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Military Sexual Trauma: Gender, Mental Health Outcomes, and Clinical Interventions

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1.  Which of the following is included in the definition of MST?
  1. physical assault of a sexual nature, battery of sexual nature, but not sexual harassment
  2. physical assault of a sexual nature, battery of sexual nature, and sexual harassment of a physical nature but not verbal sexual harassment
  3. physical assault of a sexual nature, battery of sexual nature, and sexual harassment that is physical or verbal
  4. physical assault of a sexual nature, battery of sexual nature, and sexual harassment of a verbal nature, but not physical sexual harassment
2.  Which populations are most likely to experience MST?
  1. Women, younger age, lower rank, LGBT individuals, and transgender individuals
  2. Women, older age, higher rank, LGBT individuals, and transgender individuals
  3. Gay men, heterosexual women, transgender women, and higher ranked women
  4. Married women, cisgender women but not transgender women, and LGBT individuals
3.  Which of the following mental health problems are more likely in survivors of MST?
  1. Fatigue
  2. Suicide intent
  3. Cautious behaviors
  4. Restful Sleep
4.  Which statement best describes the link between MST and physical health?
  1. MST is linked to a higher level of somatic complaints that do not have any medical cause.
  2. MST is linked to a higher level of sexual and reproductive problems, but not physical illness.
  3. MST is linked to chronic pain, physical illness, sexual problems, and reproductive problems.
  4. MST is linked to higher levels of physical illness and sexual problems, but not reproductive problems.
5.  How does institutional betrayal play a role in the mental health problems of veterans who experienced MST?
  1. Veterans with institutional betrayal are more likely to use non-VA healthcare than VA healthcare.
  2. Veterans who feel betrayed by the military are less likely to care about unit cohesion or military advancement.
  3. Veterans with institutional betrayal typically report their experiences of MST to their military supervisors.
  4. Veterans who experienced MST typically are able to avoid working with the perpetrator of their abuse.
6.  Across clinical practice guidelines, which clinical interventions have the highest quality for effectiveness for treating MST survivors?
  1. Cognitive Processing Therapy (CPT) and Eye-Movement Desensitization and Reprocessing (EMDR)
  2. Acceptance and Commitment Therapy (ACT) for PTSD and Eye-Movement Desensitization and Reprocessing (EMDR)
  3. Cognitive Processing Therapy (CPT) and Prolonged Exposure (PE)
  4. Cognitive Processing Therapy (CPT) and Cognitive Behavioral Therapy (CBT)
7.  Which of the following is NOT a problem frequently seen in mental health intervention for survivors of MST?
  1. A significant portion of patients fail to see any clinically significant improvement in PTSD symptoms following treatment.
  2. Post 9/11 veterans are less likely to engage in and complete treatment.
  3. Premature attrition from treatment is common.
  4. Survivors of MST often experience a variety of barriers to accessing care.
8.  Which of the following best describes why interventions that are NOT evidence-based trauma-focused therapies can be helpful for survivors of MST?
  1. Survivors of MST may find it more comfortable to engage in interventions that do not require them to process their traumatic experiences with a professional.
  2. Evidence-based trauma-focused therapies have been found to be ineffective in reducing PTSD symptoms.
  3. Survivors of MST find it more triggering to engage with other veterans, as they no longer trust other military personnel.
  4. Medication is typically more effective than psychotherapy at treating MST related PTSD.
9.  You are a male provider working with a female veteran who has PTSD symptoms related to MST. Which statement best describes how you might want to approach issues related to relational safety?
  1. Explain to your client that she is safe in the room with you, and that issues of power abuses should not concern her while in psychotherapy.
  2. Wait for your client to express mistrust to you before exploring relational safety with her.
  3. When problems in the relationship arise, assume that these are issues related to institutional betrayal and a lack of relational safety.
  4. Attune to power dynamics and explore issues of trust and safety with your client.
10.  Which statement best describes the impact of childhood sexual trauma (CST) and military sexual trauma (MST) with regard to PTSD, depression, and suicidality?
  1. Veterans with MST alone have similar rates of PTSD, depression, and suicidality when compared to veterans with both CST and MST.
  2. Women, but not men, who experience MST are more likely to have a history of CST. Women, but not men, who experience MST are more likely to have a history of CSA.
  3. Veterans with both CST and MST have higher rates of PTSD, depression, and suicidality than veterans with MST alone.
  4. Veterans with CST have higher rates of PTSD, depression, and suicidality than veterans with MST.

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