Predictors of Disclosure During Medical Evaluation for Suspected Sexual Abuse

DiPietro, Elisabeth Kahl; Runyan, Desmond K.; Fredrickson, Doren D

doi:10.1300/j070v06n01_09

Cited by 81 publications

(67 citation statements)

References 3 publications

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“…Preschool age children have been observed to be signifi cantly less likely to disclose during the context of formal investigation (Dipietro, Runyan, & Fredrickson, 1997;Keary & Fitzpatrick, 1994). Gries, Goh, and Cavanaugh (1996) found younger children were more likely to require a second interview before disclosing.…”

Section: Abuse and Victim Characteristicsmentioning

confidence: 99%

“…A few studies have found gender and disclosure to be unrelated (Bybee & Mowbray, 1993;DiPietro et al, 1997;Sauzier, 1989). However, a variety of research suggests that underreporting is a signifi cant problem among boys (Violato & Genius, 1993).…”

Section: Abuse and Victim Characteristicsmentioning

confidence: 99%

“…Research fi ndings consistently indicate that children abused by a close family member are less likely to report their abuse than those abused by a stranger (Arata, 1998;Berliner & Conte, 1990;DiPietro et al, 1997;Mendelsohn, 1994;Sauzier, 1989;Sorenson & Snow, 1991). This fi nding is particularly important as research also suggests that the longer children are abused, the more hesitant they may be to disclose their abuse (Arata, 1998;Mendelsohn, 1994).…”

Section: Victim-perpetrator Relationshipmentioning

confidence: 99%

“…Signifi cant numbers of children deny their sexual victimization despite compelling evidence to the contrary (DiPietro et al, 1997;Lawson & Chaffi n, 1992;Sorenson & Snow, 1991). Research suggests that less than one in four victims of CSA disclose immediately (GomesSchwartz et al, 1990;Kelley et al, 1993).…”

Section: Latency To Disclosurementioning

confidence: 99%

“…Children who have previously disclosed abuse may be more likely to disclose than those who have not during the context of a formal investigation (Gries et al, 1996;Keary & Fitzpatrick, 1994) or medical examination (DiPietro et al, 1997). Keary and Fitzpatrick (1994) found that rates of disclosure during formal investigation varied signifi cantly by prior disclosure history.…”

Section: Latency To Disclosurementioning

confidence: 99%

See 4