Prevalence and Correlates of the Perpetration of Cyber Dating Abuse among Early Adolescents

Cyber Dating Violence Among Youth and Adolescents: A Systematic Review and Meta-Analysis

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.

Cyber Dating Violence: How Is It Perceived in Early Adolescence?

BACKGROUND

Reports on cyber dating violence in adolescent populations vary significantly depending on whether the focus is on directly aggressive behaviours or behaviours designed to control one's partner. In contrast to direct aggression, which is often clearly identified by adolescents, there is a greater degree of ignorance, and even a certain degree of normalisation, of controlling behaviours. Such behaviours may include, for example, insisting on knowing the whereabouts of a partner at all times or sharing social media passwords. This study aims to explore adolescent perceptions of cyber dating violence and to identify the differential characteristics of cyber-violent relationships using the Iramuteq software program for text analysis.

METHODS

Participants were 466 second- and third-year secondary school students. Data were collected through surveys, and responses were analysed using the Iramuteq program. This software tool enabled the identification of common terms and themes linked to cyber dating violence, as perceived by participating adolescents.

RESULTS

The analyses revealed the repeated appearance of terms associated with violent behaviours, online media, toxic relationships, and victim coercion. However, there was a notable lack of recognition of controlling behaviours as a manifestation of cyber dating violence. Adolescents frequently normalised behaviours such as insisting on knowing a partner's whereabouts at all times or sharing social media passwords.

CONCLUSIONS

The findings suggest a significant gap in adolescents' understanding of what constitutes cyber dating violence. In contrast to direct aggression, which is easily identified, controlling behaviours are often normalised, indicating a need for educational and preventive measures to address this issue. By improving adolescents' understanding of controlling behaviours as a form of cyber dating violence, preventive efforts can be more effectively tailored to address and mitigate this problem. To prevent the normalisation of certain behaviours indicative of cyber dating violence, early education is recommended in areas such as healthy relationships, communication skills, respect for privacy, and recognition of signs of excessive control.

Is Adolescents' Cyber Dating Violence Perpetration Related to Problematic Pornography Use? The Moderating Role of Hostile Sexism

Intimate partner violence is an important public health problem. Cyber dating violence (CDV) is a form of intimate partner violence perpetrated within a dating relationship via new communication technologies. This study investigated the moderating roles of hostile and benevolent sexism in the relationship between problematic pornography use and CDV perpetration. The Cyber Pornography Use Inventory, the Cyber Dating Violence Inventory, and the Ambivalent Sexism Inventory were completed by 421 Italian adolescents (M = 16.53; females = 63.7%). Results indicated that problematic pornography use was positively related to CDV perpetration. In addition, the relationship between problematic pornography use and CDV perpetration was found to be moderated by hostile sexism. In participants with low levels of hostile sexism, the relationship between problematic pornography use and CDV perpetration was not significant. Conversely, in those with high levels of hostile sexism, this relationship was stronger and significant. Benevolent sexism was not found to be a moderator in the relationship between problematic pornography use and CDV perpetration. Thus, hostile sexism could be a risk factor for the relationship between adolescents' problematic pornography use and their engagement in CDV. Conversely, low levels of hostile sexism could be a protective factor.

Risk and Protective Factors for the Sexual and Reproductive Health of Young Adolescents: Lessons Learnt in the Past Decade and Research Priorities Moving Forward

PURPOSE

To review the published literature on what has been reported on risk and protective factors for early adolescent sexual and reproductive health (SRH) in the recent decade.

METHODS

A scoping review of English language, peer-reviewed literature on risk and protective factors for early adolescent (aged 10-14 years) SRH published between January 2010 and January 2023 using Medline, Web of Science, PsycInfo, CINAHL, and Google Scholar. Articles reporting only on nonmodifiable demographic factors, or on the effect of interventions, were beyond the scope of this review.

RESULTS

Of 11,956 screened records, 118 were included of which half (49.2%) were published since 2018. Most articles (44.9%) presented research conducted in North America, followed by sub-Saharan Africa (20.3%) and East Asia and Pacific (16.1%). Five percent were based on multicountry studies or reported on pooled global data. Two-thirds (61.0%) reported on quantitative cross-sectional research designs, and 78.8% included both females and males. The most common SRH outcomes were sexual behaviors (34.7%); sexual and dating violence (28.8%); and sexual attitudes, beliefs, and intentions (19.5%). Most (83.0%) articles reported on risk/protective factors at the individual level, followed by interpersonal (family 58.5%, peers 33.0%, partners 11.9%), school (21.2%), and community (15.2%) factors. None of the included articles reported on macro/structural-level factors.

DISCUSSION

While there has been growing attention to risk/protective factors for early adolescent SRH, gaps remain with regards to study contexts (mainly North America), focus (mostly individual factors), and conceptualizations (generally risk-oriented). We offer recommendations for research priorities over the coming decade.

Adolescents' Experiences of Cyber-Dating Abuse and the Pattern of Abuse Through Technology, A Scoping Review

While the proliferation of online social platforms has become a significant part of virtual interactions between intimate partners, digital technology has also created the conditions for increased control and abuse, which is known as "cyber-dating abuse," a technology-facilitated form of intimate partner violence. This paper reports a scoping review of qualitative studies to explore the patterns, nature, and consequences of cyber-dating abuse among young people and how digital technology influences dating abuse. Several databases were searched to find relevant papers, including EBSCOhost, Scopus, SocINDEX, ProQuest, Taylor and Francis Online, PubMed, and Google Scholar. All peer-reviewed papers that used qualitative and mixed methods exploring cyber-dating abuse since 2010 were scanned, and 23 papers were included in this scoping review. Thematic analysis was employed to analyze the data. Findings showed that online platforms and digital technology have potentially exacerbated the monitoring, control, and surveillance of young women, often by young men. This scoping review also found a mixed report of gender-based victimization in relation to cyber-dating abuse; however, girls were more likely to face severe and negative consequences compared to boys. Gender-based societal norms and associated behavioral and social factors may increase the risk of cyber-dating abuse among young women. The scoping review reinforces the importance and value of preventative and early identification strategies in young people's school-based education, with a sharp focus on violence and abuse in the online space, respectful relationships, and informed consent in intimate relationships.

Longitudinal Effects of Electronic Dating Violence on Depressive Symptoms and Delinquent Behaviors Across Adolescence

Depressive symptoms and delinquent behaviors that emerge during adolescence pose both short- and long-term negative outcomes. Though there is growing evidence that exposure to teen dating violence is also associated with a greater likelihood of depressive symptoms and delinquent behaviors such as engaging in peer violence and substance use, less is known about the effects of specific forms of electronic dating violence (i.e., electronic harassment, electronic coercion, and electronic monitoring) across adolescence on depressive symptoms and delinquent behaviors. Data were drawn from a 4-year prospective longitudinal study of two cohorts of youth followed from age 12 to 15 (n = 526, 52% female) and age 15 to 18 (n = 592, 53% female). Two mixed-effects models (stratified by cohort) were employed to evaluate depressive symptoms and delinquent behavior outcomes by exposure to electronic harassment, electronic coercion, and electronic monitoring, while accounting for verbal dating violence, physical dating violence, sexual dating violence, exposure to threat-based adverse childhood experiences, exposure to deprivation-based adverse childhood experiences, and gender across all four waves of data collection. Higher exposure to electronic sexual coercion was predictive of increased depression (β = .015, p = .018). Increased exposure to electronic sexual coercion (β = .007, p = .004) and electronic monitoring (β = .008, p = .045) were both predictive of more delinquency across adolescence. By delineating the effects of in-person verbal, physical, and sexual dating violence with unique electronic domains, we found unique additional risk from domains of electronic dating violence, which was particularly pronounced for youth who reported electronic sexual coercion. Electronic sexual coercion heightens the risk of depressive symptoms and delinquent behaviors in males and females beyond the risk presented by in-person forms of dating violence and should be accounted for in prevention and intervention programs. Future research should explore the effect of perceived normativity on the prevalence of electronic harassment and subsequent influence on outcomes.

