Neuropsychological Rehabilitation ( IF 2.7 ) Pub Date : 2021-01-12 Helen Bichard, Christopher Byrne, Christopher W. N. Saville, Rudi Coetzer
ABSTRACT
This systematic review draws together evidence from the literature for the pathological, neurological, cognitive, psychological, and behavioural outcomes of non-fatal strangulation in domestic and sexual violence. A systematic search of PubMed, PsycINFO, CINHAL, Proquest, ASSIA, Web of Science, WestLaw, Open Grey, and Ethos was conducted, with no date limits set, to identify eligible studies. Thirty empirical, peer-reviewed studies were found which met the inclusion criteria. Pathological changes included arterial dissection and stroke. Neurological consequences included loss of consciousness, indicating at least mild acquired brain injury, seizures, motor and speech disorders, and paralysis. Psychological outcomes included PTSD, depression, suicidality, and dissociation. Cognitive and behavioural sequelae were described less frequently, but included memory loss, increased aggression, compliance, and lack of help-seeking. However, no studies used formal neuropsychological assessment: the majority were medical case studies or based on self-report. Furthermore, few authors were able to control for possible confounds, including other physical violence and existing psychosocial difficulties. There is therefore a need for further neuropsychological research, focusing on cognitive and behavioural outcomes, using standardized tools, and control groups where possible. This is urgent, given societal normalization of strangulation, and legal systems which often do not reflect the act's severity and its consequences.
中文翻译:
家庭和性暴力中非致命性绞死的神经心理学结果:系统评价
摘要
这篇系统的综述从文献中收集了关于非致命性家庭暴力和性暴力中的绞死的病理,神经,认知,心理和行为结果的证据。在没有设置日期限制的情况下,系统地搜索了PubMed,PsycINFO,CINHAL,Proquest,ASSIA,Web of Science,WestLaw,Open Grey和Ethos,以鉴定合格的研究。发现三十项符合纳入标准的经验性,同行评审研究。病理变化包括动脉夹层和中风。神经系统后果包括意识丧失,表明至少轻度后天性脑损伤,癫痫发作,运动和语言障碍以及麻痹。心理结果包括创伤后应激障碍,抑郁,自杀和分离。认知和行为后遗症的描述频率较低,但其中包括记忆力减退,攻击性增强,合规性以及缺乏帮助的情况。但是,没有研究使用正式的神经心理学评估:大多数是医学案例研究或基于自我报告。此外,很少有作者能够控制可能的混杂因素,包括其他身体暴力和现有的心理社会困难。因此,需要进一步的神经心理学研究,着重于认知和行为结果,使用标准化工具,并在可能的情况下使用对照组。鉴于绞杀的社会正常化和法律制度往往不能反映该行为的严重性及其后果,这是紧急的。大部分是医学案例研究或基于自我报告。此外,很少有作者能够控制可能的混杂因素,包括其他身体暴力和现有的心理社会困难。因此,需要进一步的神经心理学研究,着重于认知和行为结果,使用标准化工具,并在可能的情况下使用对照组。鉴于绞杀的社会正常化和法律制度往往不能反映该行为的严重性及其后果,这是紧急的。大部分是医学案例研究或基于自我报告。此外,很少有作者能够控制可能的混杂因素,包括其他身体暴力和现有的心理社会困难。因此,需要进一步的神经心理学研究,着重于认知和行为结果,使用标准化工具,并在可能的情况下使用对照组。鉴于绞杀的社会正常化和法律制度往往不能反映该行为的严重性及其后果,这是紧急的。和对照组。鉴于绞杀的社会正常化和法律制度往往不能反映该行为的严重性及其后果,这是紧急的。和对照组。鉴于绞杀的社会正常化和法律制度往往不能反映该行为的严重性及其后果,这是紧急的。