Telling their stories: primary care practitioners' experience evaluating and reporting injuries caused by child abuse.


OBJECTIVE:To learn about primary care physicians' experiences in identifying and reporting injuries caused by physical abuse. METHOD:Two qualitative analysts facilitated a focus group of six Chicago area, primary care physicians. Physicians representing diverse practice settings were selected to participate in the discussion. The analysts reviewed and analyzed the audiotape transcription of the focus group for common emergent themes. RESULTS:Two themes emerged: (1) the importance of the participants' own past experience identifying and reporting suspected child abuse and (2) the responsibility physicians experience as they strive to assess possible abuse within the time constraints of an office visit. Each physician described a sentinel event that continues to affect decision-making. The physicians described several obstacles to decision-making including a lack of knowledge about child abuse, their previous experience with child protective services (CPS), and the additional time required to evaluate and report suspected abuse. The discussion suggested that rapid availability of expert consultation improved participant comfort in decision-making when abuse or neglect is suspected. CONCLUSION:Primary care physicians reported being strongly influenced by their previous experiences with suspected abuse. A better understanding of office-based experiences with suspected abuse is needed to guide the development of tools and systems to enhance the ability of the primary care physician to provide the best care for children who may have been abused.


Child Abuse Negl


Child abuse & neglect


Flaherty EG,Jones R,Sege R,Child Abuse Recognition Experience Study Research Group.





Has Abstract


2004-09-01 00:00:00














  • Violent crime against children with disabilities: A nationwide prospective birth cohort-study.

    abstract:BACKGROUND:The rate of violent victimization against children with disabilities is thought to be lower than the rate for children without disabilities but several studies shows otherwise. OBJECTIVE:The study focuses on examining violent crime against children with disabilities and explaining differences in victimizati...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Christoffersen MN

    更新日期:2019-12-01 00:00:00

  • The role of pre-birth parent characteristics in early family development.

    abstract::In designing early intervention studies, it is important to consider how the nature of pre-birth parent personality and marital characteristics influence family and child development. Descriptions of the development of three families show the specific impact of these pre-birth characteristics on the quality of the par...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Heinicke CM

    更新日期:1984-01-01 00:00:00

  • Describing maltreatment: do child protective service reports and research definitions agree?

    abstract:OBJECTIVE:The National Research Council identified inadequate research definitions for abuse and neglect as barriers to research in child maltreatment. We examine the concordance between child protective services (CPS) classifications of maltreatment type with the determinations of type from two research coding systems...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Runyan DK,Cox CE,Dubowitz H,Newton RR,Upadhyaya M,Kotch JB,Leeb RT,Everson MD,Knight ED

    更新日期:2005-05-01 00:00:00

  • Parental responses to infant crying: the influence of child physical abuse risk and hostile priming.

    abstract:OBJECTIVE:Managing a crying infant is a challenge universally faced by new parents. This study examined whether parental interpretations, feelings, and behaviors following exposure to a 2-minute videotaped segment of a crying infant varied as a function of child physical abuse (CPA) risk and exposure to cues of hostili...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Crouch JL,Skowronski JJ,Milner JS,Harris B

    更新日期:2008-07-01 00:00:00

  • Racial/ethnic differences in Medicaid expenditures on psychotropic medications among maltreated children.

    abstract::This study quantifies racial/ethnic differences in Medicaid expenditures on psychotropic drugs among a national sample of children with suspected maltreatment. We linked 4,445 child participants in the National Survey of Child and Adolescent Well-Being (NSCAW) - consisting of children investigated for suspected abuse ...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Raghavan R,Brown DS,Allaire BT,Garfield LD,Ross RE,Snowden LR

    更新日期:2014-06-01 00:00:00

  • Physician assistants as members of social service child protection units.

    abstract::A nationwide survey of county departments of social services revealed a need for medical services and consultation to child protection units. Over 92% of the 84 counties surveyed stated they had a problem meeting their medical needs and would be willing to hire a physician assistant as medical consultant to their coun...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Gray J,Fryer GE

    更新日期:1991-01-01 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


    authors: Simons DA,Wurtele SK

    更新日期:2010-09-01 00:00:00

  • The roles of child maltreatment types and peer relationships on behavior problems in early adolescence.

    abstract:BACKGROUND:Although previous research has established that child maltreatment (CM) and peer relationships (i.e., deviant peer affiliation, being ignored by peers) are strong predictors of adolescent internalizing (INT) and externalizing (EXT) behavior problems, no study has examined the above effects concurrently. Nor ...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Yoon D,Yoon S,Pei F,Ploss A

    更新日期:2021-02-01 00:00:00

  • Costs for physical and mental health hospitalizations in the first 13 years of life among children engaged with Child Protection Services.

    abstract:BACKGROUND:Longitudinal data on health costs associated with physical and mental conditions are not available for children reported to child protection services. OBJECTIVE:To estimate the costs of hospitalization for physical and mental health conditions by child protection status, including out-of-home-care (OOHC) pl...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Neil AL,Islam F,Kariuki M,Laurens KR,Katz I,Harris F,Carr VJ,Green MJ

    更新日期:2020-01-01 00:00:00

  • Child sexual abuse prevention: evaluation of a teacher training model.

    abstract::Teachers are potentially helpful resource persons for large numbers of sexually abused children who may have difficulty disclosing abuse, particularly to family members. In the present study, the effectiveness of a 6-hour teacher training workshop on child sexual abuse prevention was evaluated. Responses of 26 female ...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Kleemeier C,Webb C,Hazzard A,Pohl J

    更新日期:1988-01-01 00:00:00

  • Research on resilience to child maltreatment: empirical considerations.

    abstract:OBJECTIVE:To review the current research literature on resilience to maltreatment in childhood and adolescence. METHOD:First, this paper addresses the methodological issues applicable to this area of research. Second, it reviews the empirical literature on the protective factors believed to contribute to resilience to...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章,评审


    authors: Heller SS,Larrieu JA,D'Imperio R,Boris NW

    更新日期:1999-04-01 00:00:00

  • Care taker blogs in caregiver fabricated illness in a child: a window on the caretaker's thinking?

    abstract::Three recently diagnosed cases of caregiver-fabricated illness in a child at Seattle Children's Hospital shed light on a new manifestation of their caretakers' attention seeking. The patients' mothers were actively blogging about their children's reputed illnesses. Although it is not uncommon for parents of chronicall...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Brown AN,Gonzalez GR,Wiester RT,Kelley MC,Feldman KW

    更新日期:2014-03-01 00:00:00

  • Psychologic implications of the maltreated-child syndrome.

    abstract::A retrospective investigation of 97 psychologically maltreated children showed a clear relationship between clinical symptoms and the intensity of the abuse. Parental neglect resulted in impairment of intellectual and locomotor development and emotional and behavioral disorders. Neurotic manifestations of regressive t...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Martinez-Roig A,Domingo-Salvany F,Llorens-Terol J,Ibañez-Cacho JM

    更新日期:1983-01-01 00:00:00

  • Physical and mental health of children with substantiated sexual abuse: Gender comparisons from a matched-control cohort study.

    abstract::When compared to children from the general population, sexually abused children receive more medical services, both for physical and mental health problems. However, possible differences between sexually abused boys and girls remain unknown. The lack of control group in studies that find gender differences also preven...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Daigneault I,Vézina-Gagnon P,Bourgeois C,Esposito T,Hébert M

    更新日期:2017-04-01 00:00:00

  • Crocodile talk: attributions of incestuously abused and nonabused sisters.

    abstract::This study is a qualitative analysis of the attributions of sisters (abused and nonabused sister dyads, n = 10 and abused sister dyads, n = 10) who grew up in an incestuous family. While the sibling subsystem is reported to be the most important and enduring relational environment in the life of the family, little is ...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Monahan K

    更新日期:1997-01-01 00:00:00

  • Children experiencing violence. II: Prevalence and determinants of corporal punishment in schools.

    abstract:OBJECTIVE:This study was undertaken to reveal the prevalence and determinants of corporal punishment in preparatory (middle) and secondary (high) schools in Alexandria. METHODS:A cross sectional survey targeting preparatory and secondary school students enrolled in main stream public schools was conducted. The multist...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Youssef RM,Attia MS,Kamel MI

    更新日期:1998-10-01 00:00:00

  • The relationship between sexual abuse and substance abuse among psychiatrically hospitalized adolescents.

    abstract::A comparative study using matched samples was conducted to investigate the relationship between sexual abuse and substance abuse. The sample included 48 adolescent psychiatric inpatients who had been sexually abused (abuse group) and 48 psychiatric inpatients without a known history of such abuse (control group) match...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Singer MI,Petchers MK,Hussey D

    更新日期:1989-01-01 00:00:00

  • Perceptions of general and parenting-specific posttraumatic change among postpartum mothers with histories of childhood maltreatment.

    abstract::Although adaptive meanings of childhood maltreatment (CM) are critical to posttraumatic adaptation, little is known about perceptions of posttraumatic change (PTC) during the vulnerable postpartum period. PTC may be positive or negative as well as global or situational. This study examined general and parenting-specif...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Fava NM,Simon VA,Smith E,Khan M,Kovacevic M,Rosenblum KL,Menke R,Muzik M

    更新日期:2016-06-01 00:00:00

  • Web-based child pornography: The global impact of deterrence efforts and its consumption on mobile platforms.

