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Soc Psychiatry Psychiatr Epidemiol. 2015 Sep;50(9):1357-65. doi: 10.1007/s00127-015-1044-z. Epub 2015 Mar 14.

Psychiatric disorders prior to dating initiation and physical dating violence before age 21: findings from the National Comorbidity Survey Replication (NCS-R).

Author information

1
Division of Adolescent and Young Adult Medicine, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine, 3414 Fifth Avenue, CHOB Room 109, Pittsburgh, PA, 15213, USA. heather.mccauley@chp.edu.
2
RAND Corporation, 4570 Fifth Ave #600, Pittsburgh, PA, 15213, USA.
3
Department of Public Health Sciences, University of California, Davis, 1616 DaVinci, Davis, CA, 95618, USA.
4
Division of Adolescent and Young Adult Medicine, Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh School of Medicine, 3420 Fifth Avenue, Pittsburgh, PA, 15213, USA.

Abstract

PURPOSE:

Poor mental health is associated with teen dating violence (TDV), but whether there are specific types of psychiatric disorders that could be targeted with intervention to reduce TDV remains unknown.

METHODS:

Multivariable logistic regression models were used to assess the associations of psychiatric disorders that emerged prior to dating initiation with subsequent physical dating violence in a nationally representative sample from the National Comorbidity Survey Replication, adjusting statistically for adverse childhood experiences.

RESULTS:

In adjusted models, internalizing disorders (AOR 1.14, 95 % CI 1.04,1.25; no sex differences noted) and externalizing disorders (males: AOR 1.28, 95 % CI 1.10, 1.49; females: AOR 1.85, 95 % CI 1.55, 2.21) were associated with subsequent involvement in any physical dating violence victimization or perpetration before the age of 21. Those at greatest risk included girls with ADHD and a substance use disorder, in particular.

CONCLUSIONS:

The range of psychiatric disorders associated with TDV is broader than has generally been recognized for both boys and girls. Clinical and public health prevention programs should incorporate strategies for addressing multiple pathways through which poor mental health may put adolescents at risk for TDV.

KEYWORDS:

Adolescents; Adverse childhood experiences; Dating violence; Mental health

PMID:
25773524
PMCID:
PMC4569529
DOI:
10.1007/s00127-015-1044-z
[Indexed for MEDLINE]
Free PMC Article

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