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https://www.readbyqxmd.com/read/28225649/medical-mimics-of-child-abuse
#1
Cindy W Christian, Lisa J States
OBJECTIVE: Physicians have an ethical and legal mandate to identify abused children so that they may be protected from further harm and are simultaneously required to think broadly and objectively about differential diagnoses. The medical literature is replete with examples of medical diseases that mimic abuse, potentially leading to misdiagnoses and subsequent harm to children and families. CONCLUSION: This review highlights some of the common and uncommon diseases that mimic physical and sexual abuse of children...
February 22, 2017: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/28219966/the-child-witness-in-the-courtroom
#2
Robert H Pantell
Beginning in the 1980s, children have increasingly served as witnesses in the criminal, civil, and family courts; currently, >100 000 children appear in court each year. This statement updates the 1992 American Academy of Pediatrics (AAP) policy statement "The Child as a Witness" and the subsequent 1999 "The Child in Court: A Subject Review." It also builds on existing AAP policy on adverse life events affecting children and resources developed to understand and address childhood trauma. The purpose of this policy statement is to provide background information on some of the legal issues involving children testifying in court, including the accuracy and psychological impact of child testimony; to provide suggestions for how pediatricians can support patients who will testify in court; and to make recommendations for policy improvements to minimize the adverse psychological consequences for child witnesses...
February 20, 2017: Pediatrics
https://www.readbyqxmd.com/read/28215219/sexually-transmitted-infections-and-children-what-the-pnp-should-know
#3
Gail Hornor
Sexual abuse is a problem of epidemic proportions in the United States. In their practice, pediatric nurse practitioners will likely encounter children who have experienced sexual abuse-both those who have and have not previously been identified as victims. Sexually transmitted infections (STIs) are rare in sexually abused children and adolescents. However, when present, they can be crucial to making the diagnosis of sexual abuse and protecting children. This continuing education article will assist the pediatric nurse practitioner in interpreting the relationship between STIs and sexual abuse, correctly testing for STIs, and treating STIs in children and adolescents...
March 2017: Journal of Pediatric Health Care
https://www.readbyqxmd.com/read/28212197/screening-children-for-abuse-and-neglect-a-review-of-the-literature
#4
Mary Hoft, Lisa Haddad
Child abuse and neglect occur in epidemic numbers in the United States and around the world, resulting in major physical and mental health consequences for abused children in the present and future. A vast amount of information is available on the signs and symptoms and short- and long-term consequences of abuse. A limited number of instruments have been empirically developed to screen for child abuse, with most focused on physical abuse in the context of the emergency department, which have been found to be minimally effective and lacking rigor...
January 2017: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/28212065/children-s-knowledge-of-genital-anatomy-and-its-relationship-with-children-s-use-of-the-word-inside-during-questioning-about-possible-sexual-abuse
#5
Lisa J Milam, William R Nugent
This study was designed to examine the relationship between children's understanding of their genital anatomy and their use of the word "inside" in response to questions about genital touch during a forensic medical examination. This study involved a secondary data analysis of 674 records of children at a sexual abuse clinic in a large city in a southern state. Data were analyzed using contingency table, binary logistic, and multinomial logistic regression analysis methods. An association between children's understanding of genital anatomy and their use of the word "inside" to describe genital touch was found...
January 2017: Journal of Child Sexual Abuse
https://www.readbyqxmd.com/read/28198209/a-report-of-sexual-abuse-in-an-afghan-refugee-boy-in-iran
#6
Naimeh Farhidnia, Nahid Dadashzadeh Asl, Azadeh Memarian
All children have the right to complete and integrated physical and psychological protection against abuse. The most important reason and risk factors for child abuse are social causes including poor familial support, poverty, mood disorders in the family, and addiction. Here, we report a case of child abuse of an Afghan child in Iran with a background of mood disturbances who presented with multiple trauma and injury. A nine-year-old Afghan boy was described with multiple injuries on neck, upper and lower extremities, and trunk...
January 1, 2017: Medico-legal Journal
https://www.readbyqxmd.com/read/28189101/the-structural-linguistic-complexity-of-lawyers-questions-and-children-s-responses-in-scottish-criminal-courts
#7
Samantha J Andrews, Michael E Lamb
In the first study to systematically assess the structural linguistic complexity of lawyers' questions of children in Scotland, we examined 56 trial transcripts of 5- to 17-year-old children testifying as alleged victims of sexual abuse. Complexity was assessed using 8 quantitative measures of each utterance's components (number of questions, phrases, clauses, sentences, false starts, average word count, word length, and sentence length) and a composite measure was used in the analyses. Lawyers did not alter the complexity of questions when prompting children of different ages...
