Brain Injury and Mental Health Among the Victims of Intimate Partner Violence: A Case-Series Exploratory Study.
Brain Injury and Mental Health Among the Victims of Intimate Partner Violence: A Case-Series Exploratory Study.
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DOI：
10.3389/fpsyg.2021.710602
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发表时间：
2021
影响因子：
3.8
通讯作者：
Rao SM
中科院分区：
文献类型：
--
作者：
Karakurt G;Whiting K;Jones SE;Lowe MJ;Rao SM
亲密伴侣暴力(IPV)幸存者经常报告他们的受伤部位为面部、头部和颈部。在IPV幸存者中，许多轻微的创伤性脑损伤(TBI)没有得到诊断或被漏报，而这些损伤可能与脑功能或病理的变化有关。由于IPV造成的脑损伤通常会随着时间的推移和严重程度的变化而发生。这项案例系列研究的目的是探索亲密伴侣暴力的幸存者所特有的危险因素、症状和脑变化，并怀疑存在脑外伤。这项案例系列探索性研究考察了IPV、精神健康问题和脑外伤之间的潜在关系。这项研究的参与者包括6名女性：3名有IPV病史的女性没有任何脑震荡钝器撞击头部的经验，3名有IPV病史并有脑震荡头部创伤的女性。参与者完成了大脑的7T磁共振成像，关于他们的心理健康，人际关系和IPV的自我报告心理问卷，以及结构化的临床访谈。分析MRI扫描是否有脑出血、脑白质紊乱和皮质变薄。结果表明，伴侣暴力幸存者在休息-状态连通性方面存在显著差异，在关系动力学和心理健康症状方面也存在差异。在幸存者中也观察到白质高信号。为脑损伤风险筛查、转诊和适当的服务提供制定指南和建议，对于有效治疗脑损伤相关的IPV至关重要。对IPV存活者进行早期、准确的创伤性脑损伤诊断可能会减轻某些神经心理后果。
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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