Adolescent exposure to violence (ETV) is associated with multiple negative health outcomes. Despite evidence linking adolescent ETV with later experiences of physical, sexual and psychological intimate partner violence (IPV) victimization, more longitudinal evidence is needed, and potential explanatory mechanisms should be tested. We examine data collected over 17 years to analyze the mediating effects of mental distress and substance use on the association between cumulative ETV in adolescence and IPV in adulthood. Adolescent (M ages=15-18 years) ETV was associated with IPV outcomes in adulthood (M age=32 years). In parallel mediation models, mental distress in emerging adulthood (M ages=20-23 years) fully mediated the effect of adolescent ETV on later IPV outcomes. Although substance use predicted experience of IPV, it did not mediate the association between ETV and IPV. These findings have implications for understanding trajectories of risk following violence exposure and inform intervention work through identifying developmental periods where ETV contributes to later IPV victimization.

中文翻译：

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由精神困扰介导的青少年暴露于暴力和亲密伴侣暴力

青少年接触暴力 (ETV) 与多种负面健康结果有关。尽管有证据表明青少年 ETV 与后来的身体、性和心理亲密伴侣暴力 (IPV) 受害经历有关，但仍需要更多的纵向证据，并应检验潜在的解释机制。我们检查了 17 年来收集的数据，以分析精神困扰和物质使用对青春期累积 ETV 与成年 IPV 之间关联的中介作用。青少年（M 年龄=15-18 岁）ETV 与成年期 IPV 结果相关（M 年龄=32 岁）。在平行中介模型中，成年后的精神压力（M 年龄 = 20-23 岁）完全中介了青少年 ETV 对后来 IPV 结果的影响。尽管物质使用预测了 IPV 的经历，它没有调解 ETV 和 IPV 之间的关联。这些发现对于理解暴力暴露后的风险轨迹具有重要意义，并通过确定 ETV 导致后来 IPV 受害的发展时期为干预工作提供信息。