University of Calgary, AB, Canada.
Trauma Violence Abuse. 2024 Dec;25(5):3938-3950. doi: 10.1177/15248380241265384. Epub 2024 Jul 30.
Adolescent dating violence (ADV) is a pervasive public health issue associated with numerous social, psychological, and physical health consequences. Thus, programs are often implemented to prevent ADV and promote healthy relationships. Although there is a growing body of literature on primary ADV prevention strategies (i.e., prevention), little is known about secondary (e.g., early intervention) and tertiary (e.g., manage and reduce impact once occurring) ADV prevention approaches. This systematic review, guided by Cochrane Review methodology, summarizes available evidence on secondary and tertiary ADV preventive interventions. The search had no date restriction and was conducted in eight databases in November 2022. Studies published in English and/or Spanish were included if they described the development, implementation, and/or evaluation of a secondary and/or tertiary preventive intervention for ADV. After screening the titles and abstracts of 3,645 articles, 31 articles were included in this study, reporting on 14 secondary, 3 primary/secondary, 6 secondary/tertiary, and 1 tertiary ADV preventive intervention. The included studies highlighted that available secondary ADV prevention strategies are quite effective in preventing ADV victimization and perpetration, and that the effects may be strongest for teens with a higher risk of being involved in an abusive relationship. The only included study that reported on a tertiary intervention was a program development study. Based on the lack of tertiary prevention strategies available for ADV, clinical interventions focusing on treating and reducing negative consequences after ADV are needed.
青少年约会暴力（ADV）是一个普遍存在的公共卫生问题，与许多社会、心理和身体健康后果有关。因此，经常实施各种项目来预防 ADV 和促进健康的人际关系。尽管关于初级 ADV 预防策略（即预防）的文献越来越多，但对二级（例如早期干预）和三级（例如管理和减少发生后的影响）ADV 预防方法知之甚少。本系统评价以 Cochrane 综述方法为指导，总结了关于二级和三级 ADV 预防干预措施的现有证据。该搜索没有日期限制，于 2022 年 11 月在八个数据库中进行。如果研究描述了 ADV 的二级和/或三级预防干预措施的开发、实施和/或评估，则纳入了以英文和/或西班牙文发表的研究。在筛选了 3645 篇文章的标题和摘要后，本研究纳入了 31 篇文章，其中报告了 14 项二级、3 项一级/二级、6 项二级/三级和 1 项三级 ADV 预防干预措施。纳入的研究强调，现有的二级 ADV 预防策略在预防 ADV 受害和施暴方面非常有效，并且对于那些更有可能卷入虐待关系的青少年来说，效果可能最强。唯一报告三级干预的纳入研究是一个方案开发研究。鉴于 ADV 的三级预防策略有限，需要针对 ADV 后治疗和减少负面影响的临床干预措施。
