NEWS Mental Health News Sexual Assault May Increase Risk of Cognitive Decline, Study Suggests By Krystal Jagoo Krystal Jagoo Krystal Kavita Jagoo is a social worker, committed to anti-oppressive practice, who has worked for three academic institutions across Canada. Her essay, “Inclusive Reproductive Justice,” was in the Reproductive Justice Briefing Book. Learn about our editorial process Updated on October 19, 2021 Fact checked Verywell Mind content is rigorously reviewed by a team of qualified and experienced fact checkers. Fact checkers review articles for factual accuracy, relevance, and timeliness. We rely on the most current and reputable sources, which are cited in the text and listed at the bottom of each article. Content is fact checked after it has been edited and before publication. Learn more. by Aaron Johnson Fact checked by Aaron Johnson Aaron Johnson is a fact checker and expert on qualitative research design and methodology. Learn about our editorial process Share Tweet Email Print Rafa Elias / Getty Images Key Takeaways A new study found that traumatic experiences were associated with white matter hyperintensities (WMHs), which are early markers for dementia.Of all the traumatic events reported, sexual assault was the most significantly related to WMHs.23% of participants reported sexual assault, which was the most reported traumatic experience. According to the Centers for Disease Control and Prevention (CDC), more than 1 in 3 women report sexual assault. A study published in Brain Imaging and Behavior found that sexual trauma may negatively impact the health of a woman's brain. This research found that traumatic experiences were linked with white matter hyperintensities (WMHs), which are lesions in the brain that show up in brain scans and might be an early marker for dementia. Sexual assault was the most reported traumatic experience, at 23%, and the most significantly related to WMHs. As factors that increase the risk for dementia are better understood, public health efforts can further target intervention programs to address them. Possible Link Between Dementia and Sexual Assault The study was conducted with 145 women regarding traumatic events and looked at white matter hyperintensities (WMHs). Researchers found that 68% of participants reported at least one trauma, with sexual assault being the most reported trauma, at a rate of 23%. Results showed that participants with trauma exposure had more WMHs than those without trauma, and the trauma most associated with WMHs was sexual assault, which may be an early marker for dementia. While this research is the first to highlight the link between traumatic experiences and greater WMHs, which may suggest poorer brain health, a limitation of this study is that it only included a sample of women, so it cannot be generalized to other genders. Sexual Assault: PTSD and Other Effects Women Deserve Safety from Trauma Licensed clinical psychologist, and co-founder and director of the Center for Cognitive Behavioral Therapy and Mindfulness, Suraji Wagage, PhD, JD, says, "This finding is meaningful in that, while it does not prove a causal relationship, that experiencing sexual assault causes poor brain health, it demonstrates an association that may turn out to be causal. This underscores both the severity and uniqueness of sexual assault." Wagage explains that therapists who treat trauma are familiar with the fact that sexual trauma is different from other types of trauma in the degree to which it may affect survivors. "It is an incredibly personal, painful violation that often shatters some of our most deeply held beliefs about other people and the world and our safety and ability to trust others," she says. Suraji Wagage, PhD, JD As a society, we have a tendency to minimize psychological harms compared to physical harms and to treat psychological injury as something one should just get over... — Suraji Wagage, PhD, JD This study demonstrates the need to take sexual assault seriously as a risk to mental and physical health. Wagage explains, "As a society, we have a tendency to minimize psychological harms compared to physical harms and to treat psychological injury as something one should just get over, and we also have a tendency to minimize harms that primarily affect women." As an example, Wagage references the criticism of Simone Biles for stepping away from the Olympics for psychological reasons, as she questions whether she would have been criticized had it been due to a physical injury. "We draw sharp distinctions between mind and body, when in fact they are intertwined. Psychological health deeply affects physical health," she says. Wagage explains. "Whether we as a society consider sexual assault a serious harm matters a great deal: it affects the ways we raise our children, the laws surrounding sexual assault, the ways we treat survivors of sexual assault, the money we spend on resources for survivors and research, etc." Women May Have Faster Cognitive Decline in Old Age Trauma Can Impact Brain Health Psychiatrist and regional medical director for Community Psychiatry + MindPath Care Centers, Leela R. Magavi, MD, says, "We require more data to understand how disparate forms of trauma can affect individuals’ brains." Magavi explains, "Although women with cardiovascular disease, stroke, or dementia were excluded from this study, it is important for readers to acknowledge that other factors such as brain tumors, vitamin deficiencies, infections, migraines, autoimmune diseases, and demyelinating diseases can be linked to white matter hyperintensities." In terms of impacts, Magavi highlights how individuals who have endured trauma tend to experience difficulty with processing speed, working memory, and productivity. "Further research could help physicians better diagnose and treat short-term and long-term cognitive changes observed in individuals with posttraumatic stress disorder," she says. Leela R. Magavi, MD We need more research to differentiate neurological changes based on whether an individual experienced trauma during childhood versus adulthood. — Leela R. Magavi, MD Magavi explains, "An individual’s age at the time of trauma is extremely important. We need more research to differentiate neurological changes based on whether an individual experienced trauma during childhood versus adulthood. It would also be important to ascertain how different traumatic experiences such as neglect, emotional abuse, physical abuse, and sexual abuse can independently affect the brain." Trauma can affect individuals in countless ways secondary to neurological changes, as Magavi highlights how it may trigger or exacerbate self-esteem concerns, anxiety, and depression. "Individuals who have endured any form of neglect or abuse are prone to self-gaslighting where they dismiss their emotional responses to situations and contend that they are simply being too sensitive and dramatic," she says. Magavi explains, "Chronic exposure to trauma and stress could lead to substance use, depression, and various anxiety disorders inclusive of posttraumatic stress disorder. The ability to better link these clinical changes with concurrent neurological changes can change the way we practice medicine and help our patients." What This Means For You As research demonstrates, traumatic sexual events may place women at greater risk of poor brain health. Given the high rate of sexual assault in the US, further efforts need to be made to protect individuals from such harm. In particular, marginalized genders deserve safety from trauma, especially due to potential lasting cognitive impacts. First Three Months Critical for Sexual Assault Survivors With PTSD 5 Sources Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Thurston R, Jakubowski K, Wu M et al. Sexual assault and white matter hyperintensities among midlife women. Brain Imaging Behav. 2021. doi:10.1007/s11682-021-00536-2 Zucchella C, Sinforiani E, Tamburin S, et al. The multidisciplinary approach to Alzheimer’s disease and dementia. A Narrative review of non-pharmacological treatment. Frontiers in Neurology. 2018;9. doi:10.3389/fneur.2018.01058 Dworkin ER, Menon SV, Bystrynski J, Allen NE. Sexual assault victimization and psychopathology: A review and meta-analysis. Clinical Psychology Review. 2017;56. doi:10.1016/j.cpr.2017.06.002 Wrocklage KM, Schweinsburg BC, Krystal JH, et al. Neuropsychological functioning in veterans with posttraumatic stress disorder: Associations with performance validity, comorbidities, and functional outcomes. Journal of the International Neuropsychological Society. 2016;22(4). doi:10.1017/s1355617716000059 Ekinci S, Kandemir H. Childhood trauma in the lives of substance-dependent patients: The relationship between depression, anxiety and self-esteem. Nordic Journal of Psychiatry. 2014;69(4). doi:10.3109/08039488.2014.981856 By Krystal Jagoo Krystal Kavita Jagoo is a social worker, committed to anti-oppressive practice. See Our Editorial Process Meet Our Review Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? 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