scholarly journals History of sexual trauma moderates psychotherapy outcome for posttraumatic stress disorder

2017 ◽  
Vol 34 (8) ◽  
pp. 692-700 ◽  
Author(s):  
John C. Markowitz ◽  
Yuval Neria ◽  
Karina Lovell ◽  
Page E. Van Meter ◽  
Eva Petkova
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Sexual Trauma ◽  
Stress Disorder ◽  
Psychotherapy Outcome ◽  
History Of

Context Matters: Posttraumatic Stress Disorder Symptom Associations With Military Sexual Trauma Event Characteristics and Dual Histories of Interpersonal Trauma

2019 ◽  
Vol 34 (1) ◽  
pp. 69-84 ◽  
Author(s):  
Diana C. Bennett ◽  
Edward J. Thomas ◽  
Katherine E. Porter ◽  
Rachel B. Broman ◽  
Sheila A. M. Rauch ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Partner Violence ◽  
Sexual Trauma ◽  
Stress Disorder ◽  
Military Sexual Trauma ◽  
Phenotypic Differences ◽  
Clinical Presentations ◽  
History Of ◽  
Disorder Symptom

Despite the high rates of military sexual trauma (MST) experienced by service members and veterans, little is known about how contextual features of the MST event or concurrent histories of other interpersonal traumas are associated with diverse clinical presentations. This study examined contextual factors of MST events (number of perpetrators, location of MST, relationship to perpetrator, location of MST) and dual history of interpersonal traumas (including sexual abuse or assault throughout the lifespan, repeated MST, and intimate partner violence) in relation to total symptoms and symptom clusters of Posttraumatic Stress Disorder (PTSD). MST involving multiple perpetrators was related to higher avoidance and hyperarousal. MST while combat-deployed was associated with higher hyperarousal. Veterans endorsing a history of partner violence presented with higher reexperiencing and avoidance. Recognition of phenotypic differences may assist providers in treatment planning and optimizing outcomes.

Context Matters: Posttraumatic Stress Disorder Symptom Associations With Military Sexual Trauma Event Characteristics and Dual Histories of Interpersonal Trauma

2019 ◽  
Vol 34 (1) ◽  
pp. 69-84
Author(s):  
Diana C. Bennett ◽  
Edward J. Thomas ◽  
Katherine E. Porter ◽  
Rachel B. Broman ◽  
Sheila A. M. Rauch ◽  
...  
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Partner Violence ◽  
Sexual Trauma ◽  
Stress Disorder ◽  
Military Sexual Trauma ◽  
Phenotypic Differences ◽  
Clinical Presentations ◽  
History Of ◽  
Disorder Symptom

Despite the high rates of military sexual trauma (MST) experienced by service members and veterans, little is known about how contextual features of the MST event or concurrent histories of other interpersonal traumas are associated with diverse clinical presentations. This study examined contextual factors of MST events (number of perpetrators, location of MST, relationship to perpetrator, location of MST) and dual history of interpersonal traumas (including sexual abuse or assault throughout the lifespan, repeated MST, and intimate partner violence) in relation to total symptoms and symptom clusters of Posttraumatic Stress Disorder (PTSD). MST involving multiple perpetrators was related to higher avoidance and hyperarousal. MST while combat-deployed was associated with higher hyperarousal. Veterans endorsing a history of partner violence presented with higher reexperiencing and avoidance. Recognition of phenotypic differences may assist providers in treatment planning and optimizing outcomes.

Women’s Health: Treating Survivors of Sexual Assault

2019 ◽  
Author(s):  
Elizabeth Schindler ◽  
Allison Cowan
Keyword(s):  
Mental Health ◽  
Posttraumatic Stress Disorder ◽  
Sexual Assault ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
The United States ◽  
Treatment Recommendations ◽  
Rape Recovery ◽  
History Of ◽  
Rape Survivor

Almost half of all women and almost a quarter of all men in the United States have experienced sexual violence in their lifetime. Treating individuals who have survived sexual assault can pose challenges for psychiatric and medical treatment. The rates of posttraumatic stress disorder (PTSD) are higher with sexual assault, and people with sexual trauma often feel stigmatized and have difficulty presenting for care. This chapter reviews epidemiology and neurobiology of sexual assault as well as the physical and psychological sequelae of sexual assault. Here, the authors review and propose practical treatment recommendations to assist in the treatment of individuals with a history of sexual assault. This review 5 figures, 5 tables, and 53 references. Key Words: posttraumatic stress disorder, rape recovery, sexual assault, treatment recommendations, women’s mental health, rape survivor treatment, rape

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