Depression, anxiety, and posttraumatic stress in women with and without brain injuries due to intimate partner violence: Psychometric evaluation of measurement approaches and group comparisons.

IF 1.9 4区 医学 Q3 PSYCHOLOGY, CLINICAL Rehabilitation Psychology Pub Date : 2024-08-22 DOI:10.1037/rep0000570
Justin E Karr, Agnes E White, T K Logan
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Abstract

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 (N = 205, M = 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 Diagnostic and Statistical Manual of Mental Disorders (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.

Results: 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) 2024 APA, all rights reserved).

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因亲密伴侣暴力而脑部受伤和未受伤妇女的抑郁、焦虑和创伤后应激反应:测量方法的心理计量学评估和群体比较。
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,这些女性幸存者有的因IPV导致脑损伤,有的没有,并评估了有IPV相关脑损伤的女性和没有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:通过 Prolific 在线招募了受过和未受过 IPV 相关脑损伤的 IPV 女性幸存者(N = 205,M = 39.8 ± 11.9 岁,83.9% 为非西班牙裔白人,42.4% 接受过大学教育)。他们填写了八项患者健康问卷(PHQ-8)、七项广泛性焦虑症量表(GAD-7)和《精神疾病诊断与统计手册》(第五版)创伤后应激障碍核对表(PCL-5)。对每个量表的模型拟合度和内部一致性进行了估计。在控制和不控制年龄、教育程度和 IPV 严重程度的情况下,对各组的心理健康症状严重程度进行比较:结果:单因素和多因素模型对所有量表都显示出良好的拟合效果。PHQ-8(ω = .91)、GAD-7(ω = .94)和PCL-5总分(ω = .95)具有很高的可靠性,所有分量表得分具有可接受到较高的可靠性(ω范围 = .79-.94)。有 IPV 相关脑损伤的女性报告的 IPV 严重程度更高,抑郁率更高,躯体焦虑和创伤后应激障碍症状严重程度更高。在控制了 IPV 严重程度后,心理健康症状的组间差异并不显著:PHQ-8、GAD-7 和 PCL-5 显示了 IPV 女性幸存者的可靠性和有效性。与 IPV 相关的脑损伤女性的创伤后应激障碍症状严重程度较高,这可归因于她们普遍遭受了更多的身体暴力。对于遭受过大量肢体暴力的女性幸存者,似乎有必要进行脑损伤筛查。针对创伤后应激障碍、暴力预防和脑损伤恢复的干预措施可为这类人群提供最佳服务。(PsycInfo Database Record (c) 2024 APA,保留所有权利)。
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来源期刊
CiteScore
4.80
自引率
7.40%
发文量
65
期刊介绍: Rehabilitation Psychology is a quarterly peer-reviewed journal that publishes articles in furtherance of the mission of Division 22 (Rehabilitation Psychology) of the American Psychological Association and to advance the science and practice of rehabilitation psychology. Rehabilitation psychologists consider the entire network of biological, psychological, social, environmental, and political factors that affect the functioning of persons with disabilities or chronic illness. Given the breadth of rehabilitation psychology, the journal"s scope is broadly defined.
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