Social Norms About Dating and Relationship Violence and Gender Among Adolescents: Systematic Review of Measures Used in Dating and Relationship Violence Research

Adolescent dating and relationship violence (DRV) is widespread and associated with increased risk of subsequent poor mental health outcomes and partner violence. Shifting social norms (i.e., descriptive norms of perceived behavior and injunctive norms of acceptable behavior among a reference group of important others) may be important for reducing DRV. However, few DRV studies assess norms, measurement varies, and evidence on measure quality is diffuse. We aimed to map and assess how studies examining DRV measured social norms concerning DRV and gender. We conducted a systematic review of DRV literature reporting on the use and validity of such measures among participants aged 10-18 years. Searches included English peer-reviewed and grey literature identified via nine databases; Google Scholar; organization websites; reference checking; known studies; and expert requests. We identified 24 eligible studies from the Americas (N = 15), Africa (N = 4), and Europe (N = 5) using 40 eligible measures of DRV norms (descriptive: N = 19; injunctive: N = 14) and gender norms (descriptive: N = 1; injunctive: N = 6). No measure was shared across studies. Most measures were significantly associated with DRV outcomes and most had a defined reference group. Other evidence of quality was mixed. DRV norms measures sometimes specified heterosexual relationships but rarely separated norms governing DRV perpetrated by girls and boys. None specified sexual-minority relationships. Gender norms measures tended to focus on violence, but missed broader gendered expectations underpinning DRV. Future research should develop valid, reliable DRV norms and gender norms measures, and assess whether interventions' impact on norms mediates impact on DRV.

Jealousy, sexism, and romantic love myths: the role of beliefs in online dating violence

With the massification of the Internet and social networks, a new form of dating violence called cyber-violence has emerged, which involves behaviors of control, humiliation, intimidation and threats towards the partner or ex-partner. Using a non-probabilistic sample of 1,001 participants aged 18 to 25 years, the present study used an ex post facto, retrospective, cross-sectional, single-group design to analyze the joint effects that beliefs associated with dating violence such as romantic love myths, jealousy, and sexism have on the victimization and perpetration of cyber-violence. The results evidenced that jealousy is involved in both Cyber-victimization and Cyber-harassment perpetrated, while sexist beliefs are only involved in perpetration. In the discussion section, it is postulated that cyber-violence is a phenomenon that is more related to the probability of aggression, but not to the probability of being a victim. Finally, limitations and implications for future research are discussed.

Solicitation and Sexualized Interactions of Minors with Adults: Prevalence, Overlap with Other Forms of Cybervictimization, and Relationship with Quality of Life

Sexual solicitation and sexualized interaction with minors by adults constitute one of the most pernicious risks of the Internet. Little is known about the age range in which this phenomenon is most prevalent or the relationship and overlap of this problem with other risks, such as peer-to-peer cybervictimization and cyber dating abuse. Additionally, little empirical evidence exists on whether the overlap between these types of online victimization affects health-related quality of life (HRQoL). This study aimed to: 1) analyze the prevalence of sexual solicitation and interaction according to sex and stage of adolescence; 2) relate this problem to other forms of online victimization (cybervictimization and cyber dating abuse); 3) analyze the overlap between these forms of online victimization and differences in HRQoL scores. A cross-sectional and analytical study with 3,578 adolescents (52.7% girls) aged between 10-15 years was carried out. Of the adolescents in the study sample, 12.6% (n = 448) had received sexual requests and 6.4% (n = 230) had interacted sexually with adults. Sexual solicitation was most common among girls in middle adolescence. Of the participants, 33.9% (n = 1,216) had been involved in some form of online victimization. Peer cybervictimization and cyber dating abuse were positively and significantly correlated with sexualized solicitation/interactions with adults. Victims with the overlapping of all three types of online victimization (2.7%, n = 98) presented the lowest HQRoL scores (p < .001).

Examining Technology-Facilitated Intimate Partner Violence: A Systematic Review of Journal Articles

As intimate partner violence in a cyber world is increasing, scholars have started to pay attention to this phenomenon. This study aims to provide a systematic review of empirical studies in the technology-facilitated intimate partner violence (TFIPV) field. We analyzed 31 studies that examined direct TFIPV perpetration and/or victimization experiences identified from four of the largest databases (i.e., Web of Science, PsyInfo, PubMed, and SCOPUS). We found that most studies recruited adolescents or young adults (i.e., college students) and used a very diverse range of terminologies that describe similar phenomena but are not based on validated instruments. We discuss the implications of our findings and suggestions that can enhance the field's rigor and guide future research.

An Analysis of Risk and Protective Factors Associated with Cyber-Dating Violence Victimization of Adolescent Girls: An Ecological Perspective

Cyber-dating violence (cyber-DV) is a prevalent issue among adolescent girls that can have negative consequences including post-traumatic stress symptoms and suicidal ideations and attempts. In the aim to reduce its prevalence and impacts, researchers are increasingly relying on the identification of risk and protective factors associated with cyber-DV across multiple ecological contexts. The current study aimed to examine the influence of individual (e.g., dissociation), interpersonal (e.g., offline forms of dating violence) and community level (e.g., community support) factors associated with the cyber-DV victimization of adolescent girls. A sample of 456 adolescent girls (M = 16.17 years old, SD = 1.28) was recruited online to complete a survey. At the individual level, emotion dysregulation, dissociative symptoms, post-traumatic stress symptoms and resilience were measured. Offline forms of DV and a history of child sexual abuse were assessed at the interpersonal level. Finally, at the community level, community support, community resilience, neighborhood material and social disadvantage were evaluated. Results from a hierarchical logistic regression indicated that exposure to offline DV namely verbal-emotional DV, sexual DV, threats, as well as living in neighborhoods with lower levels of social disadvantage were significantly associated with an increased risk of cyber-DV victimization. Cyber-DV preventative intervention efforts should focus on incorporating cyber-DV specific modules and activities into offline DV prevention and intervention programs as to reduce the likelihood of adolescents suffering both forms of DV and their associated repercussions.

