Karr Justin E, White Agnes E, Logan T K
Department of Psychology, College of Arts and Sciences, University of Kentucky.
Department of Behavioral Science, College of Medicine, University of Kentucky.
Rehabil Psychol. 2025 May;70(2):170-181. doi: 10.1037/rep0000570. Epub 2024 Aug 22.
PURPOSE/OBJECTIVE: The current study examined the psychometric properties of common mental health questionnaires among women survivors of intimate partner violence (IPV) with and without brain injuries due to IPV and evaluated whether women with and without IPV-related brain injuries differed in depression, anxiety, and posttraumatic stress disorder (PTSD) symptom severity.
RESEARCH METHOD/DESIGN: Women survivors of IPV with and without IPV-related brain injuries were recruited online through Prolific ( = 205, = 39.8 ± 11.9 years old, 83.9% non-Hispanic White, 42.4% college-educated). They completed the eight-item Patient Health Questionnaire (PHQ-8), seven-item Generalized Anxiety Disorder scale (GAD-7), and PTSD Checklist for the (fifth edition) (PCL-5). Model fit and internal consistency were estimated for each scale. Groups were compared on mental health symptom severity, with and without controlling for age, education, and IPV severity.
Both one-factor and multifactor models showed excellent fit for all scales. PHQ-8 (ω = .91), GAD-7 (ω = .94), and PCL-5 total scores (ω = .95) had strong reliability, and all subscale scores had acceptable-to-strong reliability (ω range = .79-.94). Women with IPV-related brain injuries reported greater physical IPV severity, higher rates of depression, and higher somatic anxiety and PTSD symptom severity. No group differences in mental health symptoms were significant after controlling for IPV severity.
CONCLUSIONS/IMPLICATIONS: The PHQ-8, GAD-7, and PCL-5 showed evidence for reliability and validity among women survivors of IPV. Women with IPV-related brain injuries had higher PTSD symptom severity, attributable to greater physical violence exposure in general. Brain injury screening among survivors appears warranted for women with extensive physical IPV experiences. Interventions addressing PTSD, violence prevention, and brain injury recovery may best serve this population. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
目的/目标：本研究考察了亲密伴侣暴力（IPV）女性幸存者中常见心理健康问卷的心理测量特性，这些女性有无因IPV导致的脑损伤，并评估了有无IPV相关脑损伤的女性在抑郁、焦虑和创伤后应激障碍（PTSD）症状严重程度上是否存在差异。
研究方法/设计：通过Prolific在线招募有无IPV相关脑损伤的IPV女性幸存者（n = 205，年龄 = 39.8 ± 11.9岁，83.9%为非西班牙裔白人，42.4%受过大学教育）。她们完成了八项患者健康问卷（PHQ - 8）、七项广泛性焦虑障碍量表（GAD - 7）和创伤后应激障碍检查表（第五版）（PCL - 5）。对每个量表估计模型拟合度和内部一致性。在控制年龄、教育程度和IPV严重程度的情况下，比较两组在心理健康症状严重程度上的差异。
单因素和多因素模型对所有量表均显示出良好的拟合度。PHQ - 8（ω = 0.91）、GAD - 7（ω = 0.94）和PCL - 5总分（ω = 0.95）具有很强的信度，所有子量表得分具有可接受至很强的信度（ω范围 = 0.79 - 0.94）。有IPV相关脑损伤的女性报告了更高的身体IPV严重程度、更高的抑郁率以及更高的躯体焦虑和PTSD症状严重程度。在控制IPV严重程度后，两组在心理健康症状上的差异无统计学意义。
结论/启示：PHQ - 8、GAD - 7和PCL - 5在IPV女性幸存者中显示出信度和效度的证据。有IPV相关脑损伤的女性PTSD症状严重程度更高，这通常归因于更多的身体暴力暴露。对于有广泛身体IPV经历的女性，幸存者中的脑损伤筛查似乎是必要的。针对PTSD、暴力预防和脑损伤康复的干预措施可能最适合这一人群。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
