Abstract：
:Skeletal surveys (SSs) have been identified as a key component of the evaluation for suspected abuse in young children, but variability in SS utilization has been reported. Thus, we aimed to describe the utilization patterns, yield, and risks of obtaining SS in young children through a systematic literature review. We searched PubMed/MEDLINE and CINAHL databases for articles published between 1990 and 2016 on SS. We calculated study-specific percentages of SS utilization and detection of occult fractures and examined the likelihoods that patient characteristics predict SS utilization and detection of occult fractures. Data from 32 articles represents 64,983 children <60months old. SS utilization was high (85%-100%) in studies of infants evaluated by a child protection team for suspected abuse and/or diagnosed with abuse except in one study of primarily non-pediatric hospitals. Greater variability in SS utilization was observed across studies that included all infants with specific injuries, such as femur fractures (0%-77%), significant head injury (51%-82%), and skull fractures (41%-86%). Minority children and children without private insurance were evaluated with SS more often than white children and children with private insurance despite lack of evidence to support this practice. Among children undergoing SS, occult fractures were frequently detected among infants with significant head injury (23%-34%) and long bone fractures (30%) but were less common in infants with skull fractures (1%-6%). These findings underscore the need for interventions to decrease disparities in SS utilization and standardize SS utilization in infants at high risk of having occult fractures.
journal_name
Child Abuse Negljournal_title
Child abuse & neglectauthors
Paine CW,Wood JNdoi
10.1016/j.chiabu.2017.11.004subject
Has Abstractpub_date
2018-02-01 00:00:00pages
237-249eissn
0145-2134issn
1873-7757pii
S0145-2134(17)30419-2journal_volume
76pub_type
杂志文章,meta分析abstract：OBJECTIVES:Childhood maltreatment (CM) and cognitive emotion regulation strategies (CERSs) may be important in alcohol craving and dependence in alcohol-dependent individuals. The aim of this study was to evaluate direct effects of CM on the subscales of alcohol craving and alcohol dependence and its indirect effects v...
journal_title：Child abuse & neglect
pub_type： 杂志文章,多中心研究
doi：10.1016/j.chiabu.2019.104197
更新日期：2019-12-01 00:00:00
abstract：:The prevalence of sexual abuse during childhood and adolescence in a national representative sample of Mexican youngsters is examined from a gender perspective using data from the 2007 National Survey on Exclusion, Intolerance and Violence in Public Institutions of High School Level Education. Of those surveyed, 1.76%...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2013.12.001
更新日期：2014-04-01 00:00:00
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
doi：10.1016/j.chiabu.2003.11.018
更新日期：2004-03-01 00:00:00
abstract：BACKGROUND:Fatherhood is a complex psychological process, which is shaped at a profound level by reflections on past childhood memories and parenting experienced in childhood. Fathers who were sexually abused in childhood may experience particular challenges for their fathering identity and parenting role. OBJECTIVE:T...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2019.104177
更新日期：2019-12-01 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：:Data is presented identifying factors associated with the impact of sexual abuse on children. A group of 369 sexually abused children and a comparison group of 318 children recruited from the community were compared on a parent-completed behavior rating scale. Data describing the abused children were also available fr...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(87)90059-7
更新日期：1987-01-01 00:00:00
abstract：:This study examined how age gaps among opposite-sex romantic partners related to sexual risk-taking and victimization by partners among 201 at-risk adolescents (60.2% female). We examined three questions: (a) is younger partner age, age gap between partners, or a combination of these two factors most strongly related ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2014.03.009
更新日期：2014-07-01 00:00:00
abstract：OBJECTIVE:This exploratory study examines the reported dating violence and its association with sexual risk behavior among Israeli adolescents, who are at risk for dropping out of school. METHODOLOGY:A convenience sample of 105 at-risk youth (51 boys and 54 girls) completed self-administered anonymous, questionnaires ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2005.04.007
更新日期：2005-11-01 00:00:00
abstract：:Different studies have related sexual and physical abuse during childhood and adolescence to the development of substance abuse disorders. Nevertheless, we are not aware of the role that other more common maltreatment types, such as neglect, will play among the most risky pattern of consumption: the polydrug use. A cl...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2015.07.014
更新日期：2016-01-01 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：OBJECTIVES:This study aims to determine the prevalence of maltreatment experienced by institutionalized children prior to their admission to Charitable Children's Institutions (orphanages) in western Kenya, and to describe their socio-demographic characteristics, reasons for admission, and the factors associated with p...
journal_title：Child abuse & neglect
pub_type： 杂志文章,多中心研究
doi：10.1016/j.chiabu.2012.10.007
更新日期：2013-10-01 00:00:00
abstract：:The dramatic increase in reports of sexual abuse has resulted in increasing referrals to physicians for medical evaluation and has placed demands on physicians to adequately and expertly assess these children. High quality, close-up photographs of significant lesions can be an important part of this evaluation. Camera...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(88)90043-9
更新日期：1988-01-01 00:00:00
abstract：:Gender, a personal history of trauma and attitudes towards continuous vs recovered memories of abuse significantly impact the believability of Child Sexual Abuse (CSA) disclosures in community samples. Yet, whether these variables influence the believability of CSA disclosure and subsequent clinical decisions made by ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2018.03.014
更新日期：2018-06-01 00:00:00
abstract：OBJECTIVES:Prenatal exposure to heroin may have long-term consequences for development during early and middle childhood. The present research studied the cognitive, social, and emotional functioning of adolescents exposed to drugs prenatally, and investigated the extent to which the early adoption of children exposed ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2009.09.012
更新日期：2010-05-01 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：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：:The Good School Toolkit is effective in reducing staff violence against children in Ugandan primary schools. A secondary analysis of cluster-randomised trial data was conducted to investigate intervention effects on school operational culture, and on normative beliefs and violence against children from caregivers outs...