Youth's Experiences of Cyber Violence in Intimate Relationships: A Matter of Love and Trust

Adolescents and young adults are particularly at risk of experiencing or perpetrating cyber dating violence (CDV) in their romantic relationships. However, it remains difficult to understand the motivations behind tolerating or perpetrating CDV in romantic relationships. Romantic attachment and beliefs may be an interesting avenue to explore among youth victims of CDV. The current study aims to 1) document the association between romantic attachment and CDV victimization and perpetration while controlling for age, gender and other forms of DV, and 2) explore beliefs youth attribute to the use of technology in their romantic relationships. A total of 332 self-identified heterosexual youth, with an age range of 14 to 25 years old, completed a survey. A subgroup of 14 youth who reported experiencing cyber dating violence also participated in a semi-structured interview. Logistic regressions were used to assess the contribution of romantic attachment (anxious and avoidant) to each form of CDV (stalking, psychological and sexual CDV) followed by a thematic analysis exploring beliefs about the use of technology in romantic relationships. Anxious attachment significantly predicted psychological CDV as well as stalking victimization and perpetration. Avoidant attachment significantly predicted psychological CDV victimization and perpetration as well as sexual CDV victimization. In their narratives, youth reported that controlling, monitoring, harassing behaviors, especially credentials sharing, constitute proof of love and trust rather than manifestations of CDV. The results support the relevance of developing tailored interventions based on attachment and romantic beliefs, which appears to be a promising avenue for preventing various forms of DV.

Problem Drinking is Associated with Intimate Partner Cyber Abuse Perpetration but is Buffered by High Relationship Satisfaction

Purpose

Intimate partner cyber abuse (IPCA) is a prevalent form of intimate partner violence (IPV) that has detrimental effects on victims' well-being. Although research has documented associations with other forms of IPV perpetration, additional research is needed to identify IPCA perpetration risk factors. One of the most common risk factors for offline IPV is perpetrators' alcohol use; however, less is known about how this translates to online contexts. There is also a need to identify protective factors that mitigate the effects of alcohol.

Methods

This study evaluated associations between drinking, relationship satisfaction, and IPCA perpetration via self-report questionnaires within a longitudinal framework. Participants included 544 adults in an intimate relationship (n = 296 at T2).

Results

Results indicated that relationship satisfaction buffered the effects of problem drinking on IPCA perpetration at T1, but not at T2. Further, 20.2% of individuals who perpetrated IPCA at T1 drank alcohol during at least one incident, and these individuals reported more problem drinking and more frequent IPCA perpetration compared to those who reported IPCA without alcohol.

Conclusion

Results from this study provide insight into both risk and protective factors for IPCA perpetration among adults and have the potential to guide concurrent prevention strategies that target intersections between problem drinking, IPCA, and offline IPV, and promote healthy and satisfying intimate relationships.

Prevalence and Predictors of Perpetration of Cyberviolence Against a Dating Partner: A Cross-Cultural Study with Moroccan and Spanish Youth

The rise in the levels of cyberviolence in adolescent couples has become a social, educational, and public health problem of enormous magnitude. This study analyzed the nature and dimensions of cyberviolence among adolescents and its association with other forms of offline violence by country of origin (Morocco or Spain) and gender. The objective of the study was to identify the predictors of the perpetration of cyberviolence against a dating partner. The predictor variables were five types of dating victimization (cyber, physical, sexual, emotional with a social impact, and emotional with an individual impact), history of violence, and parental monitoring knowledge. The sample consisted of Spanish (n = 802) and Moroccan students (n = 241) who had dated and attended secondary schools in southeastern Spain. Over half of the participants had perpetrated cyberviolence against their partners; the prevalence was higher among girls and Moroccan youth. Boys reported more physical victimization than girls. For all groups, the strongest predictor of cyberviolence perpetration was cyberviolence victimization. The influence of other forms of victimization, history of offline violence, and parental monitoring differed by the youth's country of origin and gender. The study reinforces the need for intersectional and cross-cultural analyses of online behaviors.

Patrones de violencia en las relaciones de pareja en adolescentes: una revisión sistemática de la literatura

Un grupo creciente de investigaciones ha sugerido la existencia de diferentes patrones de violencia en las relaciones de pareja durante la adolescencia. El objetivo de este estudio fue revisar y sintetizar la evidencia científica respecto a patrones de violencia en las relaciones de pareja en adolescentes, a través de una revisión sistemática de la literatura. La búsqueda se realizó en las bases de datos Pubmed, Scopus, Scielo, ebsco, Web of Science, Sage Journals, Taylor andFrancis Journals, Wiley, y el motor de búsqueda Google Académico; no hubo restricciones en el año de publicación. Se incluyeron investigaciones que analizaron la violencia desde una perspectiva centrada en la persona (e.g., uso de análisis de clases latentes). Para evaluar la calidad de los estudios transversales se usó la herramienta Axis de 20 ítems, y para los estudios longitudinales, la lista de verificación de Tooth et al. (2005) de 33 ítems. Se identificaron 212 estudios y después de elegir por criterios de elegibilidad, se incluyeron 27. Los patrones de violencia con mayor frecuencia fueron: violencia multiforme (34 %), victimización o perpetración por violencia psicológica y física (26%), violencia bidireccional psicológica/verbal (26 %), baja violencia (26 %) y alta violencia (23 %). Los patrones de violencia se relacionaron con diferentes variables tales como experiencias adversas en la infancia, variables sociodemográficas, relación familiar e indicadores de salud mental. Estos patrones evidencian que la violencia en las relaciones de pareja durante la adolescenciason un fenómeno complejo y multifactorial.

Cyber violence caused by the disclosure of route information during the COVID-19 pandemic

Disclosure of patients' travel route information by government departments has been an effective and indispensable pandemic prevention and control measure during the COVID-19 pandemic. However, this measure may make patients susceptible to cyber violence (CV). We selected 13 real cases that occurred in China during the COVID-19 pandemic for analysis. We identified several characteristics that commonly appeared due to route information, such as rumors about and moral condemnation of patients, and determined that patients who are the first locally confirmed cases of a particular wave of the pandemic are more likely to be the victims of CV. We then analyzed and compared six real cases using data mining and network analysis approaches. We found that disclosing travel route information increases the risk of exposing patients to CV, especially those who violate infection prevention regulations. In terms of disseminating information, we found that mainstream media and influential we-media play an essential role. Based on the findings, we summarized the formation mechanism of route information disclosure-caused CV and proposed three practical suggestions-namely, promote the publicity of the media field with the help of mainstream media and influential we-media, optimize the route information collection and disclosure system, and ease public anxiety about the COVID-19 pandemic. To our knowledge, this study is one of the first to focus on CV on social media during the COVID-19 pandemic. We believe that our findings can help governments better carry out pandemic prevention and control measures on a global scale.

