Abstract：
:Child sexual abuse is attracting increasing attention in the United Kingdom. In Leeds this is reflected in the work of two pediatricians who receive multiagency, direct referrals for children of all ages. Over two years 1,368 referrals were received for all kinds of abuse and neglect, including 608 for suspected sexual abuse (Hobbs & Wynne, 1987a), of which 337 (243 girls, 94 boys) were confirmed or probable cases. The abuses included genital touching, masturbation, oral, vaginal and anal penetration. Of these abuses, 30% (which were frequently multiple) involved and penetration by finger or penis; and 42% of 337 children exhibited one or more anal findings, rising to 60% of 115 children in the 0-5 years of age group. The diagnosis of abuse was made from results of multidisciplinary assessment including medical examination. Genital findings were present in 3% of boys and 50% of girls. Anal findings included erythema; swelling (tyre); laxity; shortening or eversion; reflex anal dilatation (dilatation); fissures; venous congestion; reversible and permanent skin changes; twitching; funnelling; hematoma and bruising; as well as signs of infection. The pattern of anal signs varied with the age of the child and chronicity of abuse, as judged from the history. Healing and resolution of anal physical findings on follow-up were observed from days to months after initial examination. The general absence of these findings in the group of children judged not to have been sexually abused supports a cause and effect hypothesis, but further research is required. Medical examination of every child where symptoms, signs, or situation raise the possibility of abuse or neglect must include anal inspection, but instrumental or digital examination is not recommended.
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
Hobbs CJ,Wynne JMdoi
10.1016/0145-2134(89)90006-9subject
Has Abstractpub_date
1989-01-01 00:00:00pages
195-210issue
2eissn
0145-2134issn
1873-7757pii
0145-2134(89)90006-9journal_volume
13pub_type
杂志文章abstract：BACKGROUND:The commercial sexual exploitation of children (CSEC) is a major global issue that affects over two million children each year (Polaris Project, 2014). Large metropolitan cities, such as Las Vegas, have high rates of child prostitution (Shared Hope International, 2009). OBJECTIVE:The purpose of the current ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2019.01.016
更新日期：2019-04-01 00:00:00
abstract：OBJECTIVE:The paper addresses the impacts of the type of abuse and sibling adoption upon family functioning. The specific objectives are to test the relationships: (1). between an adopted child's previous type of abuse and postadoptive family functioning; (2). between an adopted child's previous type of abuse and the c...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(02)00374-5
更新日期：2002-10-01 00:00:00
abstract：:Perinatal child abuse prevention projects are rarely rigorously evaluated. Women were referred to the Child Parent Enrichment Project (CPEP) project during or just after pregnancy if identified as at-risk of engaging in child abuse by community professionals. Clients were randomly assigned to CPEP services (n = 97) or...
journal_title：Child abuse & neglect
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/0145-2134(91)90021-5
更新日期：1991-01-01 00:00:00
abstract：OBJECTIVE:Although reports of child maltreatment have increased yearly since national data were first collected in 1976, little information is available about changes in the characteristics of children reported. Therefore, to examine changes over time in recognition and reporting in a medical setting, we compared refer...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(00)00239-8
更新日期：2001-02-01 00:00:00
abstract：OBJECTIVE:To better understand how neighborhood and individual factors are related to child maltreatment. METHOD:Using an ecological framework, a multi-level model (Hierarchical Linear Modeling) was used to analyze neighborhood structural conditions and individual risk factors for child abuse and neglect. Parents (n =...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(99)00076-9
更新日期：1999-11-01 00:00:00
abstract：OBJECTIVE:To establish the nature and extent of maltreatment experiences, coping strategies, and behavioral/emotional problems, and their relationships, in a sample of Palestinian adolescents. METHOD:A study of 97 male adolescents aged 15-19 years, and attending a vocational training center based in the Gaza Strip. Ad...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2002.12.002
更新日期：2004-01-01 00:00:00
abstract：OBJECTIVE:The aim of this study is to assess community-based support for intervening on behalf of children exposed to intimate partner violence (IPV) and to determine what contextual and respondent characteristics are associated with that support. METHOD:An experimental vignette design was used in a random-digit-dial ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2007.03.024
更新日期：2007-11-01 00:00:00
abstract：:Since the initial description of Munchausen Syndrome by Proxy (MSBP) (Meadow, 1977), numerous cases have been reported varying from as simple as the complaint of a nonexistent symptom to those as complicated as altered laboratory tests leading to the false diagnosis of cystic fibrosis (Orenstein & Wasserman, 1986; Ros...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(94)00045-x
更新日期：1994-09-01 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：:This study ascertained the efficacy of hospitalization of children with nonorganic failure to thrive (NOFTT). A meta-analysis was performed on previously published research findings which met certain criteria for inclusion in the analysis. Two categories of outcome measures, physical growth pattern and psychosocial de...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(88)90050-6
更新日期：1988-01-01 00:00:00
abstract：OBJECTIVE:This exploratory study examined the discriminant validity of 10 human-figure features commonly used by many proponents of the draw-a-person (DAP) projective technique as evidence of childhood sexual abuse. Two exploratory features were also examined. METHOD:Rather than drawing human figures, 64 children (M =...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2004.10.013
更新日期：2005-06-01 00:00:00
abstract：:This study examined the effect of efforts made by child welfare case managers to involve parents in case processes on two divergent case outcomes: reunification and the termination of parental rights (TPR). The sample was comprised of a cohort of children who received child protection services while in out-of-home car...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2016.12.007
更新日期：2017-02-01 00:00:00
