The relationship between the transverse hymenal orifice diameter by the separation technique and other possible markers of sexual abuse.

Abstract:

OBJECTIVE:To evaluate the relationship between the transverse hymenal orifice diameter as measured by separation technique (THODST), using a method that maximized the diameter of the hymenal orifice, and other possible markers of sexual abuse in girls from 3 through 12 years old. METHODS:Over a 10-year period, clinical information was recorded on girls referred to the WakeMed Child Sexual Abuse Team in Raleigh, NC at the time of examination. The study population comprised 1975 girls of the 2058 evaluated for sexual abuse. The girls were interviewed, examined, and tested for sexually transmitted diseases. Information from referral sources, accompanying guardians, and previous recent physical examinations was recorded. The girls were assigned to three groups based upon their risk of being sexually abused. Linear regression was performed to evaluate how well the THODST distinguished between the risk groups, as well as how it was correlated with individual established markers of sexual abuse. RESULTS:The size of the THODST did not distinguish between the three risk groups, nor did it correlate with any potential or established markers of sexual abuse other than three potential markers of hymenal trauma: narrowing of the posterior hymenal rim, hymenal tears and lacerations, and hymenal clefts between 5 and 7 o'clock in the supine position. CONCLUSION:Thus, we found the THODST as we measured it to have no value for answering the question, "Was this child sexually abused?"

journal_name

Child Abuse Negl

journal_title

Child abuse & neglect

authors

Ingram DM,Everett VD,Ingram DL

doi

10.1016/s0145-2134(01)00259-9

keywords:

subject

Has Abstract

pub_date

2001-08-01 00:00:00

pages

1109-20

issue

8

eissn

0145-2134

issn

1873-7757

pii

S0145-2134(01)00259-9

journal_volume

25

pub_type

杂志文章
  • Multi-informant assessment of anxiety regarding ano-genital examinations for suspected child sexual abuse (CSA).

    abstract:OBJECTIVE:Given the commonly held belief that physical examinations for child sexual abuse (CSA) are very distressing, our primary objective was to evaluate anxiety during these assessments using the Multidimensional Anxiety Score for Children (MASC-10). A second objective was to compare self-reported anxiety to parent...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2010.01.006

    authors: Scribano PV,Hornor G,Rhoda D,Curran S,Stevens J

    更新日期:2010-08-01 00:00:00

  • Legal decision-making in child sexual abuse investigations: A mixed-methods study of factors that influence prosecution.

    abstract::Prosecution of child sexual abuse cases is an important aspect of a community's response for holding perpetrators accountable and protecting children. Differences in charging rates across jurisdictions may reflect considerations made in prosecutors' decision-making process. This mixed-methods, multiphase study used da...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2018.02.022

    authors: Duron JF

    更新日期:2018-05-01 00:00:00

  • The rate of physical child abuse in Chinese families: a community survey in Hong Kong.

    abstract:OBJECTIVE:This study aimed to describe the extent and pattern of parental child battering in Chinese families in Hong Kong. It was hypothesized that the unique feature of filial piety in Chinese culture will create a different pattern of child abuse in Hong Kong when compared to Western societies. METHOD:A telephone s...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/s0145-2134(98)00010-6

    authors: Tang CS

    更新日期:1998-05-01 00:00:00

  • Exploring relationships as mediators of treatment outcomes among commercially sexually exploited youth.

    abstract:BACKGROUND:Research indicates that youth exposed to commercial sexual exploitation tend to have extensive histories of trauma, including physical abuse, sexual abuse, and neglect, which increases their vulnerability to exploitation. Trauma literature finds youth who present to treatment with greater behavioral health n...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2019.104095

    authors: Landers M,Johnson MH,Armstrong MI,McGrath K,Dollard N

    更新日期:2020-02-01 00:00:00

  • Racial disparities in child welfare in Ontario (Canada) and training on ethnocultural diversity: An innovative mixed-methods study.

    abstract:BACKGROUND:Despite continuous reports showing the overrepresentation of Black children in the child welfare system in Ontario, Canada's most populous and ethnically diverse province, knowledge in the factors contributing to this issue remain scarce. OBJECTIVE:This study aimed to explore questions relating to caseworke...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2020.104659

    authors: Cénat JM,Noorishad PG,Czechowski K,McIntee SE,Mukunzi JN

    更新日期:2020-10-01 00:00:00

  • Intergenerational transmission of child abuse: Predictors of child abuse potential among racially diverse women residing in domestic violence shelters.