Is This WhatsApp Conversation Aggressive? Adolescents' Perception of Cyber Dating Aggression

This study investigated adolescents' understanding of cyber dating aggression in terms of frequency and aggressiveness: how prevalent they perceived cyber dating aggression among adolescents and how aggressive they perceived such behaviors to be. To do so, different WhatsApp scenarios were presented to adolescents, controlling for the typology of cyber dating aggression (verbal/emotional, controlling, or sexual) and its publicity (public or private cyber dating aggression). The moderating effect of gender and moral disengagement (MD) was also analyzed. A total of 262 adolescents (56.5% girls; mean age of 14.46 years) participated in the study and answered a computer-based questionnaire. General linear models revealed that adolescents consider cyber dating aggression to be present in most adolescent romantic relationships. Controlling online behavior was perceived as the most frequent and the least aggressive behavior. Adolescents rated private cyber aggression as more frequent and less aggressive than public cyber aggressions. Controlling for gender, girls reported that cyber dating aggression was more common and more severe than boys. Moreover, participants with high levels of MD perceived cyber dating aggressions to be less aggressive than participants with medium-low MD. This study reveals the significance of the type of cyber dating aggression, the public/private dimension, gender, and MD as variables that influence adolescent understanding of cyber dating aggression. These results have implications not only for the design of cyber dating aggression prevention programs but also for future research on cyber dating aggression.

[Relationship between face-to-face and digital dating abuse with health-related quality of life among Mexican adolescents]

The purpose of this research was to identify whether there is a relationship between face-to-face and digital dating abuse victimization with health-related quality of life (HRQoL) among adolescent students, adjusted for sex. Three hundred ninety-eight students of 15 to 18 years of age (62.8% female) participated. The following scales adapted to the Mexican adolescent population were applied: Violence in Adolescents' Dating Relationships Inventory, Cyber Dating Abuse Questionnaire and the KIDSCREEN-10. It was found that 55.5% of the respondents reported having been victims of face-to-face and digital abuse. HRQoL scores were lower for women than for men. Using structural equation modeling, a negative, statistically significant association of moderate magnitude was found between dating abuse (face-to-face and digital) and HRQoL. The results suggest that the higher the level of abuse victimization in both face-to-face and digital dating relationships, the lower the HRQoL of adolescent students. The results of this study show the relevance of considering both face-to-face and digital abuse when analyzing the effect of dating violence on the HRQoL.

A Dyadic Examination of Interpersonal Electronic Surveillance

Interpersonal electronic surveillance (IES) refers to monitoring a partner's location, conversations, and other private information such as search history. Although IES has been linked to relationship functioning, this work does not take into account the dyadic nature of relationships using data from both members of a dating pair. Thus, this study aimed to document rates and concordance of IES perpetration among a college sample of dating pairs, explore whether rates of IES perpetration differ by gender, and describe how each partner's IES perpetration is associated with trust, jealousy, negative relationship behaviors, and explore whether any associations are moderated by gender. A total of 136 couples (age 18-25 years) participated in a study wherein each member of the couple reported IES perpetration, trust, jealousy, and negative relationship behaviors. Results indicated that 44 percent of the sample presented with either one or both partners engaging in IES perpetration. Furthermore, results of actor-partner interdependence models indicated that there were significant actor effects for all outcomes such that one's own IES perpetration was related to lower trust in the partner, higher jealousy, and engagement in more negative partners toward the partner. However, no significant partner effects emerged. Results further indicated that actor effects were present for women, but not men. Overall, results of this study indicate that dyadic examinations of IES perpetration may shed light into the ways that couples use technology and that future research is warranted to determine how to prevent IES perpetration and ultimately potential relationship consequences.

Mapping the Cyber Interpersonal Violence among Young Populations: A Scoping Review

The increase in digital practices and networking has introduced important changes to social interactions. The extensive use of technology among young people has allowed for cyber communication, which has numerous benefits but can also trigger violence in relationships. Interpersonal violence affecting young people is becoming more widely recognized as a public health issue. The aim of this scoping review is to map and systematize the published academic literature on Cyber Interpersonal Violence (CIV) amongst young people, following the methodological approach proposed by Arksey and O’Malley. Five databases were searched: PubMed, Scopus, CINAHL (EBSCOhost), Science Direct and Social Sciences Citation Index. Eighteen studies in English, Portuguese, Spanish and French, published from 2004 onwards, were included. Three main areas arose in the CIV: cyber dating abuse, cyberbullying and cyber-harassment. Investing in prevention is the key to preventing cyber violence.

Electronic Teen Dating Violence Curves by Age

Electronic dating violence is a form of violence perpetrated through electronics between dating partners and is associated with worse mental health, greater risk of substance use, and increased risk of in-person forms of dating violence. Though prevalent and seeming to increase in occurrence across adolescence, little is known about trajectories of electronic dating violence throughout adolescence and both risk and protective factors predicting a given trajectory. Latent growth models were used to evaluate change over time in three specific domains of electronic dating violence: harassment, coercion, and monitoring. Data are drawn from two cohorts who were surveyed annually for four years (2013-2017) from age 12 to 15 (n = 543; 48.3% female) and 15 to 18 (n = 597, 46.6% female), respectively. For all three domains of electronic dating violence, a quadratic model fit best. In general, electronic dating violence increased from early adolescence until a peak around age 16 or 17, and then leveled off. Threat-based adverse childhood experiences (i.e., exposure to physical child abuse, parental intimate partner violence, etc.) and earlier engagement in dating behaviors increased long-term risk for both age cohorts. Protective factors such as parental monitoring decreased risk but seemed to only have protective influence at developmentally-specific periods (i.e., during the developmental period of early adolescence). A better understanding of the risk and protective factors that affect the increase of electronic dating violence during adolescence is necessary to develop effective age-appropriate prevention and intervention strategies for youth.

Adolescent Risk of Dating Violence and Electronic Dating Abuse: A Latent Class Analysis

Electronic forms of dating violence among youth are common yet little is known about how these forms of violence overlap with the commonly studied domains of physical, sexual and verbal teen dating violence. Using factor analysis and latent class analysis, this study identifies patterns of electronic, verbal, physical and sexual dating violence victimization and perpetration in 9th and 12th graders. Data are from 470 9th (n = 190; 60.5% female; mean age = 12.0 years, age range: 11.3-13.8) and 12th graders (n = 280; 63.9% female; mean age = 14.9 years, age range: 14.0-16.6) from southeastern Michigan. A 5-class solution for 9th graders and a 6-class solution for 12th graders were selected given fit and interpretability. Classes were characterized by domain(s) of violence, as opposed to perpetration or victimization. Three domains of electronic dating aggression were identified: monitoring, harassment, and coercion. Electronic dating aggression was present in the majority of classes, and overlapped substantially with other domains of violence. The highest risk class had risk of victimization and perpetration for all types of dating violence (electronic monitoring, electronic harassment, electronic coercion, verbal violence, physical violence and sexual violence). Drug use and experiencing one or more adverse childhood experiences predicted membership in a higher risk group for the older cohort, while alcohol consumption predicted higher risk for the younger cohort. The findings from this study show overlap between dating violence domains and imply that domains of electronic dating violence are important to consider in conjunction with physical, sexual and verbal domains, to address teen dating violence.

Digital Dating Abuse Among a National Sample of U.S. Youth

Digital dating abuse is a term used to describe physical, sexual, or psychological/emotional violence that occurs between romantic partners through the use of texting, social media, and related online mediums. Survey data were obtained from a nationally representative sample of 2,218 American middle and high school students (12-17 years old) who have been in a romantic relationship. About 28% of students in a relationship in the previous year had been the victim of digital dating abuse. Males were more likely to report having experienced it (32% compared to 24%), though no other demographic differences emerged. Several covariates did emerge as significantly related to experience with digital dating abuse, including depressive symptoms, sexual intercourse, sexting, and being the victim of cyberbullying. Experiencing offline dating abuse was by far the strongest correlate. Implications for prevention and policy within schools and the community are discussed, along with considerations for future research in this important area.

