School of Psychology, University of Surrey, Guildford, Surrey, UK.
Rail Safety & Standards Board, The Helicon, London, UK.
Brain Inj. 2021 Jan 5;35(1):72-81. doi: 10.1080/02699052.2020.1858344. Epub 2020 Dec 13.
: To investigate the characteristics of head injury (HI) and its association with offending behaviour, psychological and neurobehavioral functioning, and cognitive performance in female prisoners.: Using a cross-sectional design, female prisoners in the UK reporting a HI with a loss of consciousness (LOC) over ten minutes (n = 10) were compared with a group without a HI with LOC over ten minutes (n = 41) across a range of measures; including scores on standardized clinical questionnaires and performance-based cognitive assessments. Semi-structured clinical interviews assessed HI and forensic history, with forensic history triangulated against the prison database.: Domestic abuse was the most frequently reported cause of HI. The HI with LOC group had been to prison a greater number of times and had committed a greater number violent offences. No significant difference was found on self-reported psychological and neurobehavioral measures, or between the groups' cognitive functioning on neuropsychological tests.: Psychosocial factors such as trauma may contribute to higher rates of violent offending and imprisonment in those with a HI with LOC. Domestic abuse is an important factor in HI amongst female prisoners. Forensic screening and interventions need to be designed, adapted and evaluated with consideration of trauma and HI.
: 为了探究女性囚犯头部损伤（HI）的特点及其与犯罪行为、心理和神经行为功能以及认知表现的关联。: 研究采用横断面设计，对英国报告头部损伤（HI）并伴有意识丧失（LOC）超过十分钟的 10 名女性囚犯（n=10）与无 HI 但 LOC 超过十分钟的 41 名女性囚犯（n=41）进行了一系列指标的比较，包括标准化临床问卷评分和基于表现的认知评估。半结构化临床访谈评估 HI 和法医学史，法医学史与监狱数据库进行三角验证。: HI 最常由家庭暴力引起。LOC 组的 HI 患者入狱次数更多，且暴力犯罪更多。两组在自我报告的心理和神经行为测量方面或神经心理学测试的认知功能方面没有显著差异。: 创伤等社会心理因素可能导致 HI 患者暴力犯罪和监禁率更高。家庭暴力是女性囚犯 HI 的一个重要因素。需要设计、改编和评估法医学筛查和干预措施，同时考虑到创伤和 HI。
