Daugherty Julia C, García-Navas-Menchero Maripaz, Fernández-Fillol Carmen, Hidalgo-Ruzzante Natalia, Pérez-García Miguel
Laboratory of Social and Cognitive Psychology (UCA-LAPSCO), CNRS, University of Clermont Auvergne, 63000 Clermont-Ferrand, France.
Mind, Brain and Behavior Research Center (CIMCYC), University of Granada, 18011 Granada, Spain.
Brain Sci. 2024 Sep 30;14(10):996. doi: 10.3390/brainsci14100996.
Victims of Intimate Partner Violence Against Women (IPVAW) experience neuropsychological and cerebral changes, which have been linked to several tentative causal mechanisms, including elevated cortisol levels, psychopathological disorders, traumatic brain injury (TBI), hypoxic/ischemic brain damage, and medical conditions related to IPVAW. While these mechanisms and their effects on brain function and neuropsychological health are well-documented in other clinical populations, they manifest with unique characteristics in women affected by IPVAW. Specifically, IPVAW is chronic and repeated in nature, and mechanisms are often cumulative and may interact with other comorbid conditions. Thus, in light of existing literature on neuropsychological alterations in other populations, and recognizing the distinct features in women who experience IPVAW, we propose a new theoretical model-the Neuro-IPVAW model. This framework aims to explain the complex interplay between these mechanisms and their impact on cognitive and brain health in IPVAW victims. We anticipate that this theoretical model will be valuable for enhancing our understanding of neuropsychological and brain changes related to intimate partner violence, identifying research gaps in these mechanisms, and guiding future research directions in this area.
亲密伴侣暴力侵害妇女行为(IPVAW)的受害者会经历神经心理学和大脑变化,这些变化与多种初步因果机制有关,包括皮质醇水平升高、精神病理学障碍、创伤性脑损伤(TBI)、缺氧/缺血性脑损伤以及与IPVAW相关的医疗状况。虽然这些机制及其对脑功能和神经心理健康的影响在其他临床人群中有充分记录,但它们在受IPVAW影响的女性中表现出独特的特征。具体而言,IPVAW本质上是慢性且反复的,其机制往往具有累积性,并且可能与其他共病状况相互作用。因此,鉴于现有关于其他人群神经心理学改变的文献,并认识到经历IPVAW的女性的独特特征,我们提出了一种新的理论模型——神经-IPVAW模型。该框架旨在解释这些机制之间的复杂相互作用及其对IPVAW受害者认知和大脑健康的影响。我们预计,这一理论模型将有助于增进我们对与亲密伴侣暴力相关的神经心理学和大脑变化的理解,确定这些机制中的研究空白,并指导该领域未来的研究方向。