In-Person and Cyber Dating Abuse: A Longitudinal Investigation

While studies have identified associations between cyber and in-person dating abuse, most research has relied on cross-sectional data, limiting the ability to determine temporality. This study tested the longitudinal associations between cyber and physical and psychological forms of in-person dating abuse. Data were from an ongoing longitudinal study following a group of high school students originally recruited in Southeast Texas, U.S., into their young adulthood. Three waves of data (Waves 4-6) were used, with each wave collected one year apart. At Wave 4, participants' age ranged from 16 years to 20 years (Mean = 18.1 years, Median = 18.0 years, SD = .78). The analytical sample consisted of 879 adolescents/young adults (59% female, 41% male; 32% Hispanics, 28% Black, 29% White, and 11% other) who completed the dating abuse questions. Cross-lagged panel analysis showed that dating abuse victimization and perpetration were predictive of subsequent dating abuse of the same type. Cyber dating abuse perpetration was found to predict subsequent physical dating abuse perpetration as well as physical dating abuse victimization, but not vice versa. Further, cyber dating abuse perpetration predicted psychological dating abuse victimization, but not vice versa. Cyber dating abuse victimization was not significantly associated with either physical or psychological dating abuse temporally. Overall, findings suggest that cyber dating abuse perpetration may be a risk marker for both physical and psychological forms of in-person dating abuse. Interventions may benefit from targeting cyber dating abuse perpetration as means to prevent in-person dating abuse.

Prevalence of teen dating violence in Europe: A systematic review of studies since 2010

Violence in adolescent relationships is a common problem with numerous negative short- and long-term consequences. Because most of the evidence on teen dating violence (TDV) synthesized in reviews comes from North American studies, this review aimed to compile evidence on prevalence rates of TDV based on studies identified for Europe only. Specifically, we considered different forms of TDV victimization and perpetration, gender differences, and its measurement. A systematic literature search of the most popular databases Ebsco and PubMed yielded a total of N = 34 studies, with most of the studies identified for Spain, and only a few studies in other European countries. In sum, the results revealed a great variability in prevalence rates across and within the European countries, a common pattern of gender differences, and a wide range of applied measures, corresponding with the evidence from the North American studies. Implications for future research and policy were discussed.

A Cyberbullying Media-Based Prevention Intervention for Adolescents on Instagram: Pilot Randomized Controlled Trial

BACKGROUND

Between 15% and 70% of adolescents report experiencing cybervictimization. Cybervictimization is associated with multiple negative consequences, including depressed mood. Few validated, easily disseminated interventions exist to prevent cybervictimization and its consequences. With over 97% of adolescents using social media (such as YouTube, Facebook, Instagram, or Snapchat), recruiting and delivering a prevention intervention through social media and apps may improve accessibility of prevention tools for at-risk youth.

OBJECTIVE

This study aims to evaluate the feasibility and acceptability of and obtain preliminary outcome data on IMPACT (Intervention Media to Prevent Adolescent Cyber-Conflict Through Technology), a brief, remote app-based intervention to prevent and reduce the effect of cyberbullying.

METHODS

From January 30, 2020, to May 3, 2020, a national sample of 80 adolescents with a history of past-year cybervictimization was recruited through Instagram for a randomized control trial of IMPACT, a brief, remote research assistant-led intervention and a fully automated app-based program, versus enhanced web-based resources (control). Feasibility and acceptability were measured by consent, daily use, and validated surveys. Although not powered for efficacy, outcomes (victimization, bystander self-efficacy, and well-being) were measured using validated measures at 8 and 16 weeks and evaluated using a series of longitudinal mixed models.

RESULTS

Regarding feasibility, 24.5% (121/494) of eligible participants provided contact information; of these, 69.4% (84/121) completed full enrollment procedures. Of the participants enrolled, 45% (36/80) were randomized into the IMPACT intervention and 55% (44/80) into the enhanced web-based resources groups. All participants randomized to the intervention condition completed the remote intervention session, and 89% (77/80) of the daily prompts were answered. The retention rate was 99% (79/80) at 8 weeks and 96% (77/80) at 16 weeks for all participants. Regarding acceptability, 100% (36/36) of the intervention participants were at least moderately satisfied with IMPACT overall, and 92% (33/36) of the participants were at least moderately satisfied with the app. At both 8 and 16 weeks, well-being was significantly higher (β=1.17, SE 0.87, P=.02 at 8 weeks and β=3.24, SE 0.95, P<.001 at 16 weeks) and psychological stress was lower (β=-.66, SE 0.08, P=.04 at 8 weeks and β=-.89, SE 0.09, P<.001 at 16 weeks) among IMPACT users than among control group users. Participants in the intervention group attempted significantly more bystander interventions than those in the control group at 8 weeks (β=.82, SE 0.42; P=.02).

CONCLUSIONS

This remote app-based intervention for victims of cyberbullying was feasible and acceptable, increased overall well-being and bystander interventions, and decreased psychological stress. Our findings are especially noteworthy given that the trial took place during the COVID-19 pandemic. The use of Instagram to recruit adolescents can be a successful strategy for identifying and intervening with those at the highest risk of cybervictimization.

TRIAL REGISTRATION

ClinicalTrials.gov NCT04259216; http://clinicaltrials.gov/ct2/show/NCT04259216.

"Validation of a cyberbullying questionnaire as a screening tool for other forms of intimate-partner violence towards young women"

Background

The use of electronic media is widespread among young people and is a potential tool for the perpetration of intimate-partner violence (IPV) towards women. The aim of this study is to validate two questions focused on harassment and control by electronic tools (HCE-2) as a screening tool for the detection of IPV in young women.

Methods

The data source was the third Community of Madrid IPV survey in 2014. The screening tool consisted of two questions with five possible answers prepared by a group of experts. As the gold standard we used the definition of intimate partner violence based on a 26- question survey. The validity indices (with 95% confidence intervals) were compared between two age groups: 18–24 and 25–29 years.

Results

Six hundred ninty-four women were sampled. The response rate was 68.7%, and 477 surveys were analyzed. The prevalence of IPV was 10.7% (95% CI: 8.2–13.8). HCE-2 was positive in 5.9% (95% CI: 4.1–8.4). The overall efficiency of the test was 93.5% (95% CI: 91.1–96.7), sensitivity 47.1% (95% CI: 33.7–60.8), specificity 99.1% (95% CI: 97.5–99.6), and positive predictive value 85.7% (95% CI: 67.1–94.6). The best validity indices of the questionnaire were observed in women aged 18 to 24 years: overall efficiency of the test 95.1% (95% CI: 92.6–97.7), sensitivity 62.5% (95% CI: 44.5–77.6), specificity 99.6% (95% CI: 97.0–99.9), and positive predictive value 95.2% (95% CI: 71.7–99.4).

Conclusions

The existing need to improve the detection of IPV in young women and the good validity indices observed here justify the recommendation of the HCE-2 questionnaire as a screening tool in young women.

