Consultation for child physical abuse: Beyond the history and physical examination

Asnes, Andrea G.; Pavlovic, Lisa; Moller, Beth A.; Schaeffer, Paula; Leventhal, John M.

doi:10.1016/j.chiabu.2020.104792

Cited by 8 publications

(8 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Important to acknowledge in our results is the inter-center variability in the proportion of cases deemed high likelihood of abuse. As previously noted, variability in CAP assessments may stem from the nuanced nature of CAP decision-making (Asnes et al, 2021), variability in using a rating scale (Lindberg et al, 2008), or differences in clinical environments such as the threshold for consulting with a CAP. Our limited univariate analysis was unable to detect which patient demographic or clinical variables might explain this variability, though the near-significance of ocular injuries and number of injury types is deserving of further study.…”

Section: Discussionmentioning

confidence: 99%

“…When medical literature is insufficient to raise or lower the concern for abuse, the role of the CAP may be to assess the likelihood of abuse along a spectrum and help multi-disciplinary colleagues accept diagnostic uncertainty (Moles & Asnes, 2014). While evidence-based guidelines exist to assist in CAP medical decision-making and assessments (Christian, 2015), the critical thought needed to make such assessments is nuanced (Asnes et al, 2021). There is no single scale that is validated for communicating perceived likelihood of abuse.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Child Abuse Pediatricians Assess a Low Likelihood of Abuse in Half of 2890 Physical Abuse Consults

et al. 2021

View full text Add to dashboard Cite

The aim of this study was to examine the frequency with which child abuse pediatricians (CAPs) assess consultations as low versus high likelihood of abuse. In this retrospective secondary analysis of data from the Examining Siblings to Recognize Abuse (ExSTRA) study, the likelihood of abuse score for 2890 consultations at 20 medical centers was collected. Descriptive statistics were used to examine the percentage of cases representing low versus high likelihood of abuse (i.e., score of 1–4 vs. 5–7 on a 7-point scale). Linear and logistic regression analyses were used to examine score variability between medical centers. Overall, fifty-three percent of cases were assessed as low likelihood of abuse, suggesting that CAPs were equally as likely to assess a high versus low likelihood of abuse. The percentage of cases representing low likelihood of abuse differed significantly ( P < .001) between medical centers after controlling for patient age, sex, race/ethnicity, twin/triplet status, injury types, and injury severity. The variability between CAP assessments at different medical centers is discussed, along with potential contributors to this variability and directions for future work.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Child Abuse Pediatricians Assess a Low Likelihood of Abuse in Half of 2890 Physical Abuse Consults

et al. 2021

View full text Add to dashboard Cite

show abstract

“…On the other hand, relational violence is a type of violence executed by peers or friends that we are intimated with. It can also be described as acts that destroy a personal commitment to the people or community where they belong ( Asnes et al., 2021 ; Krigel and Benjamin, 2020 ; Schaaf and McCanne, 1998 ). Stigma and problems with transparency have made it impossible to examine these aspects of gender-based abuse, but in this study, I have provided more studies on the place and doers of sexual violence.…”

Section: Review Of Related Literaturementioning

confidence: 99%

“…Several studies have indicated that violence against females is predominant in African nations ( Muluneh et al., 2020 , 2021 ). However, the most prevalent forms of socio-cultural GBV in Ethiopia are rape, domestic violence, female genital mutilation, and marriage by abductions account for 71%, 73%, and 70.5%, respectively ( Asnes et al., 2021 ). Other forms of violence are making women a means of trafficking to prostitution, verbal abuse, sexual harassment, and corporal and emotional acts of violence traced as the major.…”

Section: Review Of Related Literaturementioning

confidence: 99%

Gender-based violence and its socio-cultural implications in South West Ethiopia secondary schools

Wondimu

2022

Heliyon

View full text Add to dashboard Cite

“…Moreover, previous studies have found that exposure to CT has long-term consequences (4), including depressive disorders, anxiety disorders, posttraumatic stress disorder (PTSD), self-injurious behaviors, and suicidal behavior (5)(6)(7)(8). Three varieties of CT are frequently acknowledged: emotional abuse (EA), physical abuse (PA), and sexual abuse (SA) (7,(9)(10)(11)(12). Globally, the prevalence of child SA varies from 2 to 62%, while the annual prevalence of PA ranges from 4 to 16%, and around 10% of children experience EA or neglected abuse (13).…”

Section: Introductionmentioning

confidence: 99%

Co-occurrence of PTSD and affective symptoms in a large sample with childhood trauma subtypes: A network analysis

Jin

Xu²,

Hu³

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

BackgroundExposure to childhood trauma (CT) is associated with various deleterious mental health outcomes, increasing the risk of suicidal behaviors. The objective of this study is to investigate the different effects of three forms of CT, including emotional abuse (EA), physical abuse (PA), and sexual abuse (SA), on potential psychopathological symptoms among college students.MethodsA total of 117,769 students from 63 Chinese colleges participated in this study. There were 1,191 participants in the EA group (1.24%; 95% CI: 1.17–1.31%), 1,272 participants in the PA group (1.32%; 95% CI: 1.25–1.40%), and 3,479 participants in the SA group (3.62%; 95% CI: 3.50–3.73%). CT was measured by the Childhood Trauma Questionnaire-Short Form. Psychopathological symptoms (i.e., depression, anxiety, and PTSD) were measured by the PHQ-9, GAD-7, and Trauma Screening Questionnaire, respectively. Network analysis was applied to analyze psychopathological symptoms between three CT subgroups (EA, PA, and SA). The associations and centralities of the networks were calculated, and the network characteristics of the three subgroups were contrasted.ResultsThe main symptoms across all three groups are uncontrollable worry, sad mood, irritability, and fatigue, which indicates these core symptoms play essential roles in maintaining the whole psychological symptoms network. Furthermore, there are significant differences in symptom associations between the three groups. The comparison of network structures of the three groups shows that the SA group reports more PTSD symptoms, the EA group reports more suicide-related symptoms, and the PA group reports more anxiety symptoms.ConclusionSpecific symptoms were disclosed across each group by the distinctive core psychopathological symptoms found in the CT subgroup networks. The present study's findings show different associations between CT and psychopathology and may help classify potential diagnostic processes. Therefore, local governments and academic institutions are recommended for early intervention to promote the psychological well-being of CT survivors.

show abstract

Consultation for child physical abuse: Beyond the history and physical examination

Cited by 8 publications

References 22 publications

Child Abuse Pediatricians Assess a Low Likelihood of Abuse in Half of 2890 Physical Abuse Consults

Child Abuse Pediatricians Assess a Low Likelihood of Abuse in Half of 2890 Physical Abuse Consults

Gender-based violence and its socio-cultural implications in South West Ethiopia secondary schools

Co-occurrence of PTSD and affective symptoms in a large sample with childhood trauma subtypes: A network analysis

Contact Info

Product

Resources

About