journal_title：Child abuse & neglect
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.chiabu.2018.06.007
更新日期：2018-10-01 00:00:00
abstract：:The year 2016 marked the 20th anniversary of the Child Abuse Prevention and Treatment Act (CAPTA) amendments (P.L. 104-235) that mandated Citizen Review Panels (CRPs). CRPs are citizen volunteer groups authorized by United States (U.S.) federal law to examine policies and procedures of state child welfare agencies. De...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2017.08.018
更新日期：2017-10-01 00:00:00
abstract：BACKGROUND:Child abuse pediatricians (CAPs) are often consulted for injuries when child physical abuse is suspected or when the etiology of a serious injury is unclear. CAPs carefully evaluate the reported mechanism of the child's injury and the medical findings in the context of the child's family and social setting t...
journal_title：Child abuse & neglect
pub_type： 杂志文章,多中心研究
doi：10.1016/j.chiabu.2018.10.003
更新日期：2018-12-01 00:00:00
abstract：OBJECTIVE:This study aimed to understand the main factors influencing the decision of adolescent girls to run away from home in Tigray, northern Ethiopia, and to explore the social and cultural construction of female adolescent runaways in this region. METHOD:In-depth qualitative interviews with seven runaway adolesce...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2019.104125
更新日期：2019-08-12 00:00:00
abstract：BACKGROUND:The neglect of children is a serious global problem. The 1989 United Nations Convention on the Rights of the Child (CRC) was a major international achievement spurring national efforts to prevent and address neglect. However, the scope of neglect worldwide and progress in addressing it remain unclear. OBJEC...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2019.104296
更新日期：2020-12-01 00:00:00
abstract：OBJECTIVE:The aim of this study was to examine the differential effects of multi-types of maltreatment in an adolescent sample. Different combinations of maltreatment (emotional, sexual, physical, neglect) were examined in relation to both negative affect and externalizing symptoms in male and female youth. METHOD:One...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2006.09.006
更新日期：2007-04-01 00:00:00
abstract：:An integrative socio-ecological model was developed to investigate the impact of emotional abuse by teachers on children's psychological functioning and test the role of social support and self-confidence as protective factors associated with resilience. Emotional abuse by teachers, social support from family, peers, ...
journal_title：Child abuse & neglect
pub_type： 杂志文章,多中心研究
doi：10.1016/j.chiabu.2017.10.012
更新日期：2018-04-01 00:00:00
abstract：:Trauma, especially early life trauma, is a risk factor for the development of both posttraumatic stress disorder and psychosis. The goal of the present study was to determine specific associations between exposure to childhood abuse, PTSD symptoms, and current psychotic disorder. Subjects were recruited from a public,...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2016.06.015
更新日期：2016-08-01 00:00:00
abstract：OBJECTIVES:Public Law (P.L.) 110-351, the "Fostering Connections to Success Act," calls for state child welfare agencies to partner with Medicaid and pediatric experts to provide planning and oversight regarding the provision of health and mental health services, including medication, to children in state custody. Rece...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2011.01.012
更新日期：2011-05-01 00:00:00
abstract：BACKGROUND:The need to improve the quality of foster care training has been highlighted and evidenced-based programs that aim to support foster carers in the care of children who have experienced trauma are warranted. OBJECTIVE:This study aimed to evaluate the effectiveness of the Fostering Connections program, a newl...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/j.chiabu.2020.104390
更新日期：2020-04-01 00:00:00
abstract：:The Diagnostic Inventory of Personality and Symptoms (DIPS) was used to assess psychopathology in a clinical sample of 30 women with histories of intra-familial sexual victimization, 22 women with histories of extra-familial sexual victimization, and 30 women with no victimization experiences. The present study examin...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(94)00115-b
更新日期：1995-02-01 00:00:00
abstract：OBJECTIVE:This study explores Korean immigrant mothers' attitudes toward child physical abuse based on an ecological perspective. METHOD:One hundred and forty-four Korean immigrant mothers who came to the US after age 16 and have at least one child under 18 years old participated in this study. Data were collected usi...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(01)00248-4
更新日期：2001-07-01 00:00:00
abstract：:Patterns of disclosures and recantations of abuse made in psychotherapy were examined in a sample of 63 children who reported sexual and ritualistic abuse in a preschool setting. Therapists completed a measure that instructed them to identify the time since the child began therapy when any disclosures or recantations ...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/0145-2134(93)90047-9
更新日期：1993-03-01 00:00:00
abstract：OBJECTIVE:The study's objective was to examine the relationship of polygraph findings to other indices of likelihood of sexual abuse and to case decisions by prosecutors, child protection workers, and professional evaluators. METHOD:This is an exploratory study of 42 cases with sexual abuse allegations and polygraph r...
journal_title：Child abuse & neglect
pub_type： 杂志文章
doi：10.1016/s0145-2134(97)00060-4
更新日期：1997-10-01 00:00:00
