Higher Self-Stigma is Related to Lower Likelihood of Disclosing Military Sexual Trauma During Screening in Female Veterans
Higher Self-Stigma is Related to Lower Likelihood of Disclosing Military Sexual Trauma During Screening in Female Veterans
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DOI：
10.1037/tra0000406
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发表时间：
2019-05-01
影响因子：
6.3
通讯作者：
Blais, Rebecca K.
中科院分区：
文献类型：
--
作者：
Andresen, Felicia J.;Blais, Rebecca K.
目的：最近的患病率估计表明，38%的女性服务成员/退伍军人（SM/V）报告军事性创伤（MST）。这一估计高于退伍军人事务部的估计，后者建议28%的人在筛查期间报告MST。不一致的估计表明可能的障碍，披露MST，这是没有很好地确定在文献中。本研究探讨是否被殴打的单位成员和耻辱寻求帮助，以治疗后遗症的MST从自我，单位领导/命令，和浪漫的合作伙伴之间的209名女性SM/VS的MST不披露的相关性。方法：参与者完成了一份自我报告问卷，评估MST的不披露，MST攻击者的特征，以及来自上述来源的耻辱，以及人口，军事，和心理健康特征。Logistic回归分析校正了军衔、MST严重程度、年龄。婚姻状况和满意度，以及可能的心理健康诊断确定是否被攻击的同事单位成员（是/否）或耻辱从各种来源与MST不披露。结果：37（17.70%）的参与者没有透露MST在以前的筛选。在双变量水平上，没有透露MST的参与者报告了更高的自我耻辱和预期的单位领导/指挥和浪漫的伴侣制定的耻辱。调整协变量后，只有较高的自我耻辱与MST不披露。结论：自我耻辱感较高的女性退伍军人在筛查期间不太可能透露她们的MST。这些发现与先前的文献一致，表明自我污名，相对于其他形式的污名，与较低的求助行为。在筛查期间增加MST披露的努力应侧重于减少自我污名。
Objective: Recent prevalence estimates indicate 38% of female service members/veterans (SM/Vs) report military sexual trauma (MST). This estimate is higher than Veterans Affairs estimates, which suggest 28% report MST during screening. The discrepant estimate suggests possible barriers to disclosing MST, which are not well-identified in the literature. The current study examined whether being assaulted by a fellow unit member and stigma for seeking help to treat the sequelae of MST from self, unit leader/command, and romantic partners were correlates of MST nondisclosure among 209 female SM/Vs. Method: Participants completed a self-report questionnaire assessing MST nondisclosure, MST assailant characteristics, and stigma from the aforementioned sources as well as demographic, military, and mental health characteristics. Logistic regression analyses adjusting for military rank, MST severity, age. marital status and satisfaction, and probable mental health diagnoses determined whether being assaulted by a fellow unit member (yes/no) or stigma from various sources were associated with MST nondisclosure. Results: Thirty-seven (17.70%) participants did not disclose MST during a previous screening. At the bivariate level, participants who did not disclose MST reported higher self-stigma and anticipated enacted stigma from unit leader/command and romantic partner. After adjusting for covariates, only higher self-stigma was associated with MST nondisclosure. Conclusions: Female veterans who report higher self-stigma were less likely to disclose their MST during screening. Such findings are consistent with previous literature demonstrating that self-stigma, relative to other forms of stigma, relates to lower help-seeking behaviors. Efforts to increase the disclosure of MST during screening should focus on reducing self-stigma.