Offices of Diann M Ackard, PhD, LP, LLC, Golden Valley, MN, United States of America.
Department of Pediatrics, Division of General Pediatrics and Adolescent Health, University of Minnesota, Minneapolis, MN, United States of America.
Child Abuse Negl. 2024 Jan;147:106581. doi: 10.1016/j.chiabu.2023.106581. Epub 2023 Dec 14.
Teen dating violence (TDV) and exposure to intimate partner violence (eIPV) are associated with poorer mental health; however, few studies investigate verbal TDV or the independent contributions that TDV and eIPV have on mental health.
Examine the prevalence of TDV (verbal, physical, sexual, multiple forms) among youth, associations between TDV and mental health, and how eIPV affects these associations.
A school-based sample of 71,635 9th and 11th grade students (51.5% assigned female, 71.9% White) completed the anonymous 2019 Minnesota Student Survey, providing data on mental/emotional/behavioral (MEB) problems and treatment, depression and anxiety symptoms, non-suicidal self-injury, suicidal ideation/attempts, TDV, and eIPV.
Chi-square tests were used to compare the prevalence of mental health concerns by TDV form; logistic regression models controlled for demographic characteristics and eIPV. Interaction tests identified the multiplicative effects of eIPV and TDV on mental health.
TDV was reported by 36.4% of those with vs 13.6% of those without eIPV. Each type of TDV was significantly associated with adverse mental health (p's<0.001), even after adjusting for demographic variables and eIPV. The prevalence of each mental health outcome was significantly increased by eIPV for youth with no TDV (p's<0.001), verbal only (p's<0.001), sexual only (p's<0.05), and multiple forms of TDV (p's<0.001); findings for physical TDV varied.
Education on healthy, consensual dating relationships is critical, alongside regular screening for eIPV and TDV, referring affected youth for treatment. Further research on factors that attenuate the association between TDV and mental health is warranted.
青少年恋爱暴力（TDV）和亲密伴侣暴力（eIPV）暴露与心理健康较差有关；然而，很少有研究调查言语 TDV 或 TDV 和 eIPV 对心理健康的独立贡献。
检查青少年中 TDV（言语、身体、性、多种形式）的流行率、TDV 与心理健康之间的关联，以及 eIPV 如何影响这些关联。
一项基于学校的 71635 名 9 年级和 11 年级学生（51.5%为女性，71.9%为白人）完成了匿名的 2019 年明尼苏达州学生调查，提供了关于心理/情感/行为（MEB）问题和治疗、抑郁和焦虑症状、非自杀性自我伤害、自杀意念/企图、TDV 和 eIPV 的数据。
使用卡方检验比较有和无 eIPV 者的心理健康问题的流行率；逻辑回归模型控制了人口统计学特征和 eIPV。交互检验确定了 eIPV 和 TDV 对心理健康的相乘效应。
报告有 eIPV 的人中有 36.4%，而没有 eIPV 的人中有 13.6%。即使在调整了人口统计学变量和 eIPV 后，每种类型的 TDV 都与不良心理健康显著相关（p 值均<0.001）。对于没有 TDV 的青少年（p 值均<0.001）、仅言语 TDV（p 值均<0.001）、仅性 TDV（p 值<0.05）和多种形式的 TDV（p 值均<0.001），eIPV 显著增加了每种心理健康结果的发生率；而对于身体 TDV，发现则有所不同。
教育青少年建立健康、双方同意的恋爱关系至关重要，同时还需要定期筛查 eIPV 和 TDV，为受影响的青少年提供治疗。需要进一步研究减轻 TDV 与心理健康之间关联的因素。