Jealousy and Electronic Intrusion Mediated by Relationship Uncertainty in Married and Cohabiting Couples During COVID-19

The COVID-19 pandemic poses unique threats to romantic relationships as couples were issued to stay at home by a mandatory order, limiting social interactions with others. Although technology allows for social interactions, the privacy of interactions through technology may be compromised. Electronic intrusion (EI) occurs when individuals covertly gain access of their partner's mobile device to go through content (e.g., text messages, private messages on social media sites), and previous study indicates serious consequences of EI, including increased rates of intimate partner violence, depressive symptoms, and heavy episodic drinking. This study examines jealousy, relationship uncertainty (RU), and EI in a sample of American adults. We hypothesized that jealousy would be related to greater acts of EI, and that this association will be mediated by RU. Data were collected from 754 Qualtrics Panels participants (50 percent male) with an average age of 41.7 years. Most participants (85.7 percent) were married. Results supported hypotheses, demonstrating that jealousy was associated with more EI, and this was due to uncertainty about the relationship's future. This study illuminates a need to study cyberdating abuse (CDA) in older and married populations. Future research should consider the effects of other relationship-specific emotions and cognitions on EI and further develop strategies aimed at reducing risks for CDA in romantic relationships.

Assessing Adolescent Dating Violence in the YourLife Project: Proposal of an Instrument for Spanish-Speaking Countries

Background: Several instruments have been developed to assess adolescent dating violence but only few have been validated in Spanish-speaking settings. Some instruments are too long and may not be feasible to include them in a multipurpose questionnaire. We developed an instrument to be used in the YourLife project, an international project about young people lifestyles. Objective: We aimed to analyze the psychometric properties of this instrument in three Spanish-speaking countries (Chile, Ecuador, and Spain). Method: We included 1049 participants, aged 13–18 years. Exploratory and confirmatory factor analyses were conducted. Associations between dating violence and variables expected to covariate with it (substance use, school peer aggression, justification of dating violence, and relationship power imbalance), were tested. Results: Two different constructs (psychological and physical/sexual) for suffered and perpetrated violence were identified and confirmed in the three countries. The dating violence subscales had Cronbach’s alpha scores higher than 0.85. The strongest associations between dating violence and variables related to it were found within the relationship power imbalance items, suggesting that these items may be useful to detect adolescent dating violence when a specific questionnaire cannot be implemented. Conclusion: This instrument seems to be adequate to assess suffered and perpetrated adolescent dating violence within a multipurpose questionnaire among schooled adolescents.

Perpetration of Electronic Intrusiveness Among Adolescent Females: Associations With In-Person Dating Violence

Electronic intrusiveness is a form of cyber dating abuse that includes monitoring a partners' location, whom a partner is talking to, and other private information via technology and social networking sites. The aim of this study was to further explore the prevalence of electronic intrusiveness, as well as to assess how electronic intrusiveness relates to in-person dating violence while controlling for known risk factors for in-person dating violence, namely, depression, emotion regulation, and acceptance of couple violence. Data for this study were drawn from the baseline assessment of a larger clinical trial. A sample of high-risk adolescent females between the ages of 14 and 17 with a lifetime history of prior dating violence victimization or perpetration was used. Participants completed self-report measures for all study variables. Findings demonstrate that perpetration of electronic intrusiveness within the past 3 months is common among a sample of high-risk adolescent females, with rates across various modes of technology ranging from 30% to 57%. Results also revealed electronic intrusiveness is associated with in-person dating violence perpetration after accounting for known risk factors. This study highlights the need to increase awareness of electronic intrusiveness and to better incorporate electronic intrusiveness into theoretical and empirical models of dating violence.

A meta-analytic review of the relationship between cyber aggression and substance use

BACKGROUND

Prior research has demonstrated that various substances of abuse play a contributing role to acts of physical and verbal aggression. It is less clear if and to what extent substance use is associated with an increased risk in perpetrating cyber aggression, an emerging form of aggressive behavior that occurs through digital communication.

METHODS

A comprehensive review of the literature resulted in 15 studies and 18 unique samples from which effect size estimates were calculated.

RESULTS

Analyses resulted in a moderate, significant mean observed correlation indicating that individuals who engaged in substance use were more likely than those who did not to perpetrate cyber aggression (r = 0.24, k = 18, 95% CI = 0.20, 0.28). Comparing data across types of substances revealed that alcohol use represents a stronger risk factor for cyber aggression than nicotine, cannabis, or other illicit drugs. Results also suggest a stronger relationship between substance use and cyber aggression among older than younger samples and in the context of intimate partner rather than peer aggression. Comparable estimates of substance-related cyber aggression emerged across types of cyber aggression and perpetrator gender.

CONCLUSIONS

Further research is required to increase confidence in estimates used in moderation analyses. As with traditional aggression, alcohol use appears to represent a risk factor for cyber aggression, though it is unclear if the disinhibitory properties of alcohol are the mechanism of action for substance-related cyber aggression.

Adverse Childhood Experiences and Early Maladaptive Schemas as Predictors of Cyber Dating Abuse: An Actor-Partner Interdependence Mediation Model Approach

The increasing role that new technologies play in intimate relationships has led to the emergence of a new form of couple violence, cyber dating abuse, especially among adolescents and young adults. Although this phenomenon has received increased attention, no research has investigated predictors of cyber dating abuse taking into account the interdependence of the two partners. The study examines adverse childhood experiences (abuse, neglect, and witnessed intimate partner violence) and early maladaptive schemas (emotional deprivation and abandonment) as possible predictors of young adults' perpetrated and suffered cyber dating abuse. Adopting a dyadic approach, mediational models in which adverse childhood experiences were assumed to be related to individual and partner's cyber dating abuse through individual early maladaptive schemas were tested. 134 couples completed online self-reports of the variables of interest, including a bidimensional measure of cyber dating abuse assessing pressure-aggression and control-monitoring. Actor-partner interdependence mediation model analyses were conducted. Results indicated that the emotional deprivation schema mediated the association between adverse childhood experiences and cyber dating abuse, whereas the abandonment schema did not. Specifically, more frequent experiences of emotional abuse and physical neglect during childhood were indirectly related to increased likelihood of perpetrating cyber dating pressure-aggression as well as of perpetrating and suffering cyber dating control-monitoring in both males and females. These associations were mediated by a stronger internalization of the emotional deprivation schema and were supported by both self-reported and partner-reported data. Also, a strong and direct association was found between childhood exposure to intimate partner violence by the opposite-sex parent and cyber dating pressure-aggression by females or control-monitoring by both males and females. These findings help to clarify the potential negative effects of specific adverse childhood experiences and early maladaptive schemas on the tendency to perpetrate and suffer cyber abuse in romantic relationships. The implications for prevention and treatment programs are noted and avenues for future research are described.

