The Boston Assessment of Traumatic Brain Injury-Lifetime Semistructured Interview for Assessment of TBI and Subconcussive Injury Among Female Survivors of Intimate Partner Violence: Evidence of Research Utility and Validity
| Autor: | Sahra Kim, Brigitta M Beck, Kimberly B Werner, Alyssa Currao, Tara E. Galovski, Katherine M. Iverson, Catherine Fortier, Jennifer R. Fonda |
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| Rok vydání: | 2021 |
| Předmět: |
Traumatic brain injury
business.industry Rehabilitation Head injury MEDLINE Intimate Partner Violence Physical Therapy Sports Therapy and Rehabilitation Diagnostic Specificity medicine.disease Predictive value Stress Disorders Post-Traumatic Posttraumatic stress Brain Injuries Traumatic medicine Humans Domestic violence Female Design standard Survivors Neurology (clinical) business Veterans Clinical psychology |
| Zdroj: | Journal of Head Trauma Rehabilitation. 37:E175-E185 |
| ISSN: | 0885-9701 |
| DOI: | 10.1097/htr.0000000000000700 |
| Popis: | Objective To adapt the Boston Assessment of TBI-Lifetime (BAT-L) interview specifically for female survivors of intimate partner violence (IPV), validate the adapted BAT-L/IPV, and report the prevalence of head injury. Setting The BAT-L is the first validated instrument to diagnose traumatic brain injuries (TBIs) throughout the life span for post-9/11 veterans. The BAT-L/IPV was adapted to target diagnostic issues belonging exclusively to IPV while maintaining its life span approach. Participants Community-dwelling convenience sample of 51 female survivors of IPV with subthreshold (n = 10) or full diagnostic criteria (n = 41) of posttraumatic stress disorder. Design Standard TBI criteria were evaluated using a semistructured clinical interview. Main measures The BAT-L/IPV is compared with the Ohio State University TBI Identification Method (OSU-TBI-ID) scoring approach as the criterion standard. Results Correspondence between the BAT-L/IPV and the OSU-TBI-ID score was excellent (Cohen κ = 0.86; Kendall τ-b = 0.89). Sensitivity = 89.3% (95% CI, 81.2-97.4); specificity = 98.3% (95% CI, 95.0-100); positive predictive value = 98.0% (95% CI, 94.2-100); and negative predictive value = 90.6% (95% CI, 83.5-97.7). On the BAT-L/IPV, more than one-third (35.3%) of IPV survivors reported TBI secondary to an IPV-related assault, 76.5% reported IPV subconcussive head injury, 31.4% reported attempted strangulation, and 37.3% reported non-IPV TBI. Conclusions The BAT-L/IPV performed well in diagnosing TBI in female IPV survivors as compared with the criterion standard. The prevalence of TBI was frequent; subconcussive head injury was pervasive. Greater awareness for head injury risk and increased diagnostic specificity of TBI in IPV survivors is needed. |
| Databáze: | OpenAIRE |
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