Katherine M Iverson1, Christina M Dardis2, Alessandra R Grillo3, Tara E Galovski4, Terri K Pogoda5. 1. National Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System, Boston, MA 02130, United States of America; Boston University School of Medicine, Boston, MA 02118, United States of America. Electronic address: Katherine.Iverson@va.gov. 2. Department of Psychology, Towson University, Towson, MD 21252, United States of America. 3. National Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System, Boston, MA 02130, United States of America. 4. National Center for PTSD, Women's Health Sciences Division, VA Boston Healthcare System, Boston, MA 02130, United States of America; Boston University School of Medicine, Boston, MA 02118, United States of America. 5. Center for Healthcare Organization and Implementation Research, VA Boston Healthcare System, Boston, MA 02130, United States of America; Boston University School of Public Health, Boston, MA 02118, United States of America.
Abstract
OBJECTIVE: The effects of traumatic brain injury (TBI) incurred during military service are widely studied; however, less is known about TBI resulting from intimate partner violence ("IPV-related TBI"). Women Veterans are at high risk for IPV, yet no research has examined future psychosocial health risks associated with IPV-related TBI history in this population. METHODS: We examined psychiatric and physical health outcomes, as well as IPV, in a sample of women Veterans who, at Time 1, reported IPV-related TBI with (n = 13) or without (n = 20) persistent symptoms; that is, symptoms such as memory problems, balance problems or dizziness, sensitivity to bright light, irritability, headaches, and sleep problems that began or got worse immediately following the IPV-related TBI and occurred within the past week. These women completed web-based surveys 18 months later (Time 2), which included validated measures of psychiatric and physical health symptoms as well as past-year IPV. We conducted linear regressions to model whether T1 IPV-related TBI with persistent symptoms predicted worse health outcomes at T2, in comparison to T1 IPV-related without persistent symptoms. RESULTS: Controlling for significant covariates (i.e., military sexual trauma; MST), IPV-related TBI with persistent symptoms at Time 1 was associated with significantly worse outcomes at Time 2 across all health outcome domains (sr2 range: 0.12-0.37). After controlling for MST and probable posttraumatic stress disorder (PTSD) at Time 1, IPV-related TBI with persistent symptoms at Time 1 remained significantly associated with worse Time 2 symptoms of insomnia, depression, and physical health (sr2 range: 0.12-0.25). CONCLUSION: Women who experience IPV-related TBI with persistent symptoms are at higher risk for worse psychosocial health outcomes 18 months later. Findings necessitate screening IPV survivors for TBI with persistent symptoms and tailoring TBI and psychosocial interventions to reduce risk for ongoing health sequelae. Published by Elsevier Inc.
OBJECTIVE: The effects of traumatic brain injury (TBI) incurred during military service are widely studied; however, less is known about TBI resulting from intimate partner violence ("IPV-related TBI"). Women Veterans are at high risk for IPV, yet no research has examined future psychosocial health risks associated with IPV-related TBI history in this population. METHODS: We examined psychiatric and physical health outcomes, as well as IPV, in a sample of women Veterans who, at Time 1, reported IPV-related TBI with (n = 13) or without (n = 20) persistent symptoms; that is, symptoms such as memory problems, balance problems or dizziness, sensitivity to bright light, irritability, headaches, and sleep problems that began or got worse immediately following the IPV-related TBI and occurred within the past week. These women completed web-based surveys 18 months later (Time 2), which included validated measures of psychiatric and physical health symptoms as well as past-year IPV. We conducted linear regressions to model whether T1 IPV-related TBI with persistent symptoms predicted worse health outcomes at T2, in comparison to T1 IPV-related without persistent symptoms. RESULTS: Controlling for significant covariates (i.e., military sexual trauma; MST), IPV-related TBI with persistent symptoms at Time 1 was associated with significantly worse outcomes at Time 2 across all health outcome domains (sr2 range: 0.12-0.37). After controlling for MST and probable posttraumatic stress disorder (PTSD) at Time 1, IPV-related TBI with persistent symptoms at Time 1 remained significantly associated with worse Time 2 symptoms of insomnia, depression, and physical health (sr2 range: 0.12-0.25). CONCLUSION:Women who experience IPV-related TBI with persistent symptoms are at higher risk for worse psychosocial health outcomes 18 months later. Findings necessitate screening IPV survivors for TBI with persistent symptoms and tailoring TBI and psychosocial interventions to reduce risk for ongoing health sequelae. Published by Elsevier Inc.
Authors: Carrie Esopenko; Jessica Meyer; Elisabeth A Wilde; Amy D Marshall; David F Tate; Alexander P Lin; Inga K Koerte; Kimberly B Werner; Emily L Dennis; Ashley L Ware; Nicola L de Souza; Deleene S Menefee; Kristen Dams-O'Connor; Dan J Stein; Erin D Bigler; Martha E Shenton; Kathy S Chiou; Judy L Postmus; Kathleen Monahan; Brenda Eagan-Johnson; Paul van Donkelaar; Tricia L Merkley; Carmen Velez; Cooper B Hodges; Hannah M Lindsey; Paula Johnson; Andrei Irimia; Matthew Spruiell; Esther R Bennett; Ashley Bridwell; Glynnis Zieman; Frank G Hillary Journal: Brain Imaging Behav Date: 2021-01-06 Impact factor: 3.978
Authors: Linda Denise Oakley; Jeneile Luebke; Natalie C Dosch; Traci R Snedden; Hector Hernadez; Melissa Lemke; Rick P Voland Journal: Womens Health Rep (New Rochelle) Date: 2021-12-07
Authors: Tara E Galovski; Kimberly B Werner; Katherine M Iverson; Stephanie Kaplan; Catherine B Fortier; Jennifer R Fonda; Alyssa Currao; David Salat; Regina E McGlinchey Journal: Front Psychiatry Date: 2021-02-19 Impact factor: 4.157