors of MST. Treatment in this population must be tailored to the presenting diagnosis, as well as address rape myths and isolation. In the last decade, the Department of Defense has begun implementing practices and policies aimed at preventing MST, as well as improving access to care following MST; however, rates of MST remain high.
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References
Allard, C. B., Nunnink, S., Gregory, A. M., Klest, B., & Platt, M. (2011). Military sexual trauma research: A proposed agenda. Journal of Trauma & Dissociation, 12(3), 324–345.
Balsam, K. F., Lehavot, K., & Beadnell, B. (2011). Sexual Revictimization and mental health: A comparison of lesbians, gay men, and heterosexual women. Journal of Interpersonal Violence, 26(9), 1798–1814. https://doi.org/10.1177/0886260510372946.
Beckman, K., Shipherd, J., Simpson, T., & Lehavot, K. (2018). Military sexual assault in transgender veterans: Results from a nationwide survey. Journal of Traumatic Stress, 31(2), 181–190. https://doi.org/10.1002/jts.22280.
Bell, M. E., & Reardon, A. (2011). Experiences of sexual harassment and sexual assault in the military among OEF/OIF veterans: Implications for health care providers. Social Work in Health Care, 50, 34–50. https://doi.org/10.1080/00981389.2010.513917.
Brignone, E., Gundlapalli, A. V., Blais, R. K., Carter, M. E., Suo, Y., Samore, M. H., et al. (2016). Differential risk for homelessness among US male and female veterans with a positive screen for military sexual trauma. JAMA Psychiatry, 73(6), 582–589.
Burns, B., Grindlay, K., Holt, K., Manski, R., & Grossman, D. (2014). Military sexual trauma among US servicewomen during deployment: A qualitative study. American Journal of Public Health, 104(2), 345–349.
Campbell, R., Greeson, M. R., Bybee, D., & Raja, S. (2008). The co-occurrence of childhoodsexual abuse, adult sexual assault, intimate partner violence, and sexual harassment: A mediational model of posttraumatic stress disorder and physical health outcomes. Journal of Consulting and Clinical Psychology, 76(2), 194.
Danforth, L., & Wester, S. R. (2014). Gender-sensitive therapy with male servicemen: An integration of recent research and theory. Professional Psychology: Research and Practice, 45(6), 443.
David, W. S., Simpson, T. L., & Cotton, A. J. (2006). Taking charge: A pilot curriculum of self-defense and personal safety training for female veterans with PTSD because of military sexual trauma. Journal of Interpersonal Violence, 21(4), 555–565.
Davis, L., Vega, R. P., & McLeod, J. (2017). Additional descriptive analyses and future directions. In L. Davis, A. Grifka, K. Williams, & M. Coffey (Eds.), 2016 workplace and gender relations survey of active duty members: Overview report (pp. 355–367). Alexandria: U.S. Department of Defense, Office of People Analytics.
Department of Defense Sexual Assault Prevention and Response Office. (2017, May). Sexual assault prevention and response program (SAPR) program procedures (DoD Instruction 6495.02). Washington, DC. Retrieved from: https://www.sapr.mil/reports
Department of Defense Sexual Assault Prevention and Response Office. (2018, April). Fiscal year 2017 annual report on sexual assault in the military. Washington, DC. Retrieved from: https://www.sapr.mil/reports
Department of Veterans Affairs. (2017, July 6). Provision of health care for veterans who identify as lesbian, gay, or bisexual (VHA directive 1340). Washington, DC. Retrieved from: https://www.va.gov/vhapublications/ViewPublication.asp?pub_ID=5438
Department of Veterans Affairs. (2018, May 23). Providing health care for transgender and intersex veterans (VHA directive 1341). Washington, DC. Retrieved from: https://www.albuquerque.va.gov/docs/ProvidingHealthCareforTransgenderandIntersexVeterans.pdf
Dichter, M. E., & True, G. (2015). “This is the story of why my military career ended before it should have”: Premature separation from military service among U.S. women veterans. Journal of Women and Social Work, 30(2), 187–199.
Engel, C. C., Engel, A. L., Campbell, S. J., McFall, M. E., Russo, J., & Katon, W. (1993). Posttraumatic stress disorder symptoms and precombat sexual and physical abuse in Desert Storm veterans. Journal of Nervous and Mental Disease, 181, 683.
