“It's a man's world”: Barriers to PTSD-treatment seeking among female veterans who experienced military sexual trauma

2.50
Hdl Handle:
http://hdl.handle.net/10755/308559
Category:
Abstract
Type:
Presentation
Title:
“It's a man's world”: Barriers to PTSD-treatment seeking among female veterans who experienced military sexual trauma
Author(s):
Kelly, Ursula Ann; Patel, Meghna N.; Bradley, Bekh
Lead Author STTI Affiliation:
Non-member
Author Details:
Ursula Ann Kelly, PhD, ANP-BC, PMHNP-BC, ukelly@emory.edu; Meghna N. Patel, PhD, MA, BS; Bekh Bradley, PhD, MA, BA
Abstract:

Session presented on: Monday, November 18, 2013

Purpose: In this study, we are exploring the barriers and facilitators to posttraumatic stress disorder (PTSD) treatment-seeking of female veterans with PTSD who experienced military sexual trauma (MST).

Significance: MST is reported by 20%-40% of female veterans, approximately 50% of whom will develop PTSD.1,2 Despite the prevalence of MST and PTSD, little is known about factors that influence PTSD treatment-seeking in this vulnerable population, e.g. barriers, facilitators, and expectations. These factors may not align with current evidence-based PTSD treatments and programs.

Methods: Data are being collected from female veterans who reported MST and have and have not sought PTSD treatment in a southeastern Veterans Administration (VA) Medical Center (target sample size = 50). Data are being analyzed using situational analysis, a modified version of grounded theory. In situational analysis, the interrelatedness of various elements in the situation is explicated, e.g., the social, political, cultural, and economic arenas in which female veterans with PTSD are referred for PTSD treatment. The traditional constant comparative analysis of grounded theory is being used,3 along with conceptual and visual mapping of the relationships among multiple situational factors.4

Results: For women who sought PTSD treatment, the mean time between the MST and beginning treatment was 28.1 years. For this sub-set, the male-dominated structures and cultures of the military and the VA served as barriers to seeking PTSD treatment earlier. The circumstances surrounding the MST strongly influenced disclosure of MST and subsequent decisions to seek PTSD treatment. 

Limitations: Results presented here include only data from those who sought PTSD treatment within the VA. Therefore, they may not be generalizable to non-VA using female veterans and to female VA-users who declined treatment.

Implications: Understanding the factors that influence PTSD treatment-seeking among female veterans who experienced MST is critical in the development of effective patient-centered outreach and treatment programs.

Keywords:
posttraumtatic stress disorder; military sexual trauma; female veterans
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.title“It's a man's world”: Barriers to PTSD-treatment seeking among female veterans who experienced military sexual traumaen_GB
dc.contributor.authorKelly, Ursula Annen_GB
dc.contributor.authorPatel, Meghna N.en_GB
dc.contributor.authorBradley, Bekhen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsUrsula Ann Kelly, PhD, ANP-BC, PMHNP-BC, ukelly@emory.edu; Meghna N. Patel, PhD, MA, BS; Bekh Bradley, PhD, MA, BAen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308559-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p>Purpose: In this study, we are exploring the barriers and facilitators to posttraumatic stress disorder (PTSD) treatment-seeking of female veterans with PTSD who experienced military sexual trauma (MST). <p>Significance: MST is reported by 20%-40% of female veterans, approximately 50% of whom will develop PTSD.<sup>1,2</sup> Despite the prevalence of MST and PTSD, little is known about factors that influence PTSD treatment-seeking in this vulnerable population, e.g. barriers, facilitators, and expectations. These factors may not align with current evidence-based PTSD treatments and programs. <p>Methods: Data are being collected from female veterans who reported MST and have and have not sought PTSD treatment in a southeastern Veterans Administration (VA) Medical Center (target sample size = 50). Data are being analyzed using situational analysis, a modified version of grounded theory. In situational analysis, the interrelatedness of various elements in the situation is explicated, e.g., the social, political, cultural, and economic arenas in which female veterans with PTSD are referred for PTSD treatment. The traditional constant comparative analysis of grounded theory is being used,<a href="/stti/bc42/popsci/uploadabstract.cgi?RecordType=Paper&Recordid=58195&Hash=1561498031a9a37eacb1cd20438b9f34&step=7&StepEntry=903-Paper58195&password=214306#_ENREF_55" title="Glaser, 1978 #658"><sup>3</sup></a> along with conceptual and visual mapping of the relationships among multiple situational factors.<a href="/stti/bc42/popsci/uploadabstract.cgi?RecordType=Paper&Recordid=58195&Hash=1561498031a9a37eacb1cd20438b9f34&step=7&StepEntry=903-Paper58195&password=214306#_ENREF_54" title="Clarke, 2005 #653"><sup>4</sup></a><p>Results: For women who sought PTSD treatment, the mean time between the MST and beginning treatment was 28.1 years. For this sub-set, the male-dominated structures and cultures of the military and the VA served as barriers to seeking PTSD treatment earlier. The circumstances surrounding the MST strongly influenced disclosure of MST and subsequent decisions to seek PTSD treatment.  <p>Limitations: Results presented here include only data from those who sought PTSD treatment within the VA. Therefore, they may not be generalizable to non-VA using female veterans and to female VA-users who declined treatment. <p>Implications: Understanding the factors that influence PTSD treatment-seeking among female veterans who experienced MST is critical in the development of effective patient-centered outreach and treatment programs.en_GB
dc.subjectposttraumtatic stress disorderen_GB
dc.subjectmilitary sexual traumaen_GB
dc.subjectfemale veteransen_GB
dc.date.available2013-12-19T17:32:55Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:32:55Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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