February 8, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28176538/intimate-partner-violence-depression-and-quality-of-life-among-women-living-with-hiv-aids-in-a-coastal-city-of-south-india
#8
Basavaprabhu Achchappa, Mahak Bhandary, Bhaskaran Unnikrishnan, John T Ramapuram, Vaman Kulkarni, Satish Rao, Deepak Maadi, Anish Bhat, Shivani Priyadarshni
BACKGROUND: Intimate partner violence (IPV) is a severe form of abuse prevalent in urban and rural areas of India with its effects on mental and physical health of the person receiving it, leading to a poorer quality of life. METHODS: A cross-sectional study was conducted among 99 women living with HIV, and information was collected using abuse assessment scale. The data were entered and analyzed using SPSS version 17.0. RESULTS: The IPV was reported by 19...
January 1, 2017: Journal of the International Association of Providers of AIDS Care
https://www.readbyqxmd.com/read/28168645/everything-in-moderation-moderate-use-of-screens-unassociated-with-child-behavior-problems
#9
Christopher J Ferguson
The impact of children's use of "screen" media including television and computer games, continues to be debated. The American Academy of Pediatrics (AAP) until recently recommended a relatively restrictive screen time diet of 2 h or less for most youth. A representative correlational sample of youth were assessed for links between screen time and risky behavioral outcomes. Data collection occurred in 2013 conducted by the State of Florida. Use of screens that was moderately high, in excess of the AAP's former recommendations, but not excessive (1 SD or higher than average), was not associated with delinquency, risky behaviors, sexual behaviors, substance abuse, reduced grades or mental health problems...
February 7, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28165686/violence-is-one-small-part-of-childhood-trauma-so-why-do-we-tend-to-focus-on-it-alone
#10
Jane Stevens
Many people and organizations focus on preventing violence with the belief that if our society can stop violence against chil- dren, then most childhood trauma will be eradicated. How- ever, research that has emerged over the last 20 years clearly shows that focusing primarily on violence prevention - physical and sexual abuse, in particular - doesn't eliminate the trauma that children experience, and it won't even prevent further violence.
July 2016: Health Progress
https://www.readbyqxmd.com/read/28161655/improvements-in-personal-resiliency-among-youth-who-have-completed-trauma-focused-cognitive-behavioral-therapy-a-preliminary-examination
#11
Esther Deblinger, Elisabeth Pollio, Melissa K Runyon, Robert A Steer
This preliminary investigation assessed whether different aspects of personal resiliency improved for youth (7-17 years old) impacted by child sexual abuse (CSA) after completing trauma-focused cognitive behavioral therapy (TF-CBT). The Resiliency Scales for Children and Adolescents (RSCA; Prince-Embury, 2007) were administered to 157 youth before and after participating in TF-CBT with their nonoffending caregivers. Hierarchal regression analyses were performed to ascertain whether pretest RSCA resiliency scores moderated decreases in the posttraumatic stress and self-reported depressive symptoms at posttreatment...
February 2, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28151016/assessing-reflective-parenting-in-interaction-with-school-aged-children
#12
Karin Ensink, Annie Leroux, Lina Normandin, Marko Biberdzic, Peter Fonagy
The aim of this study was to examine whether it was possible to develop a reliable and valid assessment of reflective parenting implicit in interaction with school-aged children using an adaptation of the Squiggle paradigm developed by Winnicott ( 1968 ) and a manualized coding system (Normandin, Leroux, Ensink, Terradas, & Fonagy, 2015 ). A total of 158 mother-child dyads participated when children were age 5 to 12. Of this group, 89 children had experienced sexual abuse. Interrater reliability using the manualized coding system was excellent...
February 2, 2017: Journal of Personality Assessment
https://www.readbyqxmd.com/read/28150976/spatial-language-question-type-and-young-children-s-ability-to-describe-clothing-legal-and-developmental-implications
#13
Stacia N Stolzenberg, Kelly McWilliams, Thomas D Lyon
Children's descriptions of clothing placement and touching with respect to clothing are central to assessing child sexual abuse allegations. This study examined children's ability to answer the types of questions attorneys and interviewers typically ask about clothing, using the most common spatial terms (on/off, outside/inside, over/under). Ninety-seven 3- to 6-year-olds were asked yes/no (e.g., "Is the shirt on?"), forced-choice (e.g., "Is the shirt on or off?"), open-choice (e.g., "Is the shirt on or off or something else?"), or where questions (e...
February 2, 2017: Law and Human Behavior
https://www.readbyqxmd.com/read/28140729/association-of-suicide-attempts-and-non-suicidal-self-injury-behaviors-with-substance-use-and-family-characteristics-among-children-and-adolescents-seeking-treatment-for-substance-use-disorder
#14
Neslim Guvendeger Doksat, Oguzhan Zahmacioglu, Arzu Ciftci Demirci, Gizem Melissa Kocaman, Ayten Erdogan
BACKGROUND: Numerous studies in youth and adults suggest strong association between substance use disorders and non-suicidal self-injury (NSSI) and suicidal behaviors. There is paucity of studies exploring the association of substance use with history of suicide attempts (HSA) and NSSI in children and adolescents in Turkey. OBJECTIVE: We aimed to examine the prevalence of NSSI and HSA and their relationship with substance use and family characteristics among youth seeking treatment for substance use in Turkey...