Ferdinand, L. G., Kelly, U. A., Skelton, K., Stephens, K. J., & Bradley, B. (2011). An evolving integrative treatment program for military sexual trauma (MST) and one Veteran’s experience. Issues in Mental Health Nursing, 32, 552–559.
Finkelhor, D., Hotaling, G., Lewis, I., & Smith, C. (1990). Sexual abuse in a national survey of adult men and women: Prevalence, characteristics, and risk factors. Child Abuse & Neglect, 14(1), 19–28.
Foa, E. B., Rothbaum, B. O., Riggs, D. S., & Murdock, T. B. (1991). Treatment of posttraumatic stress disorder in rape victims: A comparison between cognitive-behavioral procedures and counseling. Journal of Consulting and Clinical Psychology, 59(5), 715.
Fontana, A., & Rosenheck, R. (1998). Duty-related and sexual stress in the etiology of PTSD among women veterans who seek treatment. Psychiatry Services/Psychiatry Online, 49(5), 658–662.
Foynes, M. M., Makin-Byrd, K., Skidmore, W. C., King, M. W., Bell, M. E., & Karpenko, J. (2018). Developing systems that promote veterans’ recovery from military sexual trauma: Recommendations from the Veterans Health Administration national program implementation. Military Psychology, 30(3), 1–12.
Frayne, S. M., Skinner, K. M., Sullivan, L. M., Tripp, T. J., Hankin, C. S., Kressin, N. R., & Miller, D. R. (1999). Medical profile of women veterans administration outpatients who report a history of sexual assault occurring while in the military. Journal of Women’s Health & Gender-Based Medicine, 8(6), 835–845.
Frayne, S. M., Skinner, K. M., Sullivan, L. M., & Freund, K. M. (2003). Sexual assault while in the military: Violence as a predictor of cardiac risk? Violence and Victims, 18(2), 219.
Frey, R. (2018). Qualitative exploration of factors impacting adjustment in women survivors of military sexual trauma (Doctoral dissertation, The University of Wisconsin-Milwaukee). Retrieved from: https://dc.uwm.edu/etd/1802/
Gartner, R. B. (Ed.). (2017). Healing sexually betrayed men and boys: Treatment for sexual abuse, assault, and trauma. Routledge, Philadelphia.
Gobin, R. L., & Allard, C. B. (2016). Associations between sexual health concerns and mental health symptoms among African American and European American women veterans who have experienced interpersonal trauma. Personality and Individual Differences, 100, 37–42.
Goldstein, L. A., Dinh, J., Donalson, R., Hebenstreit, C. L., & Maguen, S. (2017). Impact of military trauma exposures on posttraumatic stress and depression in female veterans. Psychiatry Research, 249, 281–285.
Gurung, S., Ventuneac, A., Rendina, H. J., Savarese, E., Grov, C., & Parsons, J. T. (2018). Prevalence of military sexual trauma and sexual orientation discrimination among lesbian, gay, bisexual, and transgender military personnel: A descriptive study. Sexuality Research and Social Policy, 15(1), 74–82.
Haynie, J. M., & Shepherd, D. (2011). Toward a theory of discontinuous career transition: Investigating career transitions necessitated by traumatic life events. Journal of Applied Psychology, 96(3), 501–524.
Highfill-McRoy, R. M., Larson, G. E., Booth-Kewley, S., & Garland, C. F. (2010). Psychiatric diagnoses and punishment for misconduct: the effects of PTSD in combat-deployed Marines. BMC Psychiatry, 10(1), 88.
Himmelfarb, N., Yaeger, D., & Mintz, J. (2006). Posttraumatic stress disorder in female veterans with military and civilian sexual trauma. Journal of Traumatic Stress: Official Publication of the International Society for Traumatic Stress Studies, 19(6), 837–846. https://doi.org/10.1002/jts.20163.
Hinojosa, R. (2010). Doing hegemony: Military, men, and constructing a hegemonic masculinity. The Journal of Men’s Studies, 18(2), 179–194. https://doi.org/10.3149/jms.1802.179.
Hoffmire, C. A., Kemp, J. E., & Bossarte, R. M. (2015). Changes in suicide mortality for veterans and nonveterans by gender and history of VHA service use, 2000–2010. Psychiatric Services, 66(9), 959–965.
Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., & Koffman, R. L. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351(1), 13–22.
Holliday, R., Link-Malcolm, J., Morris, E. E., & Surís, A. (2014). Effects of cognitive processing therapy on PTSD-related negative cognitions in veterans with military sexual trauma. Military Medicine, 179(10), 1077–1082.
Hoyt, T., Klosterman Rielage, J., & Williams, L. F. (2011). Military sexual trauma in men: A review of reported rates. Journal of Trauma & Dissociation, 12(3), 244–260.
Hughes, T. L., Szalacha, L. A., Johnson, T. P., Kinnison, K. E., Wilsnack, S. C., & Cho, Y. (2010). Sexual victimization and hazardous drinking among heterosexual and sexual minority women. Addictive behaviors, 35(12), 1152–1156.
Jorm, A. F. (2012). Mental health literacy: Empowering the community to take action for better mental health. American Psychologist, 67(3), 231.
Kang, H. K., & Bullman, T. A. (2008). Risk of suicide among US veterans after returning from the Iraq or Afghanistan war zone. JAMA, 300(6), 652–653.
Kang, H. K., & Bullman, T. A. (2009). Is there an epidemic of suicides among current and former US military personnel? Annals of Epidemiology, 19(10), 757–760.
Karlin, B. E., Ruzek, J. I., Chard, K. M., Eftekhari, A., Monson, C. M., Hembree, E. A., et al. (2010). Dissemination of evidence-based psychological treatments for posttraumatic stress disorder in the Veterans Health Administration. Journal of Traumatic Stress, 23(6), 663–673.
Katz, L. S., Bloor, L. E., Cojucar, G., & Draper, T. (2007). Women who served in Iraq seeking mental health services: Relationships between military sexual trauma, symptoms, and readjustment. Psychological Services, 4(4), 239–249.
Kelly, U. A., Skelton, K., Patel, M., & Bradley, B. (2011). More than military sexual trauma: Interpersonal violence, PTSD, and mental health in women veterans. Research in Nursing & Health, 34(6), 457–467.
Kimerling, R., Alvarez, J., Pavao, J., Kaminski, A., & Baumrind, N. (2007a). Epidemiology and consequences of women’s revictimization. Women’s Health Issues, 17(2), 101–106.
Kimerling, R., Gima, K., Smith, M. W., Street, A., & Frayne, S. (2007b). The Veterans Health Administration and military sexual trauma. American Journal of Public Health, 97(12), 2160–2166.
Kimerling, R., Street, A. E., Pavao, J., Smith, M. W., Cronkite, R. C., Holmes, T. H., & Frayne, S. M. (2010). Military-related sexual trauma among Veterans Health Administration patients returning from Afghanistan and Iraq. American Journal of Public Health, 100(8), 1409–1412.
Kimerling, R., Makin-Byrd, K., Louzon, S., Ignacio, R. V., & McCarthy, J. F. (2016). Military sexual trauma and suicide mortality. American Journal of Preventive Medicine, 50(6), 684–691.
Klingensmith, K., Tsai, J., Mota, N., Southwick, S., & Pietrzak, R. (2014). Military sexual trauma in US veterans: Results from the National Health and Resilience in Veterans Study. The Journal of Clinical Psychiatry, 75(10), E1133–E1139.
Lancaster, S. L., Erbes, C. R., Kumpula, M. J., Ferrier-Auerbach, A., Arbisi, P. A., & Polusny, M. A. (2013). Longitudinal predictors of desire to re-enlist in the military among male and female national guard soldiers. Military Medicine, 178(3), 267–273.
Lewis, J. H. (1997). Trauma and recovery. Basic Books, New York.
Martin, L., Rosen, L. N., Durand, D. B., Stretch, R. H., & Knudson, K. H. (1998). Prevalence and timing of sexual assaults in a sample of male and female US Army soldiers. Military Medicine, 163(4), 213–216.
Matthews, M., Farris, C., Tankard, M., & Dunbar, M. S. (2018). Needs of male sexual assault victims in the US Armed Forces. Rand Health Quarterly, 8(2), 7.
Mattocks, K. M., Haskell, S. G., Krebs, E. E., Justice, A. M., Yano, E. M., & Brandt, C. (2012). Women at war: Understanding how women veterans cope with combat and military sexual trauma. Social Science & Medicine, 74, 537–545.
