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

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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.

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Acknowledgments

This work was supported by NIH/ORWH Building Interdisciplinary Research Careers in Women’s Health (BIRCWH) K12HD043441 scholar funds to McCauley.

Conflicts of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Author information

Authors and Affiliations

  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 L. McCauley

  2. RAND Corporation, 4570 Fifth Ave #600, Pittsburgh, PA, 15213, USA

    Joshua A. Breslau

  3. Department of Public Health Sciences, University of California, Davis, 1616 DaVinci, Davis, CA, 95618, USA

    Naomi Saito

  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

    Elizabeth Miller

Authors
  1. Heather L. McCauley
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  2. Joshua A. Breslau
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  3. Naomi Saito
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  4. Elizabeth Miller
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Corresponding author

Correspondence to Heather L. McCauley.

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McCauley, H.L., Breslau, J.A., Saito, N. et al. Psychiatric disorders prior to dating initiation and physical dating violence before age 21: findings from the National Comorbidity Survey Replication (NCS-R). Soc Psychiatry Psychiatr Epidemiol 50, 1357–1365 (2015). https://doi.org/10.1007/s00127-015-1044-z

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  • DOI: https://doi.org/10.1007/s00127-015-1044-z

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