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 parental report using the MASC-10 and to medical provider's rating of emotional distress using the Genital Examination Distress Scale (GEDS). METHODS:Child/parent dyads completed the MASC-10 prior to the evaluation and were retested at the completion of the medical exam. GEDS assessment occurred during the medical exam. RESULTS:One hundred seventy-five subject dyads were enrolled and were predominantly female (77%), Caucasian (66%), accompanied by mother (90%), and receiving Medicaid (57%). A significant subgroup of children reported clinically significant levels of anxiety at the pre-examination assessment (17.1%) and post-examination assessment (15.4%). However, most subjects reported low anxiety at both pre- and post-examination assessments. Both child and parent report demonstrated less anxiety, on average, post-examination compared to pre-examination scores. Reduced anxiety was measured with a mean pre-T-score=55.8 versus mean post-T-score=53.1 (p<.001). Correlation coefficients for pre-T-scores and post-T-scores of child/parent dyad were 0.3257 (p<.0001) and 0.3403 (p<.0001). A small correlation was noted between child reported anxiety and medical provider observation using the GEDS for pre-exam (0.1904, p=.01), and post-exam (0.2090, p=.02). CONCLUSIONS:Our research indicates that the majority of children are not severely anxious during medical evaluations for CSA. In addition, the MASC-10 shows promise as an instrument to assess anxiety from the ano-genital examination in CSA because it could be quickly completed by most patients and their parents, indicated a wide range of anxiety levels, and demonstrated some sensitivity to change. While parent report may identify some child anxiety, parent and provider report should not be substitutes for the self-report of children's anxiety during this medical evaluation. PRACTICE IMPLICATIONS:A practical, quick, validated measure of anxiety can be used in the setting of CSA evaluations to identify anxiety in this population.
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
Scribano PV,Hornor G,Rhoda D,Curran S,Stevens Jdoi
10.1016/j.chiabu.2010.01.006subject
Has Abstractpub_date
2010-08-01 00:00:00pages
602-9issue
8eissn
0145-2134issn
1873-7757pii
S0145-2134(10)00139-0journal_volume
34pub_type
杂志文章abstract:BACKGROUND:Safe harbor laws have been implemented to change the way systems of care respond to juveniles exploited in commercial sex in the U.S., yet there is little research on the way these laws have impacted the identification and rehabilitation of juveniles. OBJECTIVE:Using administrative data, this study investig...
journal_title:Child abuse & neglect
pub_type: 杂志文章,评审
doi:10.1016/j.chiabu.2019.104320
更新日期:2020-03-01 00:00:00
abstract::Victimization of Mexican youth (aged 12-17) has received little attention compared to that of adults. Using the 2014 Social Survey on Social Cohesion for the Prevention of Violence and Delinquency, we examine prevalence and types of victimization; describe the characteristics of incidents in terms of relationship with...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2017.02.013
更新日期:2017-05-01 00:00:00
abstract::Reports to CPS agencies of child maltreatment cases come from a variety of community sources. Which kinds of cases are underreported, overreported, or not reported at all, and why? We address these questions by examining the discrepancies between cases known to CPS agencies and those known to professionals who regular...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(93)90056-b
更新日期:1993-05-01 00:00:00
abstract:OBJECTIVE:The goal of this study was to investigate the well being of Arab adolescents who live under the threat of ongoing blood vengeance, and to assess the impact of socio-demographic characteristics, cultural context, and family functioning as a mediators factors. METHOD:The sample consisted of 100 adolescents in ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(01)00220-4
更新日期:2001-04-01 00:00:00
abstract::Children living in out-of-home care have experienced a multitude of adversities, often resulting in compromised functioning. The current study used Ontario Looking After Children (OnLAC) project data to estimate developmental trajectories of behavioral outcomes (i.e., conduct and emotional problems) over a 4-year peri...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2015.04.018
更新日期:2015-10-01 00:00:00
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
更新日期:1989-01-01 00:00:00
abstract:OBJECTIVE:The goal was to develop an empirically derived typology for sexually abused children exhibiting sexual behavior problems to assist practitioners in differential assessment, treatment, and case planning. METHOD:Data were systematically gathered from the clinical records of 100 sexually abused children, aged 3...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(01)00326-x
更新日期:2002-03-01 00:00:00
abstract:OBJECTIVES:To examine the relationship of childhood physical and sexual abuse with reported parenting satisfaction and parenting role impairment later in life among American Indians (AIs). METHODS:AIs from Southwest and Northern Plains tribes who participated in a large-scale community-based study (n=3,084) were asked...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2007.07.006
更新日期:2008-02-01 00:00:00
abstract:BACKGROUND:To monitor stability of care, the proportion of children in England who have experienced three or more placements in the preceding 12-month period is published in government statistics. However, these annual snapshots cannot capture the complexity and heterogeneity of children's longitudinal care histories. ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2020.104689
更新日期:2020-11-01 00:00:00
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
更新日期:1994-05-01 00:00:00
abstract::The study investigates the influence of access to information of a history of physical maltreatment on the evaluative responding of social service and clinical psychology professionals. Written vignettes were used in a 2 x 2 x 2 factorial design to manipulate the: (a) presence/absence of abuse history; (b) presence/ab...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(96)00155-x
更新日期:1997-03-01 00:00:00
abstract:OBJECTIVES:Little is known about associations between different forms of discipline and children's literacy, social skills, and behavior in low- and middle-income countries. This study examined maternal use of physical discipline, harsh physical discipline, psychological aggression, and nonphysical discipline and their...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2020.104513
