Associations between traumatic brain injury from intimate partner violence and future psychosocial health risks in women

Iverson, Katherine M.; Dardis, Christina M.; Grillo, Alessandra; Galovski, Tara E.; Pogoda, Terri K.

doi:10.1016/j.comppsych.2019.05.001

Cited by 43 publications

(48 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1,13,15,16 Moreover, a substantial percentage of women experience repetitive TBIs as a result of intimate partner violence. [17][18][19][20] Current scientific guidelines strongly advise considering sex and gender in analyzing and reporting outcomes and treatment effects. [21][22][23] Some studies have shown that women have less access and lower rates of direct transfers to trauma centers 6,24 and fewer admissions to intensive care 25 after traumatic injuries.…”

Section: Introductionmentioning

confidence: 99%

Differences between Men and Women in Treatment and Outcome after Traumatic Brain Injury

Mikolić

Klaveren

Groeniger

et al. 2020

Journal of Neurotrauma

View full text Add to dashboard Cite

Traumatic brain injury (TBI) is a significant cause of disability, but little is known about sex and gender differences after TBI. We aimed to analyze the association between sex/gender, and the broad range of care pathways, treatment characteristics, and outcomes following mild and moderate/severe TBI. We performed mixed-effects regression analyses in the prospective multi-center Collaborative European NeuroTrauma Effectiveness Research in Traumatic Brain Injury (CENTER-TBI) study, stratified for injury severity and age, and adjusted for baseline characteristics. Outcomes were various care pathway and treatment variables, and 6-month measures of functional outcome, health-related quality of life (HRQoL), post-concussion symptoms (PCS), and mental health symptoms. The study included 2862 adults (36% women) with mild (mTBI; Glasgow Coma Scale [GCS] score 13-15), and 1333 adults (26% women) with moderate/severe TBI (GCS score 3-12). Women were less likely to be admitted to the intensive care unit (ICU; odds ratios [OR] 0.6, 95% confidence interval [CI]: 0.4-0.8) following mTBI. Following moderate/severe TBI, women had a shorter median hospital stay (OR 0.7, 95% CI: 0.5-1.0). Following mTBI, women had poorer outcomes; lower Glasgow Outcome Scale Extended (GOSE; OR 1.4, 95% CI: 1.2-1.6), lower generic and disease-specific HRQoL, and more severe PCS, depression, and anxiety. Among them, women under age 45 and above age 65 years showed worse 6-month outcomes compared with men of the same age. Following moderate/severe TBI, there was no difference in GOSE (OR 0.9, 95% CI: 0.7-1.2), but women reported more severe PCS (OR 1.7, 95% CI: 1.1-2.6). Men and women differ in care pathways and outcomes following TBI. Women generally report worse 6-month outcomes, but the size of differences depend on TBI severity and age. Future studies should examine factors that explain these differences.

show abstract

Section: Introductionmentioning

confidence: 99%

Differences between Men and Women in Treatment and Outcome after Traumatic Brain Injury

Mikolić

Klaveren

Groeniger

et al. 2020

Journal of Neurotrauma

View full text Add to dashboard Cite

show abstract

“…Heightened symptoms of PTSD have also been shown in women with a history of IPV and TBI (Valera & Berenbaum, 2003;Valera & Kucyi, 2017). Similar results have been shown in female Veterans where IPV-related TBI has been associated with increased depression and PTSD symptom severity (Iverson, Dardis, Grillo, Galovski, & Pogoda, 2019;Iverson & Pogoda, 2015). Additionally, because TBI and PTSD share many of the same symptoms and have various neurocognitive deficits in common, TBI among IPV survivors is often misdiagnosed as PTSD, leading to inadequate treatment by health care providers (Valera & Kucyi, 2017;Iverson, Dardis, & Pogoda, 2017;Monahan, 2019).…”

Section: Mental Health and Psychosocial Factors: Mental Health Outcommentioning

confidence: 63%

A global collaboration to study intimate partner violence-related head trauma: The ENIGMA consortium IPV working group

