Interplay between traumatic brain injury and intimate partner violence: data driven analysis utilizing electronic health records

Liu, Larry Y.; Bush, William S.; Koyutürk, Mehmet; Karakurt, Günnur

doi:10.1186/s12905-020-01104-4

Cited by 14 publications

(14 citation statements)

References 42 publications

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“…Over a third of women (36.4%) experience psychological aggression and about 41% of female survivors experience some form of physical injury during their lifetime (NISVS, 2012). Acute injuries including bruises, fractures, sensory damage, and internal injury, in addition to long term ailments such as muscle-skeletal issues and metabolic issues, are significantly more common among the victims of IPV than nonvictims (Krug et al, 2002;Kilpatrick et al, 2003;Karakurt et al, 2017;Liu et al, 2020).…”

Section: Effectiveness Of Treatments For Adverse Effects Of Intimate ...mentioning

confidence: 99%

Treatments for Female Victims of Intimate Partner Violence: Systematic Review and Meta-Analysis

et al. 2022

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Intimate partner violence (IPV) is an important problem that has significant detrimental effects on the wellbeing of female victims. The chronic physical and psychological effects of intimate partner violence (IPV) are complex, long-lasting, chronic, and require treatments focusing on improving mental health issues, safety, and support. Various psycho-social intervention programs are being implemented to improve survivor wellbeing. However, little is known about the effectiveness of different treatments on IPV survivors' wellbeing. For this purpose, we conducted a systematic review and meta-analysis to assess the effectiveness of interventions on improving outcomes that describe the wellbeing of adult female survivors of IPV. We searched PubMed, PsycINFO, and Cochrane Library. We explored the effectiveness of available interventions on multiple outcomes that are critical for the wellbeing of adult female victims of IPV. To provide a broad and comprehensive view of survivors' wellbeing, we considered outcomes including mental health, physical health, diminishing further violence, social support, safety, self-efficacy, and quality of life. We reviewed 2,770 citations. Among these 25 randomized-controlled-study with a total of 4,683 participants met inclusion criteria. Findings of meta-analyses on interventions indicated promising results in improving anxiety [standardized mean difference (SMD) −7.15, 95% confidence interval (CI) −8.39 to −5.92], depression (SMD −0.26, CI −0.56 to −0.05), safety (SMD = 0.43, CI 0.4 to −0.83), violence prevention (SMD = −0.92, CI −1.66 to −0.17), health (SMD = 0.39, CI 0.12 to 0.66), self-esteem (SMD = 1.33, CI −0.73 to 3.39), social support (SMD =0.40, CI 0.20 to 0.61), and stress management (SMD = −8.94, CI −10.48 to −7.40) at the post-test. We found that empowerment plays a vital role, especially when treating depression and Post-Traumatic Stress Disorder (PTSD), which are difficult to improve across interventions. We found mixed findings on self-efficacy and quality of life. The effects of IPV are long-lasting and require treatments targeting co-morbid issues including improving safety and mental health issues.

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Section: Effectiveness Of Treatments For Adverse Effects Of Intimate ...mentioning

confidence: 99%

Treatments for Female Victims of Intimate Partner Violence: Systematic Review and Meta-Analysis

et al. 2022

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“…Increased awareness of TBI among IPV survivors and increased awareness of the associated adverse health outcomes are crucial ( Gerber et al, 2014 ; St Ivany and Schminkey, 2016 ; Liu et al, 2020 ). Our results indicated that certain relationship dynamics such as threats and severe violence are more common among survivors of IPV with head trauma.…”

Section: Discussionmentioning

confidence: 99%

“…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

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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.

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“…With all that said, there are several symptoms that are common among women experiencing TBI because of domestic violence. These symptoms include malnutrition, alcoholic cirrhosis, acquired thrombocytopenia, and post-traumatic wound infection [ 37 ]. It is important that healthcare workers can identify these symptoms and associate them with a possible result of abuse, indicating that the patient may need to be screened for TBI.…”

Section: Diagnosis Of Tbi Secondary To Domestic Violencementioning

confidence: 99%

Update on Domestic Violence and Traumatic Brain Injury: A Narrative Review

Costello

Greenwald

2022

Brain Sciences

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Research on traumatic brain injury (TBI) as a result of domestic violence has greatly increased in the past decade, with publications addressing the prevalence, diagnosis, evaluation, and treatment. Although TBI due to domestic violence has recently been found to occur quite frequently, it was not widely understood until the 1990s. Individuals who suffer from domestic violence TBI often experience sequelae such as decreased cognitive functioning, memory loss, and PTSD. The goal of this article is to increase awareness about TBI secondary to domestic violence, with the intent that it will highlight areas for future research on the diagnosis, evaluation, and treatment of TBI in this population. The articles in this study were first found using the search terms traumatic brain injury and domestic violence. Although, in recent years, there has been a significant increase in research on TBI due to domestic violence, the overall conclusion of this review article is that there is still a need for future research in many areas including the effects on minority populations, the effects of COVID-19, and improvements of screening tools.

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Interplay between traumatic brain injury and intimate partner violence: data driven analysis utilizing electronic health records

Cited by 14 publications

References 42 publications

Treatments for Female Victims of Intimate Partner Violence: Systematic Review and Meta-Analysis

Treatments for Female Victims of Intimate Partner Violence: Systematic Review and Meta-Analysis

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

Update on Domestic Violence and Traumatic Brain Injury: A Narrative Review

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