title: Psychiatric disorders prior to dating initiation and physical dating violence before age 21: findings from the National Comorbidity Survey Replication (NCS-R).
abstract: OBJECTIVE
  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.
authors.affiliation: 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.mccauley@chp.edu.
authors.forename: Heather L
authors.initials: HL
authors.lastname: McCauley
authors.affiliation: RAND Corporation, 4570 Fifth Ave #600, Pittsburgh, PA, 15213, USA.
authors.forename: Joshua A
authors.initials: JA
authors.lastname: Breslau
authors.affiliation: Department of Public Health Sciences, University of California, Davis, 1616 DaVinci, Davis, CA, 95618, USA.
authors.forename: Naomi
authors.initials: N
authors.lastname: Saito
authors.affiliation: 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.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Miller
mesh_terms: D000293:Adolescent; D001289:Attention Deficit Disorder with Hyperactivity / Q000453:epidemiology; D015897:Comorbidity; D019548:Crime Victims / Q000706:statistics & numerical data; D005260:Female; D006306:Health Surveys; D006801:Humans; D007398:Interpersonal Relations; D000066511:Intimate Partner Violence / Q000523:psychology* / Q000706:statistics & numerical data*; D016015:Logistic Models; D008297:Male; D011618:Psychotic Disorders / Q000453:epidemiology* / Q000523:psychology*; D018570:Risk Assessment; D019966:Substance-Related Disorders / Q000453:epidemiology; D014481:United States / Q000453:epidemiology; D055815:Young Adult
keywords: Adolescents; Adverse childhood experiences; Dating violence; Mental health