TY - JOUR
T1 - The Effect of Intimate Partner Violence and Probable Traumatic Brain Injury on Mental Health Outcomes for Black Women
AU - Cimino, Andrea N.
AU - Yi, Grace
AU - Patch, Michelle
AU - Alter, Yasmin
AU - Campbell, Jacquelyn C.
AU - Gundersen, Kristin K.
AU - Tang, Judy T.
AU - Tsuyuki, Kiyomi
AU - Stockman, Jamila K.
N1 - Publisher Copyright:
© 2019, © 2019 Taylor & Francis.
PY - 2019/7/3
Y1 - 2019/7/3
N2 - Severe intimate partner violence (IPV) including loss of consciousness from head injuries and/or strangulation can result in traumatic brain injury (TBI), a brain pathology characterized by altered brain function, cognitive impairment, and mental health disorders, including depression and posttraumatic stress disorder (PTSD). This study examines the prevalence of probable TBI (defined as loss of consciousness from a blow to the head and/or strangulation) and its association with comorbid PTSD and depression among Black women, who experience both higher rates of IPV and greater mental health burden than White and Latina women. Data come from a retrospective cohort study of 95 Black women with abuse history including IPV, forced sex, and childhood maltreatment. About one-third of women (n = 32) had probable TBI. Among them, 38% (n = 12) were hit on the head, 38% (n = 12) were strangled to unconsciousness, and 25% (n = 8) were strangled and hit on the head. Women with IPV history and probable TBI had significantly greater odds of various physical injuries including those that required medical care compared to other abused women. Probable TBI significantly increased comorbid PTSD and depression by 8.93 points (SE = 3.40), after controlling for past violence (F(4, 90) = 3.67, p <.01). Findings from this study reinforce the need to screen women who lost consciousness due to IPV for TBI and facilitate referrals to IPV interventions and mental health treatment.
AB - Severe intimate partner violence (IPV) including loss of consciousness from head injuries and/or strangulation can result in traumatic brain injury (TBI), a brain pathology characterized by altered brain function, cognitive impairment, and mental health disorders, including depression and posttraumatic stress disorder (PTSD). This study examines the prevalence of probable TBI (defined as loss of consciousness from a blow to the head and/or strangulation) and its association with comorbid PTSD and depression among Black women, who experience both higher rates of IPV and greater mental health burden than White and Latina women. Data come from a retrospective cohort study of 95 Black women with abuse history including IPV, forced sex, and childhood maltreatment. About one-third of women (n = 32) had probable TBI. Among them, 38% (n = 12) were hit on the head, 38% (n = 12) were strangled to unconsciousness, and 25% (n = 8) were strangled and hit on the head. Women with IPV history and probable TBI had significantly greater odds of various physical injuries including those that required medical care compared to other abused women. Probable TBI significantly increased comorbid PTSD and depression by 8.93 points (SE = 3.40), after controlling for past violence (F(4, 90) = 3.67, p <.01). Findings from this study reinforce the need to screen women who lost consciousness due to IPV for TBI and facilitate referrals to IPV interventions and mental health treatment.
KW - Intimate partner violence
KW - depression
KW - domestic violence
KW - physical abuse
KW - posttraumatic stress disorder
KW - sexual abuse
KW - strangulation
KW - unconscious
UR - http://www.scopus.com/inward/record.url?scp=85063542356&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85063542356&partnerID=8YFLogxK
U2 - 10.1080/10926771.2019.1587657
DO - 10.1080/10926771.2019.1587657
M3 - Article
C2 - 31929719
AN - SCOPUS:85063542356
SN - 1092-6771
VL - 28
SP - 714
EP - 731
JO - Journal of Aggression, Maltreatment and Trauma
JF - Journal of Aggression, Maltreatment and Trauma
IS - 6
ER -