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Erbiçer ES, Boranlı EN, Metin A, Erbiçer S, Şen S, Demirtaş ET, Espelage DL. Cyber Dating Violence Among Youth and Adolescents: A Systematic Review and Meta-Analysis. J Youth Adolesc 2025; 54:625-648. [PMID: 39283366 DOI: 10.1007/s10964-024-02082-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2024] [Accepted: 09/03/2024] [Indexed: 02/23/2025]
Abstract
Studies have shown that there are protective and risk factors related to cyber dating violence. However, the effect size of these factors is unclear. This study aims to clarify the effect size of the associations of protective and risk factors, as well as symptoms of mental health conditions, with cyber dating violence perpetration and victimization. Databases, including PubMed, Web of Science (WoS), ProQuest, Scopus, and EBSCOhost were searched to identify relevant studies. Forty-nine studies were included in the current study. Results revealed statistically significant and medium relationships between cyber dating violence perpetration and some risk factors, including offline dating violence perpetration-related factors (i.e., physical, psychological, sexual, relational, verbal/emotional, and threat) and offline dating violence victimization-related factors (i.e., physical and psychological); and small relationships with other risk factors (i.e., sexual offline dating violence victimization, attachment styles, and jealousy), protective factors (i.e., family support and emotional regulation), and mental health symptoms (i.e., depression, anxiety, and alcohol use). There was also statistically significant and robust relationship between cyber dating violence victimization and verbal/emotional offline dating violence victimization (i.e., risk factor); medium relationships with some risk factors, including offline dating violence perpetration-related factors (i.e., psychological and verbal/emotional) and offline dating violence victimization-related factors (i.e., physical, psychological, sexual, relational, and threat); small relationships with other risk factors (i.e., physical offline dating violence perpetration, attachment styles, childhood sexual abuse), protective factors (i.e., family support, emotional regulation, and self-esteem), and mental health symptoms (i.e., depression, anxiety, stress, alcohol use, and drug use). The study's results highlight risk and protective factors associated with cyber dating violence and demonstrate its association with mental health symptoms.
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Affiliation(s)
- Eyüp Sabır Erbiçer
- Department of Psychological Counseling and Guidance, Faculty of Education, Hacettepe University, Ankara, Türkiye.
| | - Ece Nur Boranlı
- Department of Psychological Counseling and Guidance, Faculty of Education, Osmangazi University, Eskişehir, Türkiye
| | - Ahmet Metin
- Department of Psychological Counseling and Guidance, Faculty of Education, Erciyes University, Kayseri, Türkiye
| | - Sinem Erbiçer
- Department of Psychological Counseling and Guidance, Faculty of Education, Hacettepe University, Ankara, Türkiye
| | - Sedat Şen
- Department of Educational Sciences, Faculty of Education, Harran University, Şanlıurfa, Türkiye
| | - Ezgi Toplu Demirtaş
- Department of Psychological Counseling and Guidance, MEF University, İstanbul, Türkiye
| | - Dorothy L Espelage
- University of North Carolina at Chapel Hill, School of Education, Chapel Hill, NC, USA
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Evans-Paulson R, Dodson CV, Scull TM. Critical media attitudes as a buffer against the harmful effects of pornography on beliefs about sexual and dating violence. SEX EDUCATION 2023; 24:799-815. [PMID: 39703665 PMCID: PMC11654991 DOI: 10.1080/14681811.2023.2241133] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/09/2023] [Accepted: 07/23/2023] [Indexed: 12/21/2024]
Abstract
Pornography often depicts traditional gender norms and aggression paired with sexual behaviour. Among adolescents, exposure to pornography is related to unhealthy beliefs about gender, sex and relationships. Critical thinking about media may reduce the internalisation of unhealthy messages in pornography. However, there is a dearth of research examining how critical media attitudes are protective for youth in early adolescence. Using a US sample of ninth and tenth grade students (n=558; M age=14; 53% female), this study examines how the relationship between frequency of pornography use and acceptance of traditional gender norms, dating violence and rape myths may be moderated by critical media attitudes. More frequent pornography use was related to greater acceptance of rape myths and gender norms, but only for adolescents who were less sceptical of media messages. For adolescents who were sceptical of media messages about sex, there was no relationship between pornography use and their acceptance of rape myths and gender norms. This study provides preliminary evidence of the protective influence that critical media attitudes may have on adolescents' sexual and relationship health. In our increasingly digital world, it is critical to provide early media literacy education as part of sexuality education to promote adolescents' health.
