Overlooked but critical - Traumatic brain injury as a consequence of interpersonal violence
ABSTRACT Despite evidence that more than 80% of female victims of intimate partner violence, seen for medical treatment of violence-related injuries, have sustained facial injuries, traumatic brain injury is often overlooked as a consequence of those injuries. This article reviews the scant literature available and examines research on equivalent injuries sustained by athletes. Practical domains of symptoms are described, as is a review of literature pertinent to culturally relevant rehabilitation for victims sustaining traumatic brain injuries.
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ABSTRACT: Past studies mainly focused on the physical and structural brain injuries in women survivors with a history of intimate partner violence (IPV), but little attention has been given to the biological impact and cognitive dysfunction resulting from such psychological stress. In this article, we aim to establish the connection between IPV and the brain by reviewing current literature examining (1) the biological mechanisms linking IPV, stress, and the brain; (2) the functional and anatomical considerations of the brain in abused women; and (3) the abused women's behavioral responses to IPV, including fear, pain, and emotion regulation, by utilizing functional neuroimaging. The major significance of this study is in highlighting the need to advance beyond self-reports and to obtain scientific evidence of the neurological impact and cognitive dysfunction in abused women with a history of IPV, an area in which current literature remains at a descriptive level.Trauma Violence & Abuse 07/2013; 15(1). DOI:10.1177/1524838013496333 · 3.27 Impact Factor
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ABSTRACT: The current article reviews recent research demonstrating the relationship between childhood physical and sexual abuse and adult health problems. Adult survivors of childhood abuse have more health problems and more painful symptoms. We have found that psychiatric disorders account for some, but not all, of these symptoms, and that current life stress doubles the effect of childhood abuse on health problems. Possible etiologic factors in survivors' health problems include abuse-related alterations in brain functioning that can increase vulnerability to stress and decrease immune function. Adult survivors are also more likely to participate in risky behaviors that undermine health or to have cognitions and beliefs that amplify health problems. Psychiatric disorders, although not the primary cause of difficulties, do have a role in exacerbating health and pain-related problems. We conclude by outlining treatment recommendations for abuse survivors in health care settings.Journal of Trauma & Dissociation 02/2009; 10(2):170-88. DOI:10.1080/15299730802624585 · 1.72 Impact Factor
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ABSTRACT: The researchers implemented a traumatic brain injury (TBI) screening procedure in settings likely to have relatively frequent contacts with survivors to better document TBI occurrence among populations at high-risk for under-identification. Professionals from four service agencies administered a TBI screening protocol to all incoming clients over a 6-month period. Of the 1999 protocols collected, 531 (26.56%) were positive for a possible history of TBI of sufficient severity to impact quality of life. Memory challenges were the most common chronic complaint among individuals with positive screen results, with struggles with headaches, depression, concentration and anxiety also commonly reported. Large numbers of people seeking vocational rehabilitation, domestic abuse, homeless shelter or mental health services may experience persistent challenges stemming from unidentified TBIs. Identifying these individuals and the source of their challenges is important when developing intervention and supportive services. Using a TBI screening tool is one means of facilitating this identification process.Brain Injury 01/2009; 23(1):8-14. DOI:10.1080/02699050802590353 · 1.86 Impact Factor