Approximately 16% of Veterans experience military sexual trauma (MST), defined as sexual assault or harassment experienced during military service. Veterans across life stages may possess differing resources and face unique stressors that impact their ability to engage in mental health treatment or require additional liaison to services. The present study sought to characterize age-related differences in the socioecological contexts of Veterans seeking mental health treatment following MST in the domains of economic sufficiency, housing, spiritual coping, supportive relationships, and interpersonal violence. From 2009 to 2019, Veterans ( N = 640) seeking mental health services following exposure to MST attended evaluation and treatment planning sessions at a Midwestern Veterans Health Administration posttraumatic stress disorder specialty clinic. Veterans completed semistructured interviews that included surveys and diagnostic screenings to assess psychosocial needs and resources. ANOVA and ordinal regressions were used to evaluate potential disparities in socioecological resources by age. No age-related differences in economic sufficiency and stable housing emerged, though most Veterans (57%) endorsed financial difficulties. Veterans who endorsed spiritual beliefs were significantly older than those who did not. Veterans who reported having a support system were significantly younger than Veterans who denied having a support system. Less than half (46%) of Veteran reported having peer relationships. Veterans who endorsed frequent interaction with their peers were significantly older than those who did not. Veterans who reported past-year exposure to interpersonal violence were significantly younger. Greater clarity about age-related differences in the socioecological contexts of Veterans can support clinicians in providing responsive mental health treatment and connecting Veterans to additional Veterans Health Administration resources following MST.

中文翻译：

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寻求军事性创伤相关治疗的退伍军人生态资源的年龄相关差异


大约 16% 的退伍军人经历过军事性创伤 （MST），定义为在服兵役期间遭受的性侵犯或骚扰。不同生命阶段的退伍军人可能拥有不同的资源并面临独特的压力源，这些压力源会影响他们参与心理健康治疗的能力或需要额外的服务联络。本研究旨在描述在 MST 后寻求心理健康治疗的退伍军人在经济自给自足、住房、精神应对、支持关系和人际暴力等领域的社会生态背景中与年龄相关的差异。从 2009 年到 2019 年，在接触 MST 后寻求心理健康服务的退伍军人 （N = 640） 参加了中西部退伍军人健康管理局创伤后应激障碍专科诊所的评估和治疗计划会议。退伍军人完成了半结构化访谈，其中包括调查和诊断筛查，以评估社会心理需求和资源。方差分析和顺序回归用于评估不同年龄的社会生态资源的潜在差异。尽管大多数退伍军人 （57%） 承认经济困难，但经济自给自足和稳定住房方面没有出现与年龄相关的差异。支持精神信仰的退伍军人明显比不赞成的退伍军人年长。报告拥有支持系统的退伍军人明显比否认拥有支持系统的退伍军人年轻。不到一半 （46%） 的退伍军人报告有同伴关系。赞成与同龄人频繁互动的退伍军人明显比不赞成的退伍军人年长。报告过去一年遭受人际暴力的退伍军人明显更年轻。 更清楚地了解退伍军人社会生态背景中与年龄相关的差异可以支持临床医生提供响应式心理健康治疗，并在 MST 后将退伍军人与退伍军人健康管理局的其他资源联系起来。