January 31, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28122285/evaluation-of-forensic-medical-history-taking-from-the-child-in-cases-of-child-physical-and-sexual-abuse-and-neglect
#15
Rachel Drummond, John A M Gall
BACKGROUND: Suspected child physical abuse, sexual abuse and neglect are not uncommon presentations. As part of the assessment of these cases, a forensic medical history may be taken. This forensic history is used not only to determine the steps necessary to address the child's wellbeing but also to direct the forensic examination. Currently, there is no clear consensus on whether or not a forensic medical history should consistently be considered an integral element within the paediatric forensic evaluation...
February 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/28116588/early-onset-of-sexual-intercourse-and-parental-incarceration-among-african-american-youth-living-in-urban-public-housing
#16
Von E Nebbitt, Dexter R Voisin, M Taqi Tirmazi
Mass incarceration, substance use, and adolescent early onset of sex (e.g., initiate sexual intercourse at 13 years of age or younger) are social problems with disparate impacts on low-income African American communities. Two out of every five inmates in state and federal prisons are African American and the vast majority of these inmates are from low-income communities. Furthermore, this population experiences more severe consequences of substance use and abuse compared to other populations. In sum, African American youth endure the lion share of problems that mass incarceration and substance use leave in their wake...
January 23, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28111092/the-knowledge-and-skills-related-to-sexual-abuse-prevention-among-chinese-children-with-hearing-loss-in-beijing
#17
Buyi Yu, Jingqi Chen, Yichen Jin, Wenjing Zhang, Yanan Feng, Xiaoxia Zhao
BACKGROUND: The prevalence of any child sexual abuse (CSA) experience before the age of 16 years ranges from 10.2 to 35.2% in China,(1-5) but there has been no research so far exploring the level of awareness of CSA prevention and self-protection skills among Chinese children with hearing loss. OBJECTIVE: The school based survey examines the CSA prevention knowledge and self-protection skills in Chinese children with hearing loss. METHODS: Fifty-one students (30 boys, 21 girls) from 10 to 16 years old participated in the study...
January 1, 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/28104290/exploring-the-longitudinal-offending-pathways-of-child-sexual-abuse-victims-a-preliminary-analysis-using-latent-variable-modeling
#18
Nina L Papalia, Stefan Luebbers, James R P Ogloff, Margaret Cutajar, Paul E Mullen
Very little research has been conducted to show the way in which criminal behavior unfolds over the life-course in children who have been sexually abused, and whether it differs from the 'age-crime' patterns consistently documented in the criminology literature. This study investigated the temporal pathways of criminal offending between the ages of 10-25 years among medically confirmed cases of child sexual abuse (CSA), and considered whether abuse variables, offense variables, and the presence of other adverse outcomes, were associated with heterogeneity in offending pathways among CSA survivors...
January 16, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28103706/disclosure-of-physical-emotional-and-sexual-child-abuse-help-seeking-and-access-to-abuse-response-services-in-two-south-african-provinces
#19
Franziska Meinck, Lucie Cluver, Heidi Loening-Voysey, Rachel Bray, Jenny Doubt, Marisa Casale, Lorraine Sherr
Physical, emotional and sexual child abuse are major problems in South Africa. This study investigates whether children know about post-abuse services, if they disclose and seek services, and what the outcomes of help-seeking behaviour are. It examines factors associated with request and receipt of services. Confidential self-report questionnaires were completed by adolescents aged 10-17 (n = 3515) in South Africa. Prevalence of frequent (>weekly) physical abuse was 7.4%, frequent emotional abuse 12.4%, and lifetime contact sexual abuse 9...
January 19, 2017: Psychology, Health & Medicine
https://www.readbyqxmd.com/read/28096105/the-value-of-paediatric-assessment-in-historic-child-sexual-abuse
#20
Sarah Al-Jilaihawi, Kevin Borg, Sabine Maguire, Deborah Hodes
INTRODUCTION: A perception exists that there are few benefits of a paediatric assessment in historic child sexual abuse (CSA), as the likelihood of finding forensic evidence is low. AIM: To determine the value of a comprehensive paediatric assessment in a dedicated clinic for children and young people who present following suspicion or allegation of historic CSA. METHOD: All children with suspected or alleged historic CSA, defined as >7 days after the last episode of sexual assault in pubertal girls, or >3 days for prepubertal girls and all boys, were assessed in a specialised paediatric clinic...
January 17, 2017: Archives of Disease in Childhood
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