The Department of Veterans Affairs (VA) has implemented initiatives to promote veterans' recovery from the health sequelae of military sexual trauma (MST), including posttraumatic stress disorder (PTSD). MST can impact emotion regulation, interpersonal functioning, and perceptions of trust and safety, as well as increase risk for psychiatric comorbidity, which may impede PTSD treatment.. VA PTSD Residential Rehabilitation Treatment Programs (RRTPs) may facilitate the therapeutic process by offering increased structure, support, and adjunctive services. Limited research has examined the effect of MST on PTSD RRTP outcomes. Utilizing data from 7918 men and women veterans participating in a VA PTSD RRTP, the impact of the experience of MST on rates of program completion and changes in PTSD symptoms during and after treatment were examined. Rates of program completion were similar between those who did and did not report experiencing MST. Multilevel modeling was utilized to examine the impact of MST on PTSD symptoms after accounting for gender, age, race/ethnicity, and program completion. MST survivors endorsed more severe PTSD symptoms at admission; however, PTSD symptom severity scores were similar to those who did not report experiencing MST by discharge. Additionally, MST survivors had larger initial reductions in PTSD symptoms, followed by a greater recurrence of PTSD symptoms over time, compared to those who did not report experiencing MST. MST survivors appear able to participate in and benefit from PTSD RRTPs. Nonetheless, the increased recurrence of PTSD symptoms following discharge from residential treatment indicates the need for strategies to maintain post-treatment gains among MST survivors.

中文翻译：

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比较接受或不报告MST史的退伍军人VA住宅PTSD治疗的有效性：一项全国调查。

退伍军人事务部（VA）实施了一些举措，以促进退伍军人从包括创伤后应激障碍（PTSD）在内的军事性创伤（MST）的健康后遗症中康复。MST会影响情绪调节，人际交往，信任和安全感，并增加精神病合并症的风险，这可能会阻碍PTSD的治疗。VA PTSD住宅康复治疗计划（RRTP）可能会通过增加结构来促进治疗过程，支持和辅助服务。有限的研究已经检查了MST对PTSD RRTP结果的影响。利用来自参与VA PTSD RRTP的7918名男女退伍军人的数据，研究了MST经验对治疗期间和治疗后计划完成率以及PTSD症状变化的影响。那些报告和未报告经历过MST的人之间的计划完成率是相似的。在考虑了性别，年龄，种族/民族和计划完成之后，利用多级建模来检查MST对PTSD症状的影响。MST幸存者在入院时认可了更严重的PTSD症状。但是，PTSD症状严重程度评分与那些未报告出院经历MST的患者相似。此外，与未报告MST的患者相比，MST幸存者的PTSD症状初期减轻程度更大，随后随着时间的推移，PTSD症状的复发率更高。MST幸存者似乎能够参与PTSD RRTP并从中受益。尽管如此，