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Military servicemembers identifying as sexual and gender minorities (SGM) are at increased risk for military sexual trauma (MST) exposure and Post-traumatic Stress Disorder (PTSD). Although evidence-based treatments can reduce symptoms of PTSD, treatment attrition is concerning. Unfortunately, evaluations of such approaches with veterans identifying as SGM are currently restricted to case studies offering limited information regarding treatment completion. Both historic and current contextual factors related to military and mental health practices may uniquely influence minority veterans' treatment engagement in veteran healthcare settings. We explored associations between SGM identification and treatment of MST-focused therapy completion patterns (finishing the full protocol [FP] or receiving minimally adequate care [MAC; defined as attending eight or more sessions]). Veterans (N = 271, 12.5% SGM) enrolled in individual Prolonged Exposure or Cognitive Processing Therapies at a Midwestern veterans hospital system. Those identifying as SGM were more likely than non-identifying peers to complete FP treatment and, even when attrition occurred, they were retained longer. For MAC, the SGM group was as likely as non-SGM peers to be retained. This research suggests SGM veterans represent a notable minority of those seeking treatment in association with MST and do not appear at greater risk for discontinuation from trauma-focused treatment. [ABSTRACT FROM AUTHOR]

The link between maternal violence exposure and adverse obstetric outcomes is well-documented, but less is understood about the relationship between intimate partner violence (IPV) exposure and perinatal post-traumatic stress symptoms(PTSS) and depression in women around the world. A systematic review was conducted to synthesize empirical literature on the associations between IPV (e.g., before pregnancy, during pregnancy, postpartum) and post-traumatic stress and depression symptoms in the perinatal period. This review acknowledged the effects of IPV exposure timing, timing of assessment, and IPV subtypes. Forty-seven longitudinal studies met inclusion criteria and were reviewed to determine the effects of IPV exposure on perinatal mental health. Findings suggested a strong relationship between IPV exposure and perinatal mental health. Results were more consistent between perinatal mental health and IPV sustained close to or during the perinatal period than for lifetime IPV exposure. In general, physical, sexual, and psychological IPV were independently associated with perinatal depression and PTSS. Findings underscore the importance of theoretically driven research and the development of treatment protocols for women worldwide. [ABSTRACT FROM AUTHOR]

Abstract: Objective: Women with menstrually related mood disorders (MRMDs) demonstrate clinically significant distress during the premenstrual week that remits with the onset of menses. Relatively little is known about psychosocial mechanisms of MRMDs. Given the core affective and behavioral symptoms of MRMDs, dysfunctional responses to emotion (e.g., difficulties with awareness and regulation of emotion; rumination and impulsive or maladaptive behavior in response to emotion) may be important factors to explore as cognitive and behavioral mechanisms in MRMDs. The purpose of the present study was to examine the associations of various dysfunctional responses to emotion (as measured using the Difficulties in Emotion Regulation Scale [DERS] and brooding on the Ruminative Responses Scale [RRS]) with premenstrual symptom severity and trajectory. Method: A total of 54 women (mean age = 38.11; 65% Caucasian) with prospectively confirmed MRMDs completed the DERS and RRS, and provided 2–4 menstrual cycles of daily symptom reports. Results: Only the emotion‐related impulsivity subscale of the DERS was robustly associated with premenstrual symptom severity. Brooding rumination predicted a more rapid premenstrual increase and slower postmenstrual remission of some symptoms. Conclusion: Both rumination and emotion‐related impulsivity may be important treatment targets in cognitive behavioral interventions aimed at reducing symptom severity and cyclicity in MRMDs. [ABSTRACT FROM AUTHOR]

Survivors of military sexual trauma (MST) seeking mental health services may present with concerns extending beyond symptom relief. Attention to social, economic, and coping resource contexts is salient for care consideration. Although those identifying as sexual and gender minorities (SGM) are overrepresented among service members exposed to assaultive MST, research contrasting ecological resource variability among treatment seekers is limited. The present study delineates modifiable risk and protective factors that might be used to inform MST-related health care for Veterans, broadly, and SGM-identifying Veterans, specifically. Veterans ( N = 493, 12.8% identifying as SGM) presenting for treatment secondary to military sexual assault completed a semistructured clinical interview and intake survey including demographic characteristics, diversity-related factors, and access to psychosocial resources. SGM/non-SGM-identifying groups were contrasted on individual-, interpersonal-, and community-level ecological characteristics. SGM-identifying Veterans were less likely to report access to sufficient financial resources and had double the prevalence rate of housing instability in contrast to non-SGM-identifying Veterans. No significant differences emerged in terms of past-year interpersonal violence exposure, endorsement of helpful spiritual beliefs, or availability of social support based on SGM identification. Findings underscore the importance of attending to the intersection of SGM identity and ecological factors that can influence Veterans' clinical presentation and treatment engagement. Recommendations for provision of MST services are made. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Objective: Breastfeeding has myriad benefits for mother-child dyads, but women exposed to intimate partner violence (IPV) are less likely to sustain breastfeeding. Prior studies, however, have not analyzed mothers' breastfeeding attitudes in relation to breastfeeding behavior, IPV, and psychopathology. Further, little research has examined distinctive effects of posttraumatic stress symptoms (PTSS) and depression on breastfeeding behaviors and attitudes in IPV-exposed women. This study examines breastfeeding attitudes, psychopathology, and IPV as predictors of breastfeeding continuation, the prospective role of IPV for psychopathology and breastfeeding attitudes, and reciprocal relations among psychopathology and breastfeeding attitudes. Method: The current study includes a longitudinal sample of women ( N = 83) recruited from a low-income clinic. Eligibility criteria included: pregnant and over age 18 at baseline. Data were collected during pregnancy and at 6 weeks and 4 months postpartum. Participants reported on psychopathology, IPV exposure, and breastfeeding behaviors and attitudes through prenatal interviews and postpartum surveys. Hypotheses were tested using cross-lagged models. Results: IPV, psychopathology, and breastfeeding attitudes were not related to breastfeeding continuation at 4 months postpartum. PTSS (β = .76, p < .001) and breastfeeding attitudes (β = -.19, p < .05) at 6 weeks postpartum predicted PTSS at 4 months, but not subsequent breastfeeding attitudes. Depression at 6 weeks postpartum predicted depression (β = .63, p < .001) and breastfeeding attitudes (β = -.48, p < .001) at 4 months postpartum. IPV was not significant in any model. Conclusions: Although depression severity was not associated with breastfeeding cessation, it was associated with less positive attitudes about breastfeeding, suggesting lactation supports may benefit from content addressing mothers' mental health needs and emotional experiences nursing newborns. (PsycInfo Database Record (c) 2021 APA, all rights reserved).