更新日期:2020-08-01 00:00:00
abstract::This research tested the influence of two common sources of information on boys' perceptions of their risk for sexual abuse. In this sample exposure to prevention education programs was associated with a lower perceived likelihood of being sexually abused, and discussion of child sexual abuse with parents was associat...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(94)90082-5
更新日期:1994-07-01 00:00:00
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
更新日期:2008-09-01 00:00:00
abstract::The goal of this study was to examine the influence of animal-assisted psychotherapy (AAP) on the psychosocial adaptation of a group of adolescents in residential care who had suffered traumatic childhood experiences and who presented with mental health problems. This study recruited 63 youths (mean age=15.27, SD=1.63...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2015.09.004
更新日期:2015-12-01 00:00:00
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
更新日期:2016-02-01 00:00:00
abstract::Three different types of professional intervention are described for families where father-daughter incest and stepfather-stepdaughter child sexual abuse have occurred. Their possible bearing on the development of the family process and the family network process is outlined. It will be demonstrated how the particular...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(83)90072-8
更新日期:1983-01-01 00:00:00
abstract::This paper examines the extent of physical and sexual abuse among runaway youths and the association of that abuse with behavior, mental health, life events, and parental mental health. Of 291 youths who sought shelter at homes for runaway youths, almost half (141) reported a history of physical or sexual abuse. The r...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(89)90082-3
更新日期:1989-01-01 00:00:00
abstract::Although role conflict is well recognized for women in general, it has not been explored for women who are mothers and wives in paternally incestuous families. This study sought to remedy that oversight by analyzing the data gleaned from in-depth life history interviews with 20 women from paternally incestuous familie...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(94)90097-3
更新日期:1994-01-01 00:00:00
abstract:OBJECTIVE:To examine attachment style and coping strategies as potential mediating variables between childhood sexual abuse (CSA) and psychological and interpersonal functioning in an attempt to explain variability in extent of disorder and level of functioning. METHOD:Eighty adolescent females, aged 14-16 years, answ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(99)00085-x
更新日期:1999-11-01 00:00:00
abstract::This study examines how changes in the social and economic structure of neighborhoods relate to changes in child maltreatment report rates over an extended period. The panel study design allows us to partition the changes in child maltreatment report rates into a portion associated with how the levels of socio-economi...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2018.07.025
更新日期:2018-10-01 00:00:00
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
doi:10.1016/j.chiabu.2018.11.011
更新日期:2019-02-01 00:00:00
abstract::Latent class (LCA) and latent profile (LPA) analysis represent methodological approaches to identify subgroups of maltreated individuals. Although research examining child abuse and neglect (CAN) profiles is still rare, the application of person-centered techniques to clarify CAN types co-occurrence has substantially ...
journal_title:Child abuse & neglect
pub_type: 杂志文章,评审
doi:10.1016/j.chiabu.2017.06.014
更新日期:2017-08-01 00:00:00
abstract::This study aimed to examine the pathways from child sexual abuse to sexual assault victimization and perpetration in adolescence and early adulthood, considering risky sexual behavior and lowered sexual self-esteem as mediator variables. In a two-wave longitudinal study with 2251 college students in Germany, male and ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2016.10.004
更新日期:2017-01-01 00:00:00
abstract::The present study focuses on the way child protection officers (CPOs) in Israel assess suspected abuse and neglect (SCAN) reports made by hospital child protection teams (CPTs), to determine whether the alleged maltreatment is substantiated. The study was conducted in six medical centers and included 358 reports inves...
journal_title:Child abuse & neglect
pub_type: 杂志文章,多中心研究
doi:10.1016/j.chiabu.2014.11.006
更新日期:2015-02-01 00:00:00
abstract:OBJECTIVE:Children who are physically maltreated are at risk of a range of adverse outcomes in childhood and adulthood, but some children who are maltreated manage to function well despite their history of adversity. Which individual, family, and neighborhood characteristics distinguish resilient from non-resilient mal...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2006.03.011
更新日期:2007-03-01 00:00:00
abstract:BACKGROUND:Over one-third of inappropriate sexual contact experienced by children is initiated by other children. Many studies examined child initiators (CIs) of interpersonal problematic sexual behaviors (IPSBs). This study uniquely links CI information with types of sexual contact as described by children they engage...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2019.104260
更新日期:2020-07-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to determine whether reported childhood sexual abuse is related to the severity of symptoms in patients who experience auditory hallucinations. METHOD:A sample of 26 adult male and females with psychotic disorders involving auditory hallucinations were interviewed and were asked to ...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/s0145-2134(03)00139-x
更新日期:2003-08-01 00:00:00
abstract::The number of families troubled by parent-child incest in the typical community is much larger than suspected by professional helpers. If left unattended, the victim(s) and the family as a whole will be critically traumatized. Parental incest in the nuclear family can be likened to terminal cancer in the individual. T...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/0145-2134(82)90029-1
更新日期:1982-01-01 00:00:00
abstract::This article uses a comprehensive database about children in adversity collected over the 16-year period from 1990 to 2005 in the state of Western Australia. The focus of this interrogation is the effect of major changes in responses to information about children brought to the attention of the Western Australian stat...
journal_title:Child abuse & neglect
pub_type: 杂志文章
doi:10.1016/j.chiabu.2014.06.004
更新日期:2015-01-01 00:00:00