Collibee Charlene, Rizzo Christie J, Kemp Kathleen, Hood Erik, Doucette Hannah, Gittins Stone Daniel I, DeJesus Brett
Brown University, Providence, RI, USA.
Rhode Island Hospital, Providence, RI, USA.
J Interpers Violence. 2021 Mar;36(5-6):NP3061-NP3079. doi: 10.1177/0886260518770189. Epub 2018 Apr 19.
Few dating violence prevention programs assess how variations in initial violence risk affects responsiveness. This study examines the efficacy of Date SMART, a dating violence and sexual risk prevention program designed to target high-risk adolescent girls, in preventing dating violence in the context of varying initial levels of depressive symptoms. A diverse sample of = 109 female adolescents with a history of physical dating violence participated in a randomized controlled trial of the Date SMART program and a knowledge only (KO) comparison. Using baseline depression level as a primary risk factor, a series of multilevel models revealed significant main effects of baseline depression such that higher baseline depression was associated with greater physical dating violence perpetration and victimization. Results also showed a three-way interaction for assessment point, depressive symptoms, and condition for physical dating violence perpetration. Specifically, those with higher baseline depression in Date SMART showed significantly less physical dating violence perpetration at follow-ups compared with those with higher baseline depression in the KO group. This difference in violence reduction between conditions was not observed for those with lower baseline depression. Date SMART appears to effectively reduce physical dating violence perpetration in those with higher levels of initial risk. Current findings support that adolescents with different risk profiles respond differently to violence prevention programs.
很少有约会暴力预防项目评估初始暴力风险的差异如何影响应对效果。本研究考察了“聪明约会”（Date SMART）项目在不同初始抑郁症状水平背景下预防约会暴力的效果，该项目是一项针对高危青春期女孩的约会暴力和性风险预防项目。109名有身体约会暴力史的女性青少年组成的多样化样本参与了“聪明约会”项目的随机对照试验以及仅提供知识（KO）的对照试验。以基线抑郁水平作为主要风险因素，一系列多层次模型显示基线抑郁有显著的主效应，即较高的基线抑郁与更多的身体约会暴力实施及受害情况相关。结果还显示了评估时间点、抑郁症状和身体约会暴力实施情况的条件之间的三向交互作用。具体而言，与KO组中基线抑郁水平较高的人相比，“聪明约会”项目中基线抑郁水平较高的人在随访时身体约会暴力的实施显著减少。对于基线抑郁水平较低的人，未观察到不同条件下在暴力减少方面的这种差异。“聪明约会”项目似乎能有效减少初始风险较高者的身体约会暴力实施情况。当前研究结果支持不同风险状况的青少年对暴力预防项目的反应不同。
