School of Nursing, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong S.A.R.
Department of Social and Behavioral Sciences, City University of Hong Kong, Hong Kong S.A.R.
Health Soc Care Community. 2022 Feb;30(2):e428-e434. doi: 10.1111/hsc.13218. Epub 2020 Nov 6.
Limited studies exist on women's mild traumatic brain injury received from episode of intimate partner violence. This study aims to identify the occurrence of intimate partner violence-related mild traumatic brain injury in Chinese women admitted to emergency units; and examine the physical, mental, and cognitive functioning of abused women with mild traumatic brain injury related to violent episodes. Eighty-six Chinese abused women presenting at emergency units in four major local hospitals in Hong Kong between January 2014 and December 2016 were recruited. They were admitted for the treatment of intimate partner violence-related physical injuries and were screened for traumatic brain injury by the emergency unit nurses at triage. Participants were assessed for traumatic brain injury based on the definition from US Center for Disease Control and Prevention, post-concussion physical symptoms, anxiety and depression, health-related quality of life, and cognitive functioning. Structured multiphase regression was used to examine the impact of intimate partner violence-related mild traumatic brain injury on physical, mental, and cognitive functioning of participants. We found that 24.4% of participants had intimate partner violence-related mild traumatic brain injury. There were significantly more severe post-concussion physical symptoms in abused women with intimate partner violence-related mild traumatic brain injury than those without mild traumatic brain injury (estimate = 18.7, 95% CI = 10.9 to 26.6, p < 0.001). The Mental Component Summary was also significantly associated with intimate partner violence-related mild traumatic brain injury (estimate = -7.9, 95% CI = -13.8 to -2.1, p = 0.009). Regarding cognitive functioning, the mean total test scores indicated that both groups were cognitively abnormal and there was no significant impact from mild traumatic brain injury. This study provides evidence on the impact of mild traumatic brain injury and implications in screening for mild traumatic brain injury and early intervention for improving quality of life in abused women.
关于女性在亲密伴侣暴力事件中遭受轻度创伤性脑损伤的研究有限。本研究旨在确定因亲密伴侣暴力事件导致的轻度创伤性脑损伤在中国急诊女性中的发生情况；并研究与暴力事件相关的轻度创伤性脑损伤的受虐女性的身体、心理和认知功能。2014 年 1 月至 2016 年 12 月期间，从香港四家主要医院的急诊室招募了 86 名因亲密伴侣暴力导致身体受伤前来就诊的中国受虐女性。这些女性因亲密伴侣暴力相关的身体伤害而被收治，并由急诊室护士在分诊时筛查创伤性脑损伤。根据美国疾病控制与预防中心的定义，参与者接受了创伤性脑损伤评估，包括脑震荡后身体症状、焦虑和抑郁、健康相关生活质量和认知功能。使用多阶段结构回归分析来检查亲密伴侣暴力相关的轻度创伤性脑损伤对参与者身体、心理和认知功能的影响。结果发现，24.4%的参与者患有亲密伴侣暴力相关的轻度创伤性脑损伤。与没有轻度创伤性脑损伤的女性相比，有亲密伴侣暴力相关轻度创伤性脑损伤的受虐女性脑震荡后身体症状更严重（估计值=18.7，95%CI=10.9 至 26.6，p<0.001）。精神健康总分也与亲密伴侣暴力相关的轻度创伤性脑损伤显著相关（估计值=-7.9，95%CI=-13.8 至-2.1，p=0.009）。关于认知功能，总测试得分的平均值表明两组的认知功能均异常，但轻度创伤性脑损伤没有显著影响。本研究为轻度创伤性脑损伤的影响提供了证据，并对筛查轻度创伤性脑损伤和早期干预改善受虐女性生活质量具有重要意义。
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