Mattocks, K., Sadler, M., Yano, A., Krebs, E., Zephyrin, E., Brandt, E., … Haskell, J. (2013). Sexual victimization, health status, and va healthcare utilization among lesbian and bisexual OEF/OIF veterans. Journal of General Internal Medicine, 28(Supplement 2), 604–608.
McCall-Hosenfeld, J. S., Liebschutz, J. M., Spiro, A., III, & Seaver, M. R. (2009). Sexual assault in the military and its impact on sexual satisfaction in women veterans: A proposed model. Journal of Women’s Health, 18(6), 901–909.
Merrill, L. L., Newell, C. E., Thomsen, C. J., Gold, S. R., Milner, J. S., Koss, M. P., & Rosswork, S. G. (1999). Childhood abuse and sexual revictimization in a female Navy recruit sample. Journal of Traumatic Stress: Official Publication of The International Society for Traumatic Stress Studies, 12(2), 211–225.
Millegan, J., Wang, L., LeardMann, C. A., Miletich, D., & Street, A. E. (2016). Sexual trauma and adverse health and occupational outcomes among men serving in the US military. Journal of Traumatic Stress, 29(2), 132–140.
Monteith, L. L., Menefee, D. S., Forster, J. E., Wanner, J. L., & Bahraini, N. H. (2015). Sexual trauma and combat during deployment: Associations with suicidal ideation among OEF/OIF/OND veterans. Journal of traumatic stress, 28(4), 283–288.
Monteith, L. L., Gerber, H. R., Brownstone, L. M., Soberay, K. A., & Bahraini, N. H. (2018). The phenomenology of military sexual trauma among male veterans. Psychology of Men & Masculinity, 20(1), 115–127.
Morris, E. E., Smith, J. C., Farooqui, S. Y., & Surís, A. M. (2014). Unseen battles: The recognition, assessment, and treatment issues of men with military sexual trauma (MST). Trauma, Violence, & Abuse, 15(2), 94–101.
O’Brien, C., Gaher, R. M., Pope, C., & Smiley, P. (2008). Difficulty identifying feelings predicts the persistence of trauma symptoms in a sample of veterans who experienced military sexual trauma. The Journal of Nervous and Mental Disease, 196(3), 252–255.
O’Brien, C., Keith, J., & Shoemaker, L. (2015). Don’t tell: Military culture and male rape. Psychological Services, 12(4), 357.
Pavao, J., Turchik, J. A., Hyun, J. K., Karpenko, J., Saweikis, M., McCutcheon, S., et al. (2013). Military sexual trauma among homeless veterans. Journal of General Internal Medicine, 28(2), 536–541.
Resick, P. A., & Schnicke, M. K. (1992). Cognitive processing therapy for sexual assault victims. Journal of Consulting and Clinical Psychology, 60(5), 748.
Rosen, L. N., & Martin, L. (1996). Impact of childhood abuse history on psychological symptoms among male and female soldiers in the US Army. Child Abuse & Neglect, 20(12), 1149–1160.
Sadler, A. G., Booth, B. M., Cook, B. L., & Doebbeling, B. N. (2003). Factors associated with women’s risk of rape in the military environment. American Journal of Industrial Medicine, 44(1), 110–110.
Sadler, A. G., Cheney, A. M., Mengeling, M. A., Booth, B. M., Torner, J. C., & Young, L. B. (2018). Servicemen’s perceptions of male sexual assault and barriers to reporting during active component and reserve/National Guard Military Service. Journal of Interpersonal Violence. https://doi.org/10.1177/0886260518780407.
Sexton, M. B., Davis, M. T., Anderson, R. E., Bennett, D. C., Sparapani, E., & Porter, K. E. (2018). Relation between sexual and gender minority status and suicide attempts among veterans seeking treatment for military sexual trauma. Psychological Services, 15(3), 357.
Sherman, M. D., Kauth, M. R., Shipherd, J. C., & Street, R. L., Jr. (2014). Provider beliefs and practices about assessing sexual orientation in two veterans health affairs hospitals. LGBT Health, 1(3), 185–191.