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Affiliation(s)
| | | | - Tracy M Scull
- Innovation Research & Training, Durham, North Carolina, USA
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Wang H, Wang J, Wei X, Lei L. Cyber Dating Abuse Victimization and Experiential Avoidance Among Chinese Female Adolescents: The Roles of Self-Compassion and Interpersonal Flexibility. JOURNAL OF INTERPERSONAL VIOLENCE 2023; 38:4416-4442. [PMID: 35924309 DOI: 10.1177/08862605221116316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/17/2023]
Abstract
Cyber dating abuse victimization (CDAV) among female adolescents is common and harmful; however, little is known regarding how CDAV relates to victims' experiential avoidance in the Chinese context. Drawing from general strain theory, this cross-sectional study investigated possible differences in the relationships among CDAV, experiential avoidance, and self-compassion according to female adolescents' levels of interpersonal flexibility (low vs. high). A sample of 420 female adolescents aged 13 to 17 years (mean age = 15.78 years) who had been in intimate relationships during the past year participated in a voluntary and anonymous paper-and-pencil survey. Participants completed four self-reported measures on CDAV experience, self-compassion, experiential avoidance, and interpersonal flexibility. The findings indicated that nearly 49% of participants had experienced CDAV in the last year; CDAV exposure was directly linked with experiential avoidance and indirectly related to experiential avoidance through self-compassion. Moderation analyses showed that the negative associations between CDAV and experiential avoidance and self-compassion were only significant among participants with low interpersonal flexibility. These findings deepen the understanding of CDAV as a risk factor for reduced self-compassion and increased experiential avoidance in female adolescents. However, high interpersonal flexibility is a potential protector. This study has implications for the prevention of experiential avoidance among female adolescents exposed to CDAV and supports incorporating self-compassion and interpersonal flexibility skills to combat the negative outcomes of CDAV.
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Affiliation(s)
| | - Jing Wang
- Renmin University of China, Beijing, China
| | - Xinyi Wei
- Renmin University of China, Beijing, China
| | - Li Lei
- Renmin University of China, Beijing, China
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Emezue CN, Dougherty DS, Enriquez M, Bullock L, Bloom TL. Perceptions of Risk for Dating Violence Among Rural Adolescent Males: An Interpretive Analysis. Am J Mens Health 2022; 16:15579883221126884. [PMID: 36305641 PMCID: PMC9619278 DOI: 10.1177/15579883221126884] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
About one in eight U.S. high school students in Grades 9 to 12 report experiencing teen dating violence (TDV) in the form of physical, sexual, or psychological dating violence in the past year in person, on school grounds, and online. Compared with their urban counterparts, rural teens face nearly double the rate of physical dating abuse and an elevated risk of experiencing multiple forms of violence. Rural young males are exposed to regional masculinities and gender norms that may simultaneously promote female subordination (a prelude to dating violence) while impeding help-seeking intentions. We used an interpretive and dialectical approach grounded in Relational Dialectics Theory to explore how rural young males perceive and describe their own risk of experiencing and perpetrating dating violence and the factors contributing to their help-seeking intentions and behaviors. Data from three focus groups and individual interviews with 27 rural young males (ages 15-24) were collated. We identified two central dialectical themes described as (a) Social Tension Dialectics (subthemes include: Abusive vs. Unhealthy Relationships: A Dialectic of Language; #MeToo vs. #WeToo: A Dialectic of Victimhood; "It's All Country Boys": A Dialectic of Masculinity) and (b) Help-Seeking Dialectics demonstrating the dual roles Religion, School Guidance Counselors, Peer Mentors, and Social Cohesion play in promoting or preventing dating violence. Overall, we found dialectic tensions in rural youth risk perceptions about dating violence. These findings bear implications for advocates and practitioners working with rural youth in planning developmentally and culturally appropriate TDV prevention programs, offering policy and research-relevant insight.
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Affiliation(s)
- Chuka Nestor Emezue
- Department of Women, Children and Family Nursing, College of Nursing, Rush University, Chicago, IL, USA,Chuka Nestor Emezue, Assistant Professor, Department of Women, Children and Family Nursing, College of Nursing, Rush University, 600 S. Paulina Street, Chicago, IL 60612-3801, USA.
| | - Debbie S. Dougherty
- College of Arts and Science Communication, University of Missouri, Columbia, MO, USA
| | - Maithe Enriquez
- Sinclair School of Nursing, University of Missouri, Columbia, MO, USA
| | - Linda Bullock
- Sinclair School of Nursing, University of Missouri, Columbia, MO, USA,School of Nursing, University of Virginia, Charlottesville, VA, USA
| | - Tina L. Bloom
- Women’s and Children’s Health, School of Nursing, Notre Dame of Maryland University, Baltimore, MD, USA
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López-Barranco PJ, Jiménez-Ruiz I, Leal-Costa C, Andina-Díaz E, López-Alonso AI, Jiménez-Barbero JA. Violence in Dating Relationships: Validation of the CADRI Questionnaire in a Young Adult Population. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11083. [PMID: 36078798 PMCID: PMC9518131 DOI: 10.3390/ijerph191711083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/15/2022] [Revised: 08/17/2022] [Accepted: 08/31/2022] [Indexed: 06/15/2023]
Abstract
UNLABELLED Dating violence in the young adult population is reaching alarming levels. However, the instruments used to measure it and their results are still heterogeneous. The main aim of this study was to validate the Conflict in Adolescent Dating Relationships Inventory questionnaire for a young adult Spanish university population aged between 19 and 25 years old, and to describe the types of violence perpetrated and suffered. MATERIAL AND METHODS Observational, descriptive, cross-sectional study. A validity analysis was carried out through a confirmatory factor analysis. The relative frequencies for each type of violence and the Chi2 test for two dichotomous variables were used to describe the different types of violence perpetrated and suffered. RESULTS The sample consisted of 976 young adults aged 19-25 years old (M = 21.7 years. SD = 1.8). The confirmatory factor analysis had an adequate structure and a good fit to the model. The types of violence perpetrated and suffered were described according to the sex of the participants, with significant differences found for verbal-emotional violence and physical violence exerted. CONCLUSIONS The confirmatory factor analysis allowed us to consider the application of the questionnaire to be correct for the study population.
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Affiliation(s)
| | | | | | - Elena Andina-Díaz
- Department of Nursing and Physiotherapy, University of León, 24071 León, Spain
| | - Ana I. López-Alonso
- Department of Nursing and Physiotherapy, University of León, 24071 León, Spain
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García-Carpintero-Muñoz MDLÁ, Tarriño-Concejero L, Gil-García E, Pórcel-Gálvez AM, Barrientos-Trigo S. Short version of the Multidimensional Scale of Dating Violence (MSDV 2.0) in Spanish-language: Instrument development and psychometric evaluation. J Adv Nurs 2022; 79:1610-1631. [PMID: 35608045 DOI: 10.1111/jan.15300] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Revised: 03/30/2022] [Accepted: 04/26/2022] [Indexed: 01/19/2023]
Abstract
AIMS To develop and psychometrically test the short version of the Multidimensional Scale of Dating Violence (MSDV 2.0) in Spanish-language to detect violence perpetrated and suffered in dating relationships. DESIGN A psychometric instrument development and validation study. METHODS A two-phase approach was used: Phase (1) the items of the original instrument were revised and new items related to online violence and sexual violence were incorporated. Content validation by a Delphi panel with 25 psychometric and dating violence experts were performed. Next, a face validity was performed in 32 students followed by a pilot study in another 74 participants. Phase (2) Psychometric validation, the instrument was tested in a sample of 1091 university students, analysing the psychometric properties based on construct validity and internal consistency. The study was conducted from September to November 2020 in the context of the Andalusian Public University System. RESULTS In phase (1) 42 items for each subscale (perpetration, victimization) were accepted by the Delphi panel, and acceptable values were obtained for the criteria of clarity, coherence, and relevance. In phase (2) the MSDV 2.0 showed acceptable psychometric properties. Confirmatory factor analysis showed a five-dimensional structure with 18 items for each subscale with excellent fit rates. Reliability analysis indicated adequate internal consistency (α = .879-.802) and correlations with the Depression, Anxiety, and Stress Scale (ρ = .418-.225) and the self-perceived health item (ρ = .380-.179), providing evidence of its convergent validity. Cut-off points were also calculated for each dimension, with their corresponding sensitivity and specificity, indicating to be a good instrument for detecting possible cases of dating violence. CONCLUSION The MSDV 2.0 is the only short instrument published to date that measures the dating violence suffered and perpetrated taking into account all its dimensions. Its use would serve as support in prevention programs and design of public policies. IMPACT The short version of the MSDV 2.0 could be a comprehensive enough instrument to enable a detection and evaluation of dating violence in the educational setting.
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Affiliation(s)
| | - Lorena Tarriño-Concejero
- Research Group PAIDI-CTS 1050 Complex Care, Chronicity and Health Outcomes, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain
| | - Eugenia Gil-García
- Research Group PAIDI-CTS 1050 Complex Care, Chronicity and Health Outcomes, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain
| | - Ana María Pórcel-Gálvez
- Research Group PAIDI-CTS 1050 Complex Care, Chronicity and Health Outcomes, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain
| | - Sergio Barrientos-Trigo
- Research Group PAIDI-CTS 1050 Complex Care, Chronicity and Health Outcomes, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Seville, Spain
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Sianko N, Kunkel D. Longitudinal Patterns in Adolescent Intentions to Seek Help for Dating Violence: A Latent Transition Analysis. J Youth Adolesc 2022; 51:673-693. [PMID: 35092550 DOI: 10.1007/s10964-022-01569-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2021] [Accepted: 01/01/2022] [Indexed: 10/19/2022]
Abstract
As a persistent public health problem affecting thousands of adolescents every year, teen dating violence has been studied extensively. However, gaps remain in the knowledge on what adolescents think about seeking help for violence in a dating relationship and how these attitudes might change over time. This study adopts a longitudinal person-oriented approach to explore configurations of help-seeking preferences in a sample of rural adolescents (N at wave 1 = 580, Mage = 13 years, SD = 1.48; 52.7% female; 46.6% African American, 39.4% White, 14% Hispanic and other minorities), surveyed annually for four years, with each assessment approximately 12 months apart. Latent class analyses uncovered variation in adolescents' willingness to disclose dating violence, captured by six groups: (a) Multi-help-seekers (19%), (b) Reluctant help-seekers (15%), (c) Selective help-seekers (16%), (d) Parent confidants (11%), (e) Friends confidants (22%), and (f) Moderate help-seekers (17%). Follow-up analyses revealed that select sociodemographic characteristics (age, gender, and family income) were unevenly distributed among the identified groups, pointing to the need to account for individual and contextual influences in understanding heterogeneity in help-seeking attitudes. Latent transition models further showed that although individual membership in latent classes was generally stable between middle and high school, transitions between help-seeking classes were common as well. The article concludes by discussing these findings in the context of further research and programming to promote help-seeking among developing adolescents, including targeted strategies to address the needs of adolescents who think differently about disclosing dating abuse.
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Affiliation(s)
- Natallia Sianko
- Department of Sociology, Anthropology & Criminal Justice, Clemson University, Clemson, SC, USA.
| | - Deborah Kunkel
- School of Mathematical and Statistical Sciences, Clemson University, Clemson, SC, USA
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Rey Anacona CA, Hernández Acosta NS, Moreno Méndez JH, Redondo Pacheco J, Hernández Cortés LM. Prevalence of Dating Violence in Adolescents of Five Colombian Cities. REVISTA COLOMBIANA DE PSICOLOGÍA 2022. [DOI: 10.15446/rcp.v31n1.86780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
The aim of this study was to examine the prevalence and frequency of perpetration and victimization of different types of dating violence (DV), among adolescents from 13 to 19 years old in five capital cities of Colombia (Bogotá, Bucaramanga, Ibagué, Tunja, and Yopal), making comparisons by sex. The Spanish version of the Conflict in Adolescent Dating Relationships Inventory was used and various statistical analyses, including the one-way MANOVA, were performed. The results show a high prevalence of DV, particularly verbal/emotional and bi-directional (almost 90 % of the participants), pointing out that sex could have a statistically significant effect on the prevalence of the different types of DV, being higher the proportion of men who perpetrated sexual violence and higher the proportion of women who perpetrated verbal/emotional and physical violence. These results indicate the need to continue investigating the phenomenon in Colombia, to carry out different prevention campaigns that are sensitive to differences by sex in prevalence.
How to cite this article: Rey-Anacona, C. A., Hernández Acosta, N. S., Moreno Méndez, J. H., Redondo Pacheco, J., & Hernández Cortés, L. M. (2021). Prevalence of dating violence in adolescents of five Colombian cities. Revista Colombiana de Psicología, 31 (1), 93-107. https://doi.org/10.15446/rcp.v31n1.86780
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Emezue CN, Enriquez M, Dougherty DS, Bullock LFC, Bloom TL. Rural young males' acceptance & receptiveness to technology-based interventions for dating violence prevention: A qualitative descriptive study. J Adolesc 2021; 92:137-151. [PMID: 34530185 DOI: 10.1016/j.adolescence.2021.08.012] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Revised: 08/19/2021] [Accepted: 08/24/2021] [Indexed: 12/28/2022]
Abstract
INTRODUCTION Rural youth are twice as likely as urban youth to experience some forms of teen dating violence (TDV), and significant barriers to accessing support services for physical, psychological, sexual violence. However, rural youth remain understudied and undersampled. Rural young men, in particular, are at risk for experiencing or perpetrating dating violence influenced by regional and sociocultural risk factors that promote male supremacy ideals while also impeding male help-seeking. Technology-based interventions circumvent some of these risk factors by offering confidential and reliable support. This study investigates rural young males' acceptability of technology-based interventions for fostering healthy relationships and preventing dating abuse, including their preferences for intervention content and features. METHODS Three online focus groups (n = 14) and phone interviews (n = 13) were conducted with rural young males. Participants were stratified by age (15-17 and 18-24 year-olds). Most were White (81%) from the United States Midwest (65%). Semi-structured interview data were analyzed using Qualitative Description (QD), guided by the Unified Theory of Acceptance and Use of Technology (UTAUT). RESULTS Three themes identified were (1) Scarcity of Useful Resources, (2) Socio-Structural Challenges for Intervention Uptake, with two subthemes (2a) Rural-Specific Structural Barriers and (2b) Rural Masculinity Disrupting Help-seeking; (3) Finally, participants discussed Functionality and Design Needs, itemizing their intervention "must-have" in terms of content, resources, and features. CONCLUSION This qualitative study identified obstacles and facilitators to using technology-based interventions for dating violence prevention among young rural males and offers pragmatic "ready-to-use" recommendations for the development of technology-based anti-dating violence interventions for rural youth.
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Affiliation(s)
- Chuka N Emezue
- Rush University College of Nursing, Department of Women, Children and Family Nursing Chicago, IL, USA.
| | - Maithe Enriquez
- Sinclair School of Nursing, University of Missouri-Columbia, Missouri, USA.
| | - Debbie S Dougherty
- College of Arts and Science Communication, University of Missouri-Columbia, Missouri, USA.
| | - Linda F C Bullock
- Sinclair School of Nursing, University of Missouri-Columbia, Missouri, USA.
| | - Tina L Bloom
- School of Nursing, Notre Dame of Maryland University, Baltimore, MD, USA.
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Mazza M, Marano G, del Castillo AG, Chieffo D, Monti L, Janiri D, Moccia L, Sani G. Intimate partner violence: A loop of abuse, depression and victimization. World J Psychiatry 2021; 11:215-221. [PMID: 34168968 PMCID: PMC8209536 DOI: 10.5498/wjp.v11.i6.215] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/31/2020] [Revised: 04/25/2021] [Accepted: 05/17/2021] [Indexed: 02/06/2023] Open
Abstract
Intimate partner violence has been recognized as a serious public health issue. Exposure to violence contributes to the genesis of, and exacerbates, mental health conditions, and existing mental health problems increase vulnerability to partner violence, a loop that imprisons victims and perpetuates the abuse. A recently described phenomenon is when male violence against females occurs within intimate relationships during youth, and it is termed adolescent or teen dating violence. In this narrative review, factors associated with intimate partner violence and consequences of exposure of children to parental domestic violence are discussed, along with possible intensification of violence against women with the spread of coronavirus disease 2019 pandemic and subsequent lockdown. Intervention programs with a multicomponent approach involving many health care settings and research have a pivotal role in developing additional strategies for addressing violence and to provide tailored interventions to victims. Prevention policy with a particular attention on healthy child and adolescent development is mandatory in the struggle against all forms of violence.
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Affiliation(s)
- Marianna Mazza
- Department of Neurosciences, Section of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome 00168, Italy
| | - Giuseppe Marano
- Department of Neurosciences, Section of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome 00168, Italy
| | - Angela Gonsalez del Castillo
- Service of Clinical Psychology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome 00168, Italy
| | - Daniela Chieffo
- Service of Clinical Psychology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome 00168, Italy
| | - Laura Monti
- Service of Clinical Psychology, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome 00168, Italy
| | - Delfina Janiri
- Department of Neurosciences, Section of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome 00168, Italy
| | - Lorenzo Moccia
- Department of Neurosciences, Section of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome 00168, Italy
| | - Gabriele Sani
- Department of Neurosciences, Section of Psychiatry, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome 00168, Italy
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