Psychiatric disorders prior to dating initiation and physical dating violence before age 21: findings from the National Comorbidity Survey Replication (NCS-R)

McCauley, H. L.,
Breslau, J. A.,
Saito, N.,
Miller, E.
Published: Electronically published in March, 2015
(a more recently published version of this article may be available)
Journal Article
Journal Name: 
Social Psychiatry and Psychiatric Epidemiology

Poor mental health is associated with teen dating violence (TDV), but little is known about whether there are specific types of psychiatric disorders that could be targeted with intervention to reduce TDV. These authors used data from a nationally representative sample in the National Comorbidity Survey to assess the associations between psychiatric disorders that emerged prior to dating initiation and subsequent physical dating violence. In multivariable logistic regression models adjusted for adverse childhood experiences, both internalizing and externalizing disorders were associated with subsequent involvement in physical dating violence victimization or perpetration before age 21. Prevalence of violence was highest among those with a substance use disorder, but was also elevated among those with disruptive behaviors and those with ADHD. Results suggest that the range of psychiatric disorders associated with TDV is broader than has generally been recognized for both boys and girls. Modified Author Abstract.

Correspondence to: Heather L. McCauley, 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; E-mail:, Website:
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