    abstract::Parental risk for perpetrating child abuse is frequently associated with intergenerational patterns of abuse: being abused increases the risk for future abuse. Yet, the mechanisms of intergenerational abuse are unclear, and the risk factors for perpetrating child abuse are interrelated. Research suggests that history ...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2018.08.004

    authors: Anderson RE,Edwards LJ,Silver KE,Johnson DM

    更新日期:2018-11-01 00:00:00

  • Risk factors for paternal physical child abuse.

    abstract:OBJECTIVE:This study uses the developmental-ecological framework to examine a comprehensive set of paternal factors hypothesized to be linked to risk for paternal child abuse (PCA) among a diverse sample of fathers. Attention was given to fathers' marital status and their race/ethnicity (White, African American, and Hi...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2007.11.006

    authors: Lee SJ,Guterman NB,Lee Y

    更新日期:2008-09-01 00:00:00

  • Social factors in relation to physical abuse in Kuala Lumpur, Malaysia.

    abstract::Available evidence has shown that the type of abuse perpetrated on children depends considerably on the social and other factors inherently faced by these children. A total of 119 cases of physical abuse was detected by the Suspected Child Abuse and Neglect (SCAN) Team of General Hospital, Kuala Lumpur in 1991. Eighty...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/0145-2134(94)90025-6

    authors: Kasim MS,Shafie HM,Cheah I

    更新日期:1994-05-01 00:00:00

  • A systems approach to child abuse: management and treatment issues.

    abstract::In the systems approach certain patterns of family interaction are seen as fitting with physical abuse towards children in the family. If these interactions are blocked or changed using specific family therapy interventions, the risk of further abuse will be significantly reduced. Identifying typical patterns of inter...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/0145-2134(89)90028-8

    authors: Asen K,George E,Piper R,Stevens A

    更新日期:1989-01-01 00:00:00

  • Psychometric evaluation and comparison of three retrospective, multi-item measures of childhood sexual abuse.

    abstract:OBJECTIVE:To evaluate and compare the psychometric qualities of three retrospective, multi-item measures of childhood sexual abuse (CSA): the CSA Frequency Scale, CSA Count Index, and CSA Multiple Characteristics Index. METHODS:Two samples of women 20-50 years old who experienced CSA were recruited from a family pract...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2007.03.016

    authors: Hulme PA

    更新日期:2007-08-01 00:00:00

  • Civil conflict, domestic violence, and poverty as predictors of corporal punishment in Colombia.

    abstract:BACKGROUND:With lingering effects from more than 50 years of war, young children in Colombia are exposed to multiple risk factors such as poverty, civil conflict, and domestic violence. In addition to these environmental stressors, public and legal support for corporal punishment remains high, which is shown by the hig...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2019.02.003

    authors: Cuartas J,Grogan-Kaylor A,Ma J,Castillo B

    更新日期:2019-04-01 00:00:00

  • Associations between types of maltreatment and substance use during adolescence.

    abstract:OBJECTIVE:The aim of this study was to investigate associations between four categories of maltreatment and substance use among adolescents. METHOD:All 10th through 12th graders n = 2,187) at six public high schools in a rural Oregon county filled out an anonymous survey that included questions about their experience ...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2003.12.002

    authors: Moran PB,Vuchinich S,Hall NK

    更新日期:2004-05-01 00:00:00

  • Evolution of the cranial computed tomography scan in child abuse.

    abstract::Computed tomography (CT) scans obtained at the time of clinical presentation have occasionally been reported to be normal in children with history and findings of significant abusive head injury. We have retrospectively observed abnormalities in "normal" scans of some similar children. We have also seen abnormalities ...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/s0145-2134(94)00130-8

    authors: Feldman KW,Brewer DK,Shaw DW

    更新日期:1995-03-01 00:00:00

  • Predictors of resilience in abused and neglected children grown-up: the role of individual and neighborhood characteristics.