    abstract::Our study is the first to look at mobile device use for child sexual exploitation material (CSEM) consumption, and at the global impact of deterrence efforts by search providers. We used data from Google, Bing, and Yandex to assess how web searches for CSEM are being conducted, both at present and historically. Our fi...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Steel CM

    更新日期:2015-06-01 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


    authors: Johnson B

    更新日期:2000-06-01 00:00:00

  • Childhood adversity, social support networks and well-being among youth aging out of care: An exploratory study of mediation.

    abstract::The goals of the present study are to examine the relationship between childhood adversity and adult well-being among vulnerable young adults formerly placed in substitute care, and to investigate how characteristics of their social support networks mediate this association. A sample of 345 Israeli young adults (ages ...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Melkman EP

    更新日期:2017-10-01 00:00:00

  • Alexithymia as a mediator between childhood trauma and self-injurious behaviors.

    abstract:OBJECTIVE:The aim of this study was to test whether alexithymia mediates the relationship between childhood maltreatment and self-injurious behaviors (SIB) in college women. METHOD:The sample was comprised of 100 female undergraduate students. Measures were the Childhood Trauma Questionnaire [D. Bernstein, L. Fink, Ma...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Paivio SC,McCulloch CR

    更新日期:2004-03-01 00:00:00

  • The impact of case characteristics on child abuse reporting decisions.

    abstract::Drawing distinctions on the basis of at least some case characteristics in making reporting decisions makes considerable sense. Using data from a national survey of mandated reporters that included vignettes in which case and personal characteristics were systematically varied, this paper examines the impact of select...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Zellman GL

    更新日期:1992-01-01 00:00:00

  • Trauma-focused CBT for youth who experience ongoing traumas.

    abstract::Many youth experience ongoing trauma exposure, such as domestic or community violence. Clinicians often ask whether evidence-based treatments containing exposure components to reduce learned fear responses to historical trauma are appropriate for these youth. Essentially the question is, if youth are desensitized to t...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Cohen JA,Mannarino AP,Murray LK

    更新日期:2011-08-01 00:00:00

  • Predictors of parents' physical disciplinary practices.

    abstract:OBJECTIVE:This study examined how childhood history of discipline (1) related to ratings of how severe and typical punishments were; and (2) predicted parents' use of discipline techniques. The influence of child culpability on these ratings was also investigated. METHOD:Ninety-nine New Zealand parents rated 12 physic...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Rodriguez CM,Sutherland D

    更新日期:1999-07-01 00:00:00

  • Disentangling the effect of out-of-home care on child mental health.

    abstract:BACKGROUND:Children in out-of-home care are consistently found to have poor mental health compared to children in the general population. However, UK research has so far failed to disentangle the impact of the care system on children's mental health outcomes from the effects of the adverse circumstances that led to the...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Baldwin H,Biehal N,Cusworth L,Wade J,Allgar V,Vostanis P

    更新日期:2019-02-01 00:00:00

  • Promoting the development of resilient academic functioning in maltreated children.

    abstract::This study examined (a) the extent of heterogeneity in the patterns of developmental trajectories of language development and academic functioning in children who have experienced maltreatment, (b) how maltreatment type (i.e., neglect or physical abuse) and timing of abuse explained variation in developmental trajecto...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Holmes MR,Yoon S,Berg KA,Cage JL,Perzynski AT

    更新日期:2018-01-01 00:00:00

  • The abuse-related beliefs questionnaire for survivors of childhood sexual abuse.

    abstract:OBJECTIVE:To evaluate the psychometric properties of a new measure, the Abuse-Related Beliefs Questionnaire (ARBQ), designed to assess abuse-related beliefs among adult survivors of childhood sexual abuse (CSA). Study 1 examined the structure of the scale, and Study 2 evaluated its reliability and validity. METHOD:One...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Ginzburg K,Arnow B,Hart S,Gardner W,Koopman C,Classen CC,Giese-Davis J,Spiegel D

    更新日期:2006-08-01 00:00:00

  • Is higher placement stability in kinship foster care by virtue or design?

    abstract::Prior research has repeatedly documented higher placement stability for children who enter kinship care rather than non-relative foster care. However, little is known about why, and under what circumstances, kinship care is more stable. This study uses longitudinal state administrative data to explore possible explana...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Font SA

    更新日期:2015-04-01 00:00:00

  • Sexual abuse: a sociological perspective.

    abstract::How have contemporary social changes affected the problem of child sexual abuse? The rapid rise of this problem to public attention in the United States is in part due to the mobilization around the problem by the women's movement and the child welfare movement there. But factors shown by research to be associated wit...

    journal_title:Child abuse & neglect

    pub_type: 杂志文章


    authors: Finkelhor D

    更新日期:1982-01-01 00:00:00