Esopenko¹,

Meyer

Wilde

et al. 2021

Brain Imaging and Behavior

View full text Add to dashboard Cite

Intimate partner violence includes psychological aggression, physical violence, sexual violence, and stalking from a current or former intimate partner. Past research suggests that exposure to intimate partner violence can impact cognitive and psychological functioning, as well as neurological outcomes. These seem to be compounded in those who suffer a brain injury as a result of trauma to the head, neck or body due to physical and/or sexual violence. However, our understanding of the neurobehavioral and neurobiological effects of head trauma in this population is limited due to factors including difficulty in accessing/recruiting participants, heterogeneity of samples, and premorbid and comorbid factors that impact outcomes. Thus, the goal of the Enhancing Neuroimaging and Genetics through Meta-Analysis (ENIGMA) Consortium Intimate Partner Violence Working Group is to develop a global collaboration that includes researchers, clinicians, and other key community stakeholders. Participation in the working group can include collecting harmonized data, providing data for meta-and mega-analysis across sites, or stakeholder insight on key clinical research questions, promoting safety, participant recruitment and referral to support services. Further, to facilitate the mega-analysis of data across sites within the working group, we provide suggestions for behavioral surveys, cognitive tests, neuroimaging parameters, and genetics that could be used by investigators in the early stages of study design. We anticipate that the harmonization of measures across sites within the working group prior to data collection could increase the statistical power in characterizing how intimate partner violence-related head trauma impacts long-term physical, cognitive, and psychological health.

show abstract

“…Women exposed to physical IPV are more likely to experience psychological distress and cognitive dysfunction relating to brain injury, with one study estimating nearly 75% of survivors may have sustained one or more partner-related brain traumas, where injury severity is negatively associated with cognitive function (i.e., learning, memory, cognitive flexibility) and positively associated with abuse severity and PTSD symptomatology ( Woods, 2000 ; Valera and Berenbaum, 2003 ; Woods et al, 2008 ; Davis, 2014 ; St Ivany and Schminkey, 2016 ; Iverson et al, 2017 ; Campbell et al, 2018 ; Esopenko et al, 2021 ). Women who experience IPV-related TBI are at a heightened risk of worse long-term psychosocial health outcomes, and while some research shows that TBI severity is related to depression and anxiety but independent of PTSD, many studies suggest improved IPV-specific screening tools are critical for more accurate and effective patient care ( Gerber et al, 2014 ; Iverson and Pogoda, 2015 ; Goldin et al, 2016 ; Murray et al, 2016 ; St Ivany and Schminkey, 2016 ; Amoroso and Iverson, 2017 ; Cimino et al, 2019 ; Iverson et al, 2019 , 2020 ; Smirl et al, 2019 ; Haag et al, 2019a , b ; Liu et al, 2020 ; Fortier et al, 2021 ; Meyer et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Brain Injury and Mental Health Among the Victims of Intimate Partner Violence: A Case-Series Exploratory Study

et al. 2021

View full text Add to dashboard Cite

Intimate partner violence (IPV) survivors frequently report face, head, and neck as their injury site. Many mild traumatic brain injuries (TBIs) are undiagnosed or underreported among IPV survivors while these injuries may be linked to changes in brain function or pathology. TBI sustained due to IPV often occurs over time and ranges in severity. The aim of this case-series study was to explore risk factors, symptoms, and brain changes unique to survivors of intimate partner violence with suspicion of TBI. This case-series exploratory study examines the potential relationships among IPV, mental health issues, and TBI. Participants of this study included six women: 3 women with a history of IPV without any experience of concussive blunt force to the head, and 3 women with a history of IPV with concussive head trauma. Participants completed 7T MRI of the brain, self-report psychological questionnaires regarding their mental health, relationships, and IPV, and the Structured Clinical Interview. MRI scans were analyzed for cerebral hemorrhage, white matter disturbance, and cortical thinning. Results indicated significant differences in resting-state connectivity among survivors of partner violence as well as differences in relationship dynamics and mental health symptoms. White matter hyperintensities are also observed among the survivors. Developing guidelines and recommendations for TBI-risk screening, referrals, and appropriate service provision is crucial for the effective treatment of TBI-associated IPV. Early and accurate characterization of TBI in survivors of IPV may relieve certain neuropsychological consequences.

show abstract

Associations between traumatic brain injury from intimate partner violence and future psychosocial health risks in women

Cited by 43 publications

References 58 publications

Differences between Men and Women in Treatment and Outcome after Traumatic Brain Injury

Differences between Men and Women in Treatment and Outcome after Traumatic Brain Injury

A global collaboration to study intimate partner violence-related head trauma: The ENIGMA consortium IPV working group

Brain Injury and Mental Health Among the Victims of Intimate Partner Violence: A Case-Series Exploratory Study

Contact Info

Product

Resources

About