title: Mental health correlates of the victim-perpetrator relationship among interpersonally victimized adolescents.
abstract: This research examines mental health correlates of different victim-perpetrator relationships among adolescent victims of interpersonal violence. A large and nationally representative sample of adolescents (N = 4,023) responded to structured telephone interviews concerning mental health functioning (posttraumatic stress disorder-PTSD, major depressive disorder, substance abuse/dependence, and delinquency). Those reporting histories of sexual (n = 321) and/or physical (n = 688) assault were queried about specific aspects of their assaults, including their relationship with the perpetrator. After controlling for demographic and assault-related risk factors, the victim-perpetrator relationship remained a significant risk factor for mental health problems. Adolescents sexually assaulted by nonstrangers were at increased risk for PTSD; those sexually assaulted by acquaintances or people they did not know well were at increased risk for delinquency. Adolescents who were physically assaulted by a family member were at increased risk for PTSD. Explanations for the findings and the need for consistent assessment methods across related studies are discussed.
authors.affiliation: Medical University of South Carolina, USA. lawystev@isu.edu
authors.forename: Steven R
authors.initials: SR
authors.lastname: Lawyer
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Ruggiero
authors.forename: Heidi S
authors.initials: HS
authors.lastname: Resnick
authors.forename: Dean G
authors.initials: DG
authors.lastname: Kilpatrick
authors.forename: Benjamin E
authors.initials: BE
authors.lastname: Saunders
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D003068:Coercion; D015897:Comorbidity; D019548:Crime Victims / Q000523:psychology / Q000706:statistics & numerical data*; D003863:Depression / Q000453:epidemiology; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D007604:Juvenile Delinquency / Q000706:statistics & numerical data; D008297:Male; D008603:Mental Health; D012044:Regression Analysis; D012307:Risk Factors; D012931:Social Environment; D013179:Spouse Abuse / Q000523:psychology / Q000706:statistics & numerical data*; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology; D019966:Substance-Related Disorders / Q000453:epidemiology; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology