Pebole Michelle M, Beck Brigitta M, Mahoney Colin T, Iverson Katherine M
The Translational Research Center for TBI and Stress Disorders, VA Boston Healthcare System, Boston, MA 02130, USA.
Department of Psychiatry, Harvard Medical School, Boston, MA 02215, USA.
Brain Sci. 2024 Oct 6;14(10):1008. doi: 10.3390/brainsci14101008.
Traumatic brain injuries (TBIs) are a common consequence of experiencing intimate partner violence (IPV). IPV-related TBI contributes to adverse health outcomes among women, but it is unknown whether a history of IPV-related TBI negatively impacts safety outcomes following healthcare-based interventions for IPV. Using data from a larger randomized clinical trial, we explored the impact of IPV-related TBI status on safety-related outcomes in two healthcare-based IPV interventions. At baseline, 35% ( = 21) of the sample screened positive for IPV-related TBI history. We used repeated measures ANOVAs to examine differences in safety outcomes at post-treatment and 1-month follow-up based on treatment condition and IPV-related TBI status. Significant interaction effects were found for safety outcomes, such that women with IPV-related TBI history experienced larger reductions in the frequency of physical IPV and similar reductions in sexual IPV across both treatment conditions compared to women without IPV-TBI ((2, 102) = 10.88, < 0.001; (2, 98) = 3.93, = 0.036). Findings suggest that brief healthcare-based IPV interventions may result in improvements in safety outcomes for women with a history of IPV-TBI. This highlights the continued need for implementation of promising IPV-focused interventions to promote safety and protect women from experiencing further IPV.
创伤性脑损伤（TBIs）是遭受亲密伴侣暴力（IPV）的常见后果。与IPV相关的创伤性脑损伤会导致女性出现不良健康结果，但尚不清楚与IPV相关的创伤性脑损伤病史是否会对基于医疗保健的IPV干预后的安全结果产生负面影响。利用一项大型随机临床试验的数据，我们探讨了与IPV相关的创伤性脑损伤状态对两种基于医疗保健的IPV干预中与安全相关结果的影响。在基线时，35%（n = 21）的样本筛查出有与IPV相关的创伤性脑损伤病史呈阳性。我们使用重复测量方差分析来检验基于治疗条件和与IPV相关的创伤性脑损伤状态的治疗后和1个月随访时安全结果的差异。在安全结果方面发现了显著的交互作用，与没有IPV-TBI的女性相比，有与IPV相关的创伤性脑损伤病史的女性在两种治疗条件下身体IPV频率的降低幅度更大，性IPV的降低幅度相似（F(2, 102) = 10.88，p < 0.001；F(2, 98) = 3.93，p = 0.036）。研究结果表明，基于医疗保健的简短IPV干预可能会改善有IPV-TBI病史女性的安全结果。这凸显了持续实施有前景的以IPV为重点的干预措施以促进安全并保护女性免受进一步IPV侵害的必要性。
