Strangulation as an Acquired Brain Injury in Intimate-Partner Violence and Its Relationship to Cognitive and Psychological Functioning: A Preliminary Study.
Strangulation as an Acquired Brain Injury in Intimate-Partner Violence and Its Relationship to Cognitive and Psychological Functioning: A Preliminary Study.
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DOI：
10.1097/htr.0000000000000755
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发表时间：
2022-01-01
期刊：
影响因子：
--
通讯作者：
Berenbaum H
中科院分区：
文献类型：
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作者：
Valera EM;Daugherty JC;Scott OC;Berenbaum H
这项工作的目的是检查经历过亲密伴侣暴力（IPV）的女性的勒杀相关意识改变（AIC）与认知和心理结果之间的关系。参与者是从各种环境中招募的，包括妇女庇护所和支持计划。共有 99 名女性参加了这项研究。在对可能掩盖或混淆勒杀效果的因素应用排除标准后，52 名女性仍接受分析。横断面、回顾性。我们使用多种认知测量来评估学习、长期记忆和工作记忆、视觉运动速度、认知灵活性和非语言认知流畅性，并使用多种心理测量来评估创伤后应激症状、一般痛苦、担忧、快感缺乏抑郁和焦虑唤醒。我们还使用脑损伤严重程度评估访谈来检查与绞杀相关的 AIC 与这些认知和心理功能测量之间的关联。与未经历过绞杀相关 AIC 的女性相比，经历过绞杀相关 AIC 的女性在长期记忆测试中表现更差 (p<.03)，抑郁程度 (p<.03) 和创伤后应激症状 (p<.02) 更高。当控制潜在的混杂变量（包括 IPV 相关的创伤性脑损伤的数量）时，经历过勒颈的女性在工作记忆测量方面的表现也更差。这是第一份以这种方式评估勒杀并展示其与认知和心理功能的联系的报告。这些初步数据有助于我们了解勒颈及其对经历过 IPV 的女性的影响。
The aim of this work was to examine the relationship between strangulation related alterations in consciousness (AIC) and cognitive and psychological outcomes in women who have experienced intimate-partner violence (IPV). Participants were recruited from a variety of settings, including women’s shelters and support programs. A total of 99 women were enrolled in the study. After applying exclusion criteria for factors that could mask or confound the effects of strangulation, 52 women remained for analyses. Cross-sectional, retrospective. We used several cognitive measures to assess learning, long-term and working memory, visuomotor speed, cognitive flexibility, and nonverbal cognitive fluency as well as several psychological measures to assess post-traumatic stress symptomatology, general distress, worry, anhedonic depression and anxious arousal. We also used the Brain Injury Severity Assessment interview to examine the association between strangulation-related AICs and these measures of cognitive and psychological functioning. Women who had experienced strangulation-related AICs performed more poorly on a test of long-term memory (p<.03) and had higher levels of depression (p<.03) and post-traumatic stress symptomatology (p<.02) than women who had not experienced strangulation-related AIC. When controlling for potential confounding variables, including number of IPV-related traumatic brain injuries, women who had experienced strangulation also performed more poorly on a measure of working memory. This is the first report to assess strangulation in this manner and demonstrate links to cognitive and psychological functioning. These preliminary data contribute to our knowledge of strangulation and its effects on women who have experienced IPV.