@article{ref1,
title="Associations between traumatic brain injury from intimate partner violence and future psychosocial health risks in women",
journal="Comprehensive psychiatry",
year="2019",
author="Iverson, Katherine M. and Dardis, Christina M. and Grillo, Alessandra R. and Galovski, Tara E. and Pogoda, Terri K.",
volume="92",
number="",
pages="13-21",
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 (&quot;IPV-related TBI&quot;). 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. <br><br>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. <br><br>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 (sr<sup>2</sup> 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 (sr<sup>2</sup> range: 0.12-0.25). <br><br>CONCLUSION: Women who experience IPV-related TBI with persistent symptoms are at higher risk for worse psychosocial health outcomes 18 months later. <br><br>FINDINGS necessitate screening IPV survivors for TBI with persistent symptoms and tailoring TBI and psychosocial interventions to reduce risk for ongoing health sequelae.<br><br>Published by Elsevier Inc.<p /> <p>Language: en</p>",
language="en",
issn="0010-440X",
doi="10.1016/j.comppsych.2019.05.001",
url="http://dx.doi.org/10.1016/j.comppsych.2019.05.001"
}