abstract：:Munchausen by proxy has been reported involving children who have been given various drugs or toxins. In addition, there is a body of adult literature regarding covert anticoagulant ingestion. This is a case of an 11-month-old female who appears to combine features of both of these syndromes. This child presented with...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(85)90031-6
更新日期：1985-01-01 00:00:00
abstract：OBJECTIVE:Two main questions were asked: (1) what abuse characteristics relate to PTSD, depressive, and dissociative severity in adult survivors of child sexual abuse (CSA); and (2) what abuse characteristics influence the severity of dissociation during CSA. METHOD:89 female CSA survivors' current symptoms of PTSD, d...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(00)00225-8
更新日期：2001-01-01 00:00:00
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
更新日期：2018-11-01 00:00:00
abstract：OBJECTIVE:This study investigated the prevalence of child maltreatment as perpetrated by parents, its associated health outcomes, and its resilient factors among high school students in China. METHODS:A multi-level stratified random school-based survey was conducted in 2005. Twenty four high schools were randomly chos...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2008.02.010
更新日期：2009-07-01 00:00:00
abstract：OBJECTIVE:The present study aimed to assess the mental and physical health of children held within a British immigration detention center. METHOD:A total of 24 detained children (aged 3 months to 17 years) were assessed with their parents or carer after being referred by a registered legal charity. Thirteen were seen ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2008.10.005
更新日期：2009-09-01 00:00:00
abstract：:The rate at which children are maltreated is one of the most sensitive measures of demographic, social, and economic conditions. Although the consequences of maltreatment and the effectiveness of treatment programs in reducing the incidence have been extensively studied, little attention has been given to identifying ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(94)00101-y
更新日期：1995-01-01 00:00:00
abstract：OBJECTIVE:Not every adolescent exposed to child maltreatment develops symptoms of post-traumatic stress disorder (PTSD), emphasizing the need to identify variables that explain how some maltreated children come to develop these symptoms. This study tested whether a set of variables, respiratory sinus arrhythmia (RSA) a...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2011.09.012
更新日期：2012-02-01 00:00:00
abstract：:This study examined the roles of posttraumatic stress (PTS) symptoms and dissociation in the relationship between childhood trauma and two different types of psychosis-like experience, including persecutory ideation and aberrant experience, in non-psychotic psychiatric patients. From August 2015 to August 2016, among ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.08.023
更新日期：2017-10-01 00:00:00
abstract：OBJECTIVE:This study sought to collect data on what adults believe constitutes normal childhood sexual behaviors, and how variables, such as role, gender, and life experience might contribute to the formation of one's beliefs. METHODS:A survey describing 20 different scenarios of children under the age of 13 interacti...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(97)00176-2
更新日期：1998-04-01 00:00:00
abstract：BACKGROUND:Evidence suggests intimate partner violence (IPV), substance use, and depression adversely affect the disciplinary practices of caregivers involved with child welfare; however, it remains uncertain whether the combined effects of these conditions are syndemic. OBJECTIVE:The purpose of this study was to exam...
journal_title：Child abuse & neglect
pub_type： 杂志文章,多中心研究
doi：10.1016/j.chiabu.2019.02.002
更新日期：2019-04-01 00:00:00
abstract：:Children's victimization related to intimate partner violence (IPV) has damaging effects on their well-being and development. The purpose of this research was to assess the impact of IPV on children's emotional and behavioral problems through their mothers' narratives. A total of 30 Spanish mothers (mean age=41.57 yea...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2015.05.002
更新日期：2015-10-01 00:00:00
abstract：:This paper describes child protection teams in rural Newfoundland and Labrador, Canada. The teams have developed an innovative model that encourages a community-based response to child abuse. Child protection teams usually follow the case consultation model, which is a group of professionals dealing with specific case...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(95)00142-5
更新日期：1996-03-01 00:00:00
abstract：:The article suggests the importance of a crisis line for children as a way of making it easier for them to report when they are abused or neglected. The Childhelp Line set up in Christchurch, New Zealand, in 1982, has shown that such a service is effective in reaching critical child and family situations not previousl...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(85)90091-2
更新日期：1985-01-01 00:00:00
abstract：:Can we measure success in preventing child abuse? As the field of child abuse and neglect prevention matures intellectually and as more and more agencies require evaluative research to substantiate claims of programmatic success, this issue is emerging with ever growing vigor. This paper reviews efforts to set prevent...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(86)90076-1
更新日期：1986-01-01 00:00:00
abstract：OBJECTIVE:This study examined health service access among children of different racial/ethnic groups in the child welfare system in an attempt to identify and explain disparities. METHODS:Data were from the National Survey of Child and Adolescent Well-Being (NSCAW). N for descriptive statistics=2,505. N for multiple r...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2008.11.003
更新日期：2009-05-01 00:00:00
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
更新日期：2020-11-01 00:00:00
abstract：OBJECTIVE:To evaluate the success of specialized community-based treatment for reducing adolescent sexual reoffending and explore the predictive utility of variables assessed regarding sexual and nonsexual recidivism. METHOD:Recidivism data (criminal charges) were collected for 58 offenders participating in at least 1...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(00)00147-2
更新日期：2000-07-01 00:00:00
abstract：:This paper reports the findings in a study of the incidence of periosteal elevation in children and its possible relationship to child abuse. Two separate sets of radiographs of the skeleton of children were taken for a variety of diagnostic purposes. The suspected abuse set consisted of 59 radiographs taken for suspe...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(82)90041-2
更新日期：1982-01-01 00:00:00
