The presence of dating violence victimization as well as its relation to psychiatric diagnosis and cognitive processes was examined in a sample of 155 adolescents hospitalized in a psychiatric facility. Participants and their parents completed semi-structured diagnostic interviews. Participants also completed self-report measures of dating violence victimization and cognitive functioning. Seventy-seven percent of adolescents who had initiated dating reported psychological, physical, and/ or sexual abuse by a dating partner over the past year. Victims of psychological abuse alone as well as physical and/or sexual violence endorsed higher rates of major depressive disorder compared to non-victims. Physical/sexual dating violence victims also endorsed significantly higher rates of PTSD and alcohol use disorders, more frequent co-occurrence of externalizing and internalizing disorders, and more frequent negative cognitive biases, relative to non-victimized adolescents. Findings suggest that psychiatrically hospitalized adolescents with dating violence histories represent a subgroup of adolescent inpatients with a particularly serious clinical picture.
KeywordsDating Violence; Adolescents; Psychiatric Disorders Adolescent dating violence has increasingly become the focus of clinical and research attention during the past two decades. The emerging picture is that it is highly prevalent, associated with negative psychological consequences, and represents a major public health problem. To date, the research that has been conducted on dating violence victimization has predominantly focused on community samples of youth. Rates of victimization among psychiatrically hospitalized adolescents, a group known to have high rates of a range of adversities (Cohen et al., 1996;Hart, Mader, Griffith, & deMendonea, 1989) (Howard & Wang, 2003a,b), suicidality (Ackard et al., 2007;Ackard & Neumark-Sztainer, 2002; Howard & Wang, 2003a,b;Olshen, McVeigh, Wunsch-Hitzig, & Vaughn, 2007;Silverman, Raj, Mucci, & Hathaway, 2001), internalizing and externalizing behaviors (Davila, Steinberg, Kachadourian, Cobb, & Fincham 2004;Zimmer-Gembeck, Siebenbruner, & Collins, 2001), and substance use (Buzy et al., 2004;Silverman et al., 2001) among community based and epidemiologic samples. Only a few empirical studies have systematically investigated the relation between this type of violence and rates of DSM-IV based mental health disorders using well validated diagnostic interviews. One longitudinal community based investigation revealed that young womens' abusive relationships during adolescence increased risk for major depressive disorder, posttraumatic stress disorder (PTSD), and substance dependence at age 26, even when controlling for these disorders at age 18 (Ehrensaft, Moffitt, & Caspi, 2006). In a national epidemiologic sample of adolescents, dating violence victimization was associated with posttraumatic stress disorder and major depressive episodes after controlling for demographic variables, other traumatic stressors, and stress...