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  3. The Polytrauma Clinical Triad Among Women With A History Of Intimate Partner Violence
  1. Home
  3. The Polytrauma Clinical Triad Among Women With A History Of Intimate Partner Violence

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The Polytrauma Clinical Triad Among Women with a History of Intimate Partner Violence

Sharon E Leong1, T K Logan2, Christal L Badour1

  • 1Department of Psychology, University of Kentucky, Lexington, Kentucky, USA.

Journal of Neurotrauma
|June 13, 2025

View abstract on PubMed

Summary
This summary is machine-generated.

Women with a history of intimate partner violence (IPV) are at risk for traumatic brain injury (TBI) and the polytrauma clinical triad. IPV severity influences TBI risk and symptom severity, highlighting chronic pain as a key treatment target.

Keywords:
brain injurieschronic painintimate partner violencepost-concussion syndromepost-traumaticstress disorders

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Area of Science:

  • Neuroscience
  • Public Health
  • Trauma Studies

Background:

  • Intimate partner violence (IPV) survivors face risks for traumatic brain injury (TBI) and associated neurobehavioral symptoms, PTSD, and chronic pain.
  • These conditions, collectively termed the polytrauma clinical triad, can exacerbate health issues, particularly in male veteran samples.
  • This study investigates the polytrauma clinical triad in cisgender women survivors of IPV.

Purpose of the Study:

  • To examine the prevalence of the polytrauma clinical triad in cisgender women with a history of IPV.
  • To determine the association between IPV-related TBI and the polytrauma clinical triad.
  • To explore the relationship between IPV severity, TBI, and the components of the polytrauma clinical triad.

Main Methods:

  • A cross-sectional study of 198 cisgender women with a history of IPV.
  • Comparison of symptom rates (chronic pain, PTSD, neurobehavioral symptoms, polytrauma clinical triad) between participants with and without a history of IPV-related TBI.
  • Statistical analyses adjusted for age, education, and IPV severity.

    • Main Results:

    • Participants with IPV-related TBI showed higher rates of chronic pain, PTSD with chronic pain, neurobehavioral symptoms with chronic pain, and the polytrauma clinical triad compared to those without TBI history.
    • After controlling for IPV severity, group differences in the polytrauma clinical triad diminished, suggesting IPV severity is a key factor.
    • Increased lifetime TBI occurrences correlated with higher odds of chronic pain and concurrent neurobehavioral symptoms.

    Conclusions:

    • Chronic pain may be a priority treatment target for women with IPV history, especially when comorbid with TBI.
    • IPV severity is strongly linked to TBI risk and symptomology within the polytrauma clinical triad.
    • Multicomponent interventions addressing TBI, PTSD, and chronic pain are recommended for IPV survivors.