Original Research ArticlesMilitary Sexual Trauma and Chronic Pain in VeteransTurner, Aaron P. PhD; Harding, Kaitlin A. PhD; Brier, Moriah J. PhD; Anderson, Derek R. PhD; Williams, Rhonda M. PhD Author Information From the VA Puget Sound Health Care System, Seattle, Washington (APT, KAH, MJB, DRA, RMW); and Department of Rehabilitation Medicine, University of Washington, Seattle, Washington (APT, RMW). All correspondence should be addressed to: Kaitlin A. Harding, PhD, VA Puget Sound Health Comprehensive Pain Clinic, S-117-RCS, 1660 S. Columbian Way, Seattle, WA 98108. This work was supported by the National Center for Complementary and Integrative Health (grant 1R01AT008336-01, awarded to coprincipal investigators, Mark Jensen, PhD, and Rhonda M. Williams, PhD). The sponsor did not participate in study design, implementation of any part of the study, or any dissemination decisions or activities. This work was also supported in part with resources and facilities at the VA Puget Sound Healthcare System and the University of Washington. The contents of this manuscript do not represent the views of the United States Department of Veterans Affairs or the United States Government. Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.ajpmr.com). American Journal of Physical Medicine & Rehabilitation: November 2020 - Volume 99 - Issue 11 - p 1020-1025 doi: 10.1097/PHM.0000000000001469 Buy SDC Metrics Abstract Objective Chronic pain rehabilitation warrants sensitivity to unique psychosocial factors, such as trauma history. In Veterans of the United States Armed Forces, military sexual trauma (MST) is a pervasive type of trauma associated with a host of physical and psychological sequelae. A growing literature suggests a relationship between history of MST and chronic pain. This study sought to clarify the relationship between MST and chronic pain among male and female Veterans and explore whether individual factors moderate this relationship. Design A baseline survey of 328 Veterans seeking care for chronic pain via behavioral pain treatments was conducted. Results MST was reported by 31.4% of the sample and uniquely predicted pain interference. A significant interaction was found between MST and age, such that younger Veterans with a history of MST reported greater pain interference than younger Veterans with no MST. Conclusion Findings provide further evidence that the experience of MST may intensify the overall burden of chronic pain and suggest that younger Veterans with MST seem to be most vulnerable to impaired pain rehabilitation. Unique study contributions include a robust sample of women and men with elevated rates of MST and examination of MST-age relationships concurrent with chronic pain. Copyright © 2020 Wolters Kluwer Health, Inc. All rights reserved.