自我报告的身体亲密伴侣暴力史和中年妇女的纵向认知表现
Jillian S Baker1, Gail A Greendale2, Michelle M Hood1
1Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, USA.
Women's health (London, England)
|December 21, 2024
概括
中年期的身体亲密伴侣暴力与工作记忆力的显著下降有关. 这项研究强调了虐待妇女的长期认知影响.
科学领域:
- 认知神经科学 认知神经科学
- 公共卫生 公共卫生
- 妇女健康 妇女健康
背景情况:
- 亲密伴侣暴力 (IPV) 影响了全球约三分之一的女性.
- IPV与各种短期和长期健康问题有关,包括认知障碍.
- 中年是认知健康的关键时期,但对IPV在这一阶段的影响的研究有限.
研究的目的:
- 研究中年期体验身体亲密伴侣暴力和随后的认知表现下降之间的关联.
- 为了确定中年物理IPV是否会随着时间的推移预测认知功能的急剧下降.
- 为中年IPV与认知之间的研究不足的关系提供纵向证据.
主要方法:
- 利用了1713名妇女在全国范围内妇女健康纵向研究 (SWAN) 的数据.
- 在7-15次随访中评估了基线的身体亲密伴侣暴力和认知功能 (符号数字模式测试,东波士顿记忆测试,数字跨度向后).
- 采用线性混合模型,调整诸如种族-种族,教育,财务压力,抑郁症状,睡眠问题和身体疼痛等共变量.
主要成果:
- 在基线时,3.1%的SWAN参与者报告说在前一年经历过身体亲密伴侣暴力.
- 报告前一年暴力的妇女显示工作记忆在统计学上显著地出现了更大的年均下降 (数字跨度向后: -0.17点/年).
- 工作记忆的这种下降在中年妇女中持续存在,她们有身体IPV的病史.
结论:
- 中年期的身体亲密伴侣暴力与工作记忆轨迹的持续下降有关.
- 这些发现证实了先前的横截面研究,并提供了IPV对认知功能的有害影响的纵向证据.
- 强调需要进一步研究中年妇女的亲密伴侣暴力和认知.
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