The UMB Digital Archive is getting an upgrade! The upgrade requires a content freeze starting 1/27/25 and is expected to last two weeks. Any new user accounts or submissions made to the Archive during this time will not be transferred to the upgraded site. Contact ArchiveHelp@hshsl.umaryland.edu for questions.

Date
1992Journal
American Journal of Diseases of ChildrenPublisher
American Medical AssociationType
Article
Metadata
Show full item recordAbstract
Objective. To examine how the history, psychological evaluation, medical examination, and child�s response to the examination contributed to a diagnosis of child sexual abuse by an interdisciplinary team. Design. Patient series. Setting. Subspecialty clinic for evaluating prepubertal children alleged to have been sexually abused. Participants. One hundred thirty-two children alleged to have been sexually abused and their parents or guardian, evaluated consecutively in a subspecialty clinic between September 1989 and June 1990. Measurements/Main Results. A social worker interviewed the parents, a psychologist interviewed the child, and a pediatrician obtained a medical history and examined the child. Parents completed a Child Behavior Check list and the child�s response to the physical examination was noted. Both a disclosure by the child and abnormal physical findings were significantly and independently associated with the team�s diagnosis of sexual abuse, whereas the presence of sexualized behavior, somatic problems, and the child�s response to the examination did not make an additional contribution to the diagnosis. Conclusions. The findings support the need for a skilled psychological interview and a medical examination of a child alleged to have been sexually abused to make the diagnosis of sexual abuse. An interdisciplinary team appears to be a valuable approach for evaluating these children and their families. Copyright 1992, American Medical Association. All rights reserved.Identifier to cite or link to this item
https://www.scopus.com/inward/record.uri?eid=2-s2.0-0026741568&doi=10.1001%2farchpedi.1992.02160180046015&partnerID=40&md5=3fc70d7e700c560aac33609cd40a6219; http://hdl.handle.net/10713/11947ae974a485f413a2113503eed53cd6c53
10.1001/archpedi.1992.02160180046015
Scopus Count
Collections
Related articles
- The medical evaluation of the sexually abused child.
- Authors: Paradise JE
- Issue date: 1990 Aug
- Evaluations of children who have disclosed sexual abuse via facilitated communication.
- Authors: Botash AS, Babuts D, Mitchell N, O'Hara M, Lynch L, Manuel J
- Issue date: 1994 Dec
- Clinical practice: recognizing child sexual abuse-what makes it so difficult?
- Authors: Vrolijk-Bosschaart TF, Brilleslijper-Kater SN, Benninga MA, Lindauer RJL, Teeuw AH
- Issue date: 2018 Sep
- Child sexual abuse - Initial suspicion and legal outcome.
- Authors: Joki-Erkkilä M, Niemi J, Ellonen N
- Issue date: 2018 Oct
- Genital examinations for alleged sexual abuse of prepubertal girls: findings by pediatric emergency medicine physicians compared with child abuse trained physicians.
- Authors: Makoroff KL, Brauley JL, Brandner AM, Myers PA, Shapiro RA
- Issue date: 2002 Dec