Skinner, K. M., Kressin, N., Frayne, S., Tripp, T. J., Hankin, C. S., Miller, D. R., & Sullivan, L. M. (2000). The prevalence of military sexual assault among female Veterans’ Administration outpatients. Journal of Interpersonal Violence, 15(3), 291–310.
Smith, B. N., Shipherd, J. C., Schuster, J. L., Vogt, D. S., King, L. A., & King, D. W. (2011). Posttraumatic stress symptomatology as a mediator of the association between military sexual trauma and post-deployment physical health in women. Journal of Trauma & Dissociation, 12(3), 275–289.
Stander, V. A., Merrill, L. L., Rabenhorst, M. M., Thomsen, C. J., & Milner, J. S. (2006). Ethnic differences in sexual victimization and revictimization among female US Navy recruits: A prospective study (No. NHRC-TR-06-18). San Diego: Naval Health Research Center.
Street, A. E., Gradus, J. L., Stafford, J., & Kelly, K. (2007). Gender differences in experiences of sexual harassment: Data from a male-dominated environment. Journal of Consulting and Clinical Psychology, 75(3), 464–474.
Street, A. E., Stafford, J., Mahan, C. M., & Hendricks, A. (2008). Sexual harassment and assault experienced by reservists during military service: Prevalence and health correlates. Journal of Rehabilitation Research and Development, 45(3), 409.
Surís, A., & Lind, L. (2008). Military sexual trauma: A review of prevalence and associated health consequences in veterans. Trauma, Violence, & Abuse, 9(4), 250–269.
Surís, A., Lind, L., Kashner, T. M., Borman, P. D., & Petty, F. (2004). Sexual assault in women veterans: An examination of PTSD risk, health care utilization, and cost of care. Psychosomatic Medicine, 66(5), 749–756.
Surís, A., Lind, L., Kashner, T. M., & Borman, P. D. (2007). Mental health, quality of life, and health functioning in women veterans: Differential outcomes associated with military and civilian sexual assault. Journal of Interpersonal Violence, 22(2), 179–197.
Surís, A., Link-Malcolm, J., Chard, K., Ahn, C., & North, C. (2013). A randomized clinical trial of cognitive processing therapy for veterans with PTSD related to military sexual trauma. Journal of Traumatic Stress, 26(1), 28–37.
Voelkel, E., Pukay-Martin, N. D., Walter, K. H., & Chard, K. M. (2015). Effectiveness of cognitive processing therapy for male and female US veterans with and without military sexual trauma. Journal of Traumatic Stress, 28(3), 174–182.
Williams, J. H., Fitzgerald, L. F., & Drasgow, F. (1999). The effects of organizational practices on sexual harassment and individual outcomes in the military. Military Psychology, 11(3), 303–328.
Wilson, L. C. (2016). The prevalence of military sexual trauma: A meta-analysis. Trauma, Violence, & Abuse, 19(5), 584–597. 1524838016683459.
Wolfe-Clark, A. L., Bryan, C. J., Bryan, A. O., Reynolds, M. L., Fuessel-Herrmann, D., White, K. L., & Harris, J. A. (2017). Child sexual abuse, military sexual trauma, and psychological distress among male military personnel and veterans. Journal of Child & Adolescent Trauma, 10(2), 121–128.
Yaeger, D., Himmelfarb, N., Cammack, A., & Mintz, J. (2006). DSM-IV diagnosed posttraumatic stress disorder in women veterans with and without military sexual trauma. Journal of General Internal Medicine, 21, 65–69.
Zaidi, L. Y., & Foy, D. W. (1994). Childhood abuse experiences and combat-related PTSD. Journal of Traumatic Stress, 7(1), 33–42.
Zinzow, H. M., Grubaugh, A. L., Monnier, J., Suffoletta-Maierle, S., & Frueh, B. C. (2007). Trauma among female veterans: A critical review. Trauma, Violence, & Abuse, 8(4), 384–400.
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Frey-Ho Fung, R.A., Larsen, S.E., Gobin, R.L. (2022). Military Sexual Trauma. In: Geffner, R., White, J.W., Hamberger, L.K., Rosenbaum, A., Vaughan-Eden, V., Vieth, V.I. (eds) Handbook of Interpersonal Violence and Abuse Across the Lifespan. Springer, Cham. https://doi.org/10.1007/978-3-319-89999-2_194
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