    abstract:PURPOSE:This paper examines individual, family, and neighborhood level predictors of resilience in adolescence and young adulthood and describes changes in resilience over time from adolescence to young adulthood in abused and neglected children grown up. METHOD:We use documented cases of childhood physical and sexual...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2005.11.015

    authors: DuMont KA,Widom CS,Czaja SJ

    更新日期:2007-03-01 00:00:00

  • Trends in child maltreatment in the US Army, 1975-1997.

    abstract:OBJECTIVE:To examine trends by year in reports of victims of child maltreatment in the US Army Central Registry (ACR) during the period 1975-97. We report the rates/1,000 children of Army families of initial substantiated cases from 1988-97 and the number of cases of maltreatment as a percentage of total victims for ea...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/s0145-2134(99)00060-5

    authors: McCarroll JE,Newby JH,Thayer LE,Ursano RJ,Norwood AE,Fullerton CS

    更新日期:1999-09-01 00:00:00

  • Agency notification and retrospective self-reports of childhood maltreatment in a 30-Year cohort: Estimating population prevalence from different data sources.

    abstract:BACKGROUND:There is little known about how two sources of child maltreatment reports correspond, specifically for emotional, physical, sexual abuse and emotional or physical neglect. OBJECTIVE:To compare agency and self-reports of child maltreatment and determine whether they are predicted by similar early life course...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2020.104744

    authors: Najman JM,Kisely S,Scott JG,Strathearn L,Clavarino A,Williams GM,Middeldorp C,Bernstein D

    更新日期:2020-11-01 00:00:00

  • A historical comparison of Australian lawyers' strategies for cross-examining child sexual abuse complainants.

    abstract::Many child sexual abuse complainants find the adversarial trial process so distressing that they say they would never report abuse again. Their concerns stem largely from cross-examination, in which the lawyer acting for the accused attempts to discredit their evidence. We examined whether-and if so, how-Australian de...

    journal_title:Child abuse & neglect

    pub_type: 历史文章,杂志文章

    doi:10.1016/j.chiabu.2017.07.010

    authors: Zajac R,Westera N,Kaladelfos A

    更新日期:2017-10-01 00:00:00

  • Society, individual, family, and school factors contributing to child mental health in war: The ecological-theory perspective.

    abstract::Mental health problems are common in war-affected areas, but children have different levels of vulnerability. Based on ecological theory (Bronfenbrenner, 2005), this study analyses how factors related to the child (cognitive capacity), their family (parental depression and parenting styles), and their school (teachers...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.chiabu.2018.07.033

    authors: Diab SY,Palosaari E,Punamäki RL

    更新日期:2018-10-01 00:00:00

  • The prevalence of child sexual abuse in Finland.

    abstract::The prevalence and context of child sexual abuse was surveyed in Finland. A random sample of 409 comprehensive school classes with about 9,000 15-year-olds were asked to anonymously fill out questionnaires. The majority (93%) filled the questionnaires out in the privacy of the school nurse's office, the rest in their ...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/0145-2134(94)90062-0

    authors: Sariola H,Uutela A

    更新日期:1994-10-01 00:00:00

  • Why sexual abuse? An exploration of the intergenerational hypothesis.

    abstract::The issue of sexual abuse in the family backgrounds of offenders and mothers of victims is explored in a clinical sample of 154 cases of intrafamilial sexual abuse. More than a third of the offenders and about half of the mothers had experienced or been exposed to sexual abuse as children. Cases were divided into thos...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/0145-2134(89)90058-6

    authors: Faller KC

    更新日期:1989-01-01 00:00:00

  • The impact of patterns of trauma exposure among low income children with and without histories of child maltreatment.

    abstract::Previous research has revealed a large prevalence of trauma experienced by children, creating high risk for the development of psychopathology. Research investigating the negative impacts of child maltreatment and other traumas has typically examined these experiences individually, controlling for co-occurring traumas...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2018.04.005

    authors: Rosen AL,Handley ED,Cicchetti D,Rogosch FA

    更新日期:2018-06-01 00:00:00

  • Fabricated or induced illness: From "Munchausen by proxy" to child and family-oriented action.

    abstract:BACKGROUND:In fabricated or induced illness (FII), a child is harmed due to caregiver(s) behaviour and actions, carried out to convince mainly doctors that the child's physical and/or psychological health is more impaired than in reality. Harm is caused directly by the caregivers(s) and also often inadvertently by doct...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2020.104649

    authors: Glaser D

    更新日期:2020-10-01 00:00:00

  • Borderline personality features and emotion regulation deficits are associated with child physical abuse potential.

    abstract::The present study extends prior research examining the association between borderline personality disorder (BPD) features and child physical abuse (CPA) risk. We hypothesized that: (1) high CPA risk parents (compared to low CPA risk parents) would more often report clinically elevated levels of BPD features; (2) high ...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2015.10.023

    authors: Hiraoka R,Crouch JL,Reo G,Wagner MF,Milner JS,Skowronski JJ

    更新日期:2016-02-01 00:00:00

  • Prenatal substance exposure diagnosed at birth and infant involvement with child protective services.

    abstract::Infants have the highest rates of maltreatment reporting and entries to foster care. Prenatal substance exposure is thought to contribute to early involvement with child protective services (CPS), yet there have been limited data with which to examine this relationship or variations by substance type. Using linked bir...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2017.10.002

    authors: Prindle JJ,Hammond I,Putnam-Hornstein E

    更新日期:2018-02-01 00:00:00

  • The effect of Alaska's home visitation program for high-risk families on trends in abuse and neglect.

    abstract:OBJECTIVES:At 6 sites serving 21 communities, Alaska implemented Healthy Families Alaska, a home visitation program using paraprofessionals designed to decrease child abuse and neglect. The primary study objective was to compare changes over time in Child Protective Services outcomes by Healthy Families Alaska enrollme...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2007.08.004

    authors: Gessner BD

    更新日期:2008-03-01 00:00:00

  • Children's drawings.

    abstract::Children's drawings have been used in clinical interviews to provide direction for recollection and memory of events. Drawings encourage the retrieval of experience in the motoric, visual, and auditory recall. The drawing itself gives an expression of motor sensory discharge; the objects in the drawing help with the p...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章,评审

    doi:10.1016/0145-2134(93)90015-w

    authors: Burgess AW,Hartman CR

    更新日期:1993-01-01 00:00:00

  • Listening to victims: use of a Critical Incident Reporting System to enable adult victims of childhood sexual abuse to participate in a political reappraisal process in Germany.

    abstract::Recent revelations about the scope and severity of past child sexual abuse in German institutions set off a broad public debate on this issue, and led to the establishment of a politically appointed Round Table committee and an Independent Commissioner whose mandates were to reappraise the issue and develop recommenda...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2013.05.007

    authors: Rassenhofer M,Spröber N,Schneider T,Fegert JM

    更新日期:2013-09-01 00:00:00

  • Relationships between parents' use of corporal punishment and their children's endorsement of spanking and hitting other children.

    abstract:OBJECTIVES:To explore the intergenerational cycle of violence, the present study examined the relationship between parental approval and children's approval of corporal punishment (CP) and the subsequent relationship between children's CP experience and preference for hitting to resolve interpersonal conflict. METHOD:...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/j.chiabu.2010.01.012

    authors: Simons DA,Wurtele SK

    更新日期:2010-09-01 00:00:00

  • Area-socioeconomic disparities in mental health service use among children involved in the child welfare system.

    abstract::Relying on data from a nationally representative sample of youth involved in the child welfare system (CWS) in 1999-2000 (the National Survey of Child and Adolescent Well-Being, Cohort 1) and 2008-2009 (Cohort 2), this study implemented a diverse set of disparity indicators to estimate area-socioeconomic disparities i...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.chiabu.2018.05.018

    authors: Kim M,Garcia AR,Yang S,Jung N

    更新日期:2018-08-01 00:00:00

  • Using video vignettes to evaluate children's personal safety knowledge: methodological and ethical issues.

    abstract:OBJECTIVE:The study aimed to assess children's personal safety knowledge by seeking their responses to video-delivered simulations of child maltreatment. METHOD:In seeking to do this, methodological and ethical difficulties were encountered. These arose during several phases of consultation, the refinement of an inter...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章

    doi:10.1016/s0145-2134(00)00135-6

    authors: Johnson B

    更新日期:2000-06-01 00:00:00