Intimate Partner Violence and Brain Injury Screening

Rajaram, Shireen S.; Reisher, Peggy; Garlinghouse, Matthew; Chiou, Kathy S.; Higgins, Kate; New-Aaron, Moses; Ojha, Tanushree; Smith, Lynette M.

doi:10.1177/1077801220947164

Cited by 18 publications

(9 citation statements)

References 40 publications

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“…Related literature has documented time to recruitment of women who experienced IPV of several weeks or months after assault. 39 , 40 Our study findings do demonstrate that use of the HIS-r scale in an electronic format (such as a smartphone) was acceptable and safe for participants. Of the participants who completed the baseline assessment, each participant was able to successfully access the HIS-r survey from their smartphones and complete for ∼1 month of survey data over the study period.…”

Section: Discussionmentioning

confidence: 53%

Neuropsychological and Balance Symptoms of Abused Women Who Have Experienced Intimate Partner Violence-Related Strangulation: A Feasibility and Acceptability Study

Muir

Donahue

Broshek

et al. 2022

Neurotrauma Reports

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Intimate partner violence (IPV) is a public health crisis that results in acute and long-term health consequences for women, including potential acquired brain injury from non-fatal strangulation. Despite existing evidence on the neuropsychological sequelae experienced by women after experiencing IPV-related assault, limited evidence-based treatment protocols exist for these women. This 14-month study sought to: 1) assess the feasibility and acceptability of recruiting women who experienced strangulation associated with IPV within 7 days of the event and retaining them throughout a 3-month follow-up period; and 2) examine preliminary data from neuropsychological, balance, and symptom assessments. Inclusion criteria were: reported strangulation by an intimate partner in the past 7 days, female, 18–60 years of age, English speaking, and able to consent. Neuropsychological, balance, and symptom assessments were administered at the first time point and again 3 months later. Participants also completed a standardized daily symptom inventory. Eight participants (73%) were recruited and completed daily inventories and the baseline assessment; 4 (36%) completed the baseline and 3-month assessments. Of the 4 participants who completed the 3-month assessment, none reported symptom resolution. Only balance returned to values consistent with normative values. Our results demonstrate the ability to recruit women who have experienced IPV-related strangulation during the post-acute phase of injury with less success retaining participants for a 90-day period for follow-up study. This pilot research protocol demonstrated the feasibility of recruitment from the emergency department and systematic evaluation of neuropsychological and functional symptoms in women who experienced strangulation in the context of IPV.

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Section: Discussionmentioning

confidence: 53%

Neuropsychological and Balance Symptoms of Abused Women Who Have Experienced Intimate Partner Violence-Related Strangulation: A Feasibility and Acceptability Study

Muir

Donahue

Broshek

et al. 2022

Neurotrauma Reports

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“…This has been performed for brain injury screening among survivors of IPV who similarly experience brain injury from both head strikes and strangulation. 45…”

Section: Discussionmentioning

confidence: 99%

Head Trauma in Refugees and Asylum Seekers

et al. 2023

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Background and Objectives:Refugees and asylum-seekers are at risk for head trauma. They endure blows to the head due to exigent circumstances necessitating resettlement (e.g., torture, war, interpersonal violence), as well as during their dangerous journeys to refuge. Our objective was to assess the global prevalence of head trauma in refugees and asylum-seekers and describe its clinical characteristics in this population.Methods:The protocol was registered in the PROSPERO International Prospective Register of Systematic Reviews (CRD42020173534). PubMed/MEDLINE, PsycInfo, Web of Science, Embase, and Google Scholar databases were searched for relevant studies. We included all studies in English that comprised refugees or asylum-seekers of any age and examined prevalence or characteristics of head trauma. We excluded studies that were not peer-reviewed original research. Information was recorded on the prevalence of head trauma, method of ascertaining head trauma, severity, mechanism of injury, other trauma exposures and comorbidities. Descriptive analyses and narrative syntheses were performed.ResultsA total of 22 studies were included, of which 13 with 6,038 refugees and asylum-seekers reported head trauma prevalence. Prevalence estimates ranged from 9% to 78%. Heterogeneity among studies precluded meta-analysis. Most studies were U.S.-based (n=9, 41%), followed by the Middle East (n=5, 23%). Most refugees or asylum-seekers were from the Middle East (n=9, 41%), with those from Latin America least represented (n=3, 14%). Studies disproportionately involved younger (pooled mean age=29 years), adult samples comprised of men. Recruitment settings were predominantly hospitals/clinics (n=14, 64%), followed by refugee camps (n=3, 14%). The most common mechanism of injury was direct impact via a beating or blow to the head. Studies varied greatly in how head trauma was defined and ascertained; no study used a validated traumatic brain injury (TBI)-specific screening tool. Similarly, TBI severity was not uniformly assessed, although hospital-based samples captured more moderate-to-severe head injuries. Mental health comorbidities were more frequently documented rather than physical health ones. Only two studies included a comparison to local populations.Conclusionand Relevance Refugees and asylum-seekers are vulnerable to head trauma but studies using systematic approaches to screening are lacking. Increased attention to head trauma in displaced populations will allow for optimizing equitable care for this growing, vulnerable population.

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“…Early detection and interventions that have proven effective for addictions include brief counselling, referral to ambulatory and inpatient treatment programs, community organizations, and appropriate medication use for substance use withdrawal 87 – 89 . Likewise, screening for exposure to relationship violence (i.e., adult and child abuse and sexual assault) and developing long-term plans and referrals to appropriate community and governmental agencies may prevent assault related TBIs 90 .…”

Section: Discussionmentioning

confidence: 99%

Decoding health status transitions of over 200 000 patients with traumatic brain injury from preceding injury to the injury event

Mollayeva

Tran

Chan

et al. 2022

Sci Rep

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For centuries, the study of traumatic brain injury (TBI) has been centred on historical observation and analyses of personal, social, and environmental processes, which have been examined separately. Today, computation implementation and vast patient data repositories can enable a concurrent analysis of personal, social, and environmental processes, providing insight into changes in health status transitions over time. We applied computational and data visualization techniques to categorize decade-long health records of 235,003 patients with TBI in Canada, from preceding injury to the injury event itself. Our results highlighted that health status transition patterns in TBI emerged along with the projection of comorbidity where many disorders, social and environmental adversities preceding injury are reflected in external causes of injury and injury severity. The strongest associations between health status preceding TBI and health status at the injury event were between multiple body system pathology and advanced age-related brain pathology networks. The interwoven aspects of health status on a time continuum can influence post-injury trajectories and should be considered in TBI risk analysis to improve prevention, diagnosis, and care.

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Intimate Partner Violence and Brain Injury Screening

Cited by 18 publications

References 40 publications

Neuropsychological and Balance Symptoms of Abused Women Who Have Experienced Intimate Partner Violence-Related Strangulation: A Feasibility and Acceptability Study

Neuropsychological and Balance Symptoms of Abused Women Who Have Experienced Intimate Partner Violence-Related Strangulation: A Feasibility and Acceptability Study

Head Trauma in Refugees and Asylum Seekers

Decoding health status transitions of over 200 000 patients with traumatic brain injury from preceding injury to the injury event

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