Longitudinal Patterns of Electronic Teen Dating Violence Among Middle School Students

We investigated rates and developmental trends of electronic teen dating violence (TDV) perpetration and victimization overall and by gender. Data were collected from a single cohort of seventh-grade students from four schools using paper-and-pencil surveys administered at 6-month intervals (N = 795). Data were analyzed with descriptive statistics and longitudinal growth models to estimate change over time in TDV. Overall, 32% of youth reported electronic TDV perpetration, and 51% reported electronic TDV victimization. Victimization was more prevalent for boys (42%) than for girls (31%) at baseline only (t = 2.55, p < .05). Perpetration did not differ at any wave. Perpetration and victimization each decreased significantly from the beginning of seventh grade to the end of eighth grade, β = -.129 (.058), p < .05, for perpetration, and β = -.138 (.048), p < .01, for victimization. Gender moderated the decrease in reported victimization, with simple slopes indicating girls showed almost no change in victimization, β = .006 (.066), ns, whereas boys decreased significantly over the 2 years, β = -.292 (.069), p < .001. Although moderation by gender of change in perpetration was not conventionally significant, the simple slopes revealed that girls again showed a nonsignificant change in TDV across seventh and eighth grades, β = -.067 (.078), ns, whereas boys showed a significant decline in reported electronic TDV perpetration, β = -.197 (.083), p < .05. The high prevalence of electronic TDV underscore the need for addressing these behaviors within TDV prevention interventions.

Intimate Partner Cyberstalking, Sexism, Pornography, and Sexting in Adolescents: New Challenges for Sex Education

Background: Within the context of the widespread use of technologies by adolescents, the objectives of this study were to identify the perpetrators of intimate partner cyberstalking (IPCS) in adolescents; to analyze the relationship between IPCS and gender, age, sexting behaviors, pornography consumption, and ambivalent sexism; and to investigate the influence of the study variables as predictors of IPCS and determine their moderating role. Methods: Participants were 993 Spanish students of Secondary Education, 535 girls and 458 boys with mean age 15.75 (SD = 1.47). Of the total sample, 70.3% (n = 696) had or had had a partner. Results: Boys perform more sexting, consume more pornographic content, and have more hostile and benevolent sexist attitudes than girls. However, girls perpetrate more IPCS than boys. The results of the hierarchical multiple regression indicate that hostile sexism is a predictor of IPCS, as well as the combined effect of Gender × Pornography and Benevolent Sexism × Sexting. Conclusions: it is essential to implement sexual affective education programs in schools in which Information and Communication Technologies (ICT) are incorporated so that boys and girls can experience their relationships, both offline and online, in an egalitarian and violence-free way.

Análise da produção científica sobre a violência digital no namoro entre adolescentes

A violência no namoro entre adolescentes é considerada um problema de saúde pública e preditor de violência conjugal. O objetivo deste estudo foi produzir uma revisão sistemática acerca da violência digital no namoro entre adolescentes. A busca foi realizada nas bases de dados SciELO, LILACS, Scopus, PubMed e o buscador Google Acadêmico, nos idiomas Português, Inglês e Espanhol. A amostra final resultou em 34 artigos internacionais. A violência digital no namoro ocorre de duas formas: os comportamentos de controle e monitoramento e a violência sexual digital, ambos mediados pela Internet. Aponta-se a potência silenciosa da violência, naturalizada e quiçá tomada como parte integrante do relacionamento. Constatou-se necessidade de incremento na realização de pesquisas brasileiras para maior aprofundamento acerca do fenômeno, com vistas à prevenção deste tipo de violência, bem como o uso mais responsável e positivo das tecnologias de informação e comunicação pelos adolescentes nas relações de namoro.

Cyber Dating Abuse: Investigating Digital Monitoring Behaviors Among Adolescents From a Social Learning Perspective

Just as with other forms of abuse such as bullying, dating violence is no longer limited to physical spaces. Several forms of dating violence can also be perpetrated by means of technology. Few studies have used a theoretical perspective to investigate cyber dating abuse. This study addresses this gap in the literature by focusing on the perpetration of digital monitoring behaviors-a form of cyber dating abuse-from a social learning perspective. We investigate the extent to which perceived social norms about cyber dating abuse, witnessing controlling behaviors among parents, and endorsing gender stereotypes are linked with adolescents' engagement in digital monitoring behaviors. The study draws on data from 466 secondary school students (71.0% girls, n = 331) aged between 16 and 22 years (M = 17.99 years, SD = 0.92) in Flanders, Belgium, who were in a romantic relationship. Linear regression analysis indicates that being female, being older, the perceived social norms of peers, the endorsement of gender stereotypes, and having observed intrusive controlling behaviors by the father are significantly and positively related to adolescents' perpetration of digital monitoring behaviors. The findings have implications for practice and underscore the need for prevention efforts to address and lower the influence of these perceived social norms. Further implications include the need for prevention efforts to focus on diminishing the impact of gender stereotypical attitudes and the influence of witnessing controlling behaviors within the family context on cyber dating abuse perpetration.

Cyber and Offline Dating Abuse in a Portuguese Sample: Prevalence and Context of Abuse

The increasing use of information and communication technologies (ICT) and networking has promoted the occurrence of different forms of victimization, specifically in terms of interpersonal interaction (e.g., cyberbullying or online risk-taking behaviour), which also includes cyber dating abuse (CDA). Some studies report that CDA is an extension of offline dating abuse (ODA). Because Portuguese studies in this area are scarce, this study aims to bridge this knowledge gap, seeking to investigate the extent and the context of CDA occurrence, and the relationship between CDA and all forms of ODA, i.e., physical, verbal–emotional and control. A convenience sample of 173 Portuguese adolescents and young adults was studied. This sample is mostly female (86.7%), has a mean (M) age of 25.36 years old and a standard deviation (SD) of 6.88 years of age. The results show that CDA and ODA among the Portuguese are very prevalent and related. Control (31.8 vs. 20.8%) and verbal–emotional ODA (26.7 vs. 20.2%) as well as control CDA (38.2 vs. 43.4%) were the most prevalent forms of abuse, either in terms of victimization or in terms of perpetration. The results also showed that CDA usually appears in a context of jealousy, also explaining control CDA and CDA direct aggression. A significant relationship between control CDA and CDA direct aggression and physical, verbal–emotional and control ODA was found. Experiencing control and verbal–emotional ODA are the main risk factors of control CDA victimization. This study allows to lay the groundwork for further research on dating victimization and perpetration through ICT, and has important practical implications at the level of Portuguese prevention strategies and intervention policies, thus emphasizing the role of the official authorities and the law itself.

Impact of Game-Based Interventions on Health-Related Outcomes in Hospitalized Older Patients: A Systematic Review

OBJECTIVES

To examine the effectiveness of game-based interventions compared with usual care on health-related outcomes for acutely hospitalized older patients.

DESIGN

Systematic review of randomized controlled trials (RCT) and nonrandomized trials.

SETTING AND PARTICIPANTS

Adults aged 65 years or older admitted to an Acute Care for Elderly unit were selected.

MEASURES

Health-related outcomes (eg, functional capacity, quality of life, adherence to treatment).

RESULTS

Four RCTs were included in the review. The interventions were based on the implementation of serious-game programs using Nintendo Wii in acute medical patients. Across the included studies, no significant differences were observed between groups on functional capacity and health-related quality of life. Significant differences were found between groups on the adherence to treatment (in favor of the control group), but no differences were obtained in other outcomes such as enjoyment and motivation.

