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  3. A Four-country Study Of Strangulation-related Alterations In Consciousness In Women Who Have Experienced Intimate Partner Violence: Co-occurrence With Traumatic Brain Injuries And Measures Of Psychological Distress.
  1. Home
  3. A Four-country Study Of Strangulation-related Alterations In Consciousness In Women Who Have Experienced Intimate Partner Violence: Co-occurrence With Traumatic Brain Injuries And Measures Of Psychological Distress.

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A Four-Country Study of Strangulation-Related Alterations in Consciousness in Women Who Have Experienced Intimate

Shambhu Prasad Adhikari1, Julia C Daugherty2, Nathalia Quiroz Molinares3

  • 1School of Health and Exercise Sciences, University of British Columbia, Kelowna, Canada.

Journal of Neurotrauma
|April 26, 2024

View abstract on PubMed

Summary
This summary is machine-generated.
Keywords:
anxietydepressionintimate partner violencepost-traumatic stressstrangulation-related alteration in consciousnesstraumatic brain injury

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Intimate partner violence (IPV) often causes strangulation-related alterations in consciousness (S-AICs) and traumatic brain injuries (TBIs). Women experiencing S-AICs, with or without TBIs, reported more severe injuries and higher psychological distress.

Area of Science:

  • Neuroscience
  • Public Health
  • Psychology

Background:

  • Intimate partner violence (IPV) is a global health issue affecting at least one in three women.
  • IPV commonly results in strangulation-related alterations in consciousness (S-AICs) and traumatic brain injuries (TBIs).
  • Survivors of IPV-related S-AICs and/or TBIs frequently experience psychological distress, including depression, anxiety, and PTSD.

Purpose of the Study:

  • To investigate the co-occurrence of IPV-related S-AICs and TBIs across diverse geographical locations.
  • To determine the relationship between S-AICs and the severity of traumatic brain injuries.
  • To examine the association between S-AICs and psychological distress in IPV survivors.

Main Methods:

  • Secondary analysis of retrospectively collected data from 213 women who experienced physical IPV across Canada, the US, Spain, and Colombia.
  • Utilized the Brain Injury Severity Assessment (BISA) to evaluate IPV-related brain injuries.
  • Employed Mann-Whitney U tests, chi-square tests, ANOVA, and ANCOVA to analyze injury co-occurrence and psychological distress levels, standardizing questionnaire data using Z-scores.

    • Main Results:

    • Approximately 67% of women experienced at least one IPV-related brain injury (TBI and/or S-AIC).
    • Among those with IPV-related brain injuries, 37% sustained both S-AICs and TBIs.
    • Women with S-AICs (with or without TBI) were more likely to have moderate-to-severe injuries and reported significantly higher psychological distress than those without S-AICs.

    Conclusions:

    • IPV-related S-AICs are common and associated with more severe brain injuries and increased psychological distress.
    • Clinical assessment for S-AICs in IPV survivors is crucial, prompting further evaluation for TBIs and psychological distress.
    • IPV-related brain injuries are a global concern requiring further research and policy development.