CONCLUSIONS AND IMPLICATIONS

In general, there is very limited evidence for the efficacy to reach conclusions about the effects of game-based interventions on health-related outcomes in acutely hospitalized older patients. Future studies are needed to improve our knowledge in the field; however, we consider that these strategies should be considered in the future complementary to usual care.

Attitudes about aggression and perpetration of Adolescent Dating Aggression: A cross-lagged panel model

INTRODUCTION

Several cross-sectional and longitudinal studies have found associations between attitudes about aggression and aggressive behaviors. However, few studies examine all subtypes of Adolescent Dating Aggression (ADA)-physical, psychological/emotional, sexual, and stalking; occurring in person or electronically-and there is a paucity of longitudinal studies that follow adolescents over several years.

METHODS

Middle school and high school students (N = 1240), in the Midwestern United States, participated in surveys one time per year for four years. Data from each year (Y1, Y2, Y3, & Y4) was used to conduct a cross-lagged panel analysis of attitudes about aggression and aggressive behaviors, among both cohorts.

RESULTS

By Y4, approximately 46% of the middle school cohort and 60% of the high school cohort perpetrated some form of ADA. The cross-lagged panel analysis revealed significant cross-sectional associations in the middle school (Y1, Y2, & Y4) and high school (Y1 & Y2) cohorts. Aggressive behaviors were significantly associated with future aggressive behaviors for the middle and high school cohorts each year. Similarly, attitudes about aggression were significantly associated with attitudes in the following years for both cohorts. Among the middle school cohort, there were significant cross-lagged effects between aggressive behaviors in Y2 and attitudes about aggression in Y3, as well as aggressive behaviors in Y3 and attitudes about aggression in Y4. Among the high school cohort, a bidirectional association was found from Y2 to Y3.

CONCLUSIONS

These findings suggest prevention programs should be implemented earlier, among middle school aged adolescents, and target factors beyond attitudes supporting aggression.

Co-occurrence of Dating Violence Victimization Subtypes: Assessing the Influence of Family Factors, Dating Attitudes, Risky Behaviors, and the Moderating Effect of Gender Among School-Aged Teens

Using data from a nationally representative sample of school-aged teens (n = 795), this study examined covariates associated with three subtypes of dating violence victimization (physical violence, emotional abuse, and imposed isolation). We asked the research questions: What were the family factors, dating attitudes, and risky behaviors associated with three subtypes of dating violence victimization across two time points? Second, were these relationships moderated by gender? Overall, we found widespread co-occurrence of victimization. Contrary to our predictions, not all earlier experiences with dating violence victimization worsened or persisted overtime. Regarding family factors, we did not find substantial statistically significant effects on victimization, with the exception that greater openness with parents was associated with increased occurrence of emotional abuse at Wave 1. In terms of dating attitudes, we found that when respondents condoned violence against a girlfriend, they were more likely to experience physical violence victimization at both waves. Respondents who believed that it is okay to use violence to control a boyfriend's behavior were more likely to report emotional abuse at Wave 1. Similarly, respondents who believed that it is okay to date more than one person, as well as those who condoned sexual intercourse outside of a romantic relationship, were more susceptible to emotional abuse. Regarding risky behaviors, we found that the respondents' victimization experience did not increase with a greater sexual partner acquisition; rather, it exerted the opposite effect on their experience with physical violence victimization. These risky behaviors, however, were only statistically significant at Wave 1. Finally, the moderating effect of gender is noted in the study. Implications from the study are discussed.

Loneliness, Depressive Mood and Cyberbullying Victimization in Adolescent Victims of Cyber Dating Violence

Currently, cyber dating violence (CDV) is a serious health problem among adolescents due to their frequent use of communication technologies in their romantic relationships including the use of these technologies to perpetrate dating violence. However, research on this topic is recent and more studies about victims’ psychosocial adjustment are needed. The objectives of this study were to analyze the prevalence of CDV victimization according to frequency (occasional and frequent) and type (cyber control and cyber-aggression) and to explore their relations with loneliness, depressive mood and cyberbullying victimization. A total of 604 adolescents (M age = 14.32, SD = 1.67) who had a dating relationship at the time or in the past 12 months, participated in this study. The results showed a higher prevalence for cyber-control than cyber-aggression victimization, and positive correlations of CDV victimization with depressive mood and cyberbullying victimization in boys and girls. Positive correlations with loneliness were also observed for girls. The average effect size of the aforementioned correlations was large for girls and medium for boys. Both boys and girls who were frequent victims of CDV also suffered more cyberbullying by peers than those who were never, and occasionally, cyber victimized by their partners. Girls who were frequent victims of CDV also reported higher scores for loneliness and depressive mood, with a small average effect size. All these results highlight close relations between cyberbullying and CDV in adolescents, being necessary to pay greater attention to possible experiences of poly-victimization, and a worse psychosocial adjustment in frequently victimized girls than boys. These findings may be useful for developing more effective intervention programs.

Relations among Romantic Myths, Offline Dating Violence Victimization and Cyber Dating Violence Victimization in Adolescents

Cyber dating violence is an increasing problem with serious negative consequences for adolescents. Further knowledge about related variables is necessary to develop preventive strategies. The aim of this study was to analyze the correlations among cyber dating violence victimization (cyber-control and cyber-aggression), offline dating violence victimization (physical, verbal-emotional, and relational) and adolescents' beliefs in myths of romantic love; and to examine possible differences in cyber-control victimization, cyber-aggression victimization and offline dating violence victimization (relational, physical and verbal-emotional) according to adolescents' levels of belief (low vs. high) in myths of romantic love. The role of offline dating violence victimization (physical, verbal-emotional and relational) and romantic myths as predictor variables of cyber-control and cyber-aggression victimization was also explored. All these analyses were carried out separately with boys and girls. Of an initial sample of 919 adolescents, those who have had a dating relationship in the past year (492 adolescents, M = 15.10, SD = 1.59) were included. The regression analyses revealed that offline dating violence victimization and romantic myths were significant predictors of cyber-control and cyber-aggression victimization for both boys and girls, but explained variance was higher for girls. Verbal-emotional offline dating violence victimization was the main predictor of cyber-control victimization, and physical and relational offline dating violence victimizations were the main predictors of cyber-aggression victimization. These results can be useful for developing more effective offline and cyber dating violence prevention programs.

Adolescent Dating Violence Prevention Program for Early Adolescents: The Me & You Randomized Controlled Trial, 2014-2015

Objectives. To test the efficacy of Me & You, a multilevel technology-enhanced adolescent dating violence (DV) intervention, in reducing DV perpetration and victimization among ethnic-minority early adolescent youths. We assessed secondary impact for specific DV types and psychosocial outcomes.Methods. We conducted a group-randomized controlled trial of 10 middle schools from a large urban school district in Southeast Texas in 2014 to 2015. We used multilevel regression modeling; the final analytic sample comprised 709 sixth-grade students followed for 1 year.Results. Among the total sample, odds of DV perpetration were lower among intervention students than among control students (adjusted odds ratio = 0.46; 95% confidence interval = 0.28, 0.74). Odds of DV victimization were not significantly different. There were significant effects on some specific DV types.Conclusions. Me & You is effective in reducing DV perpetration and decreasing some forms of DV victimization in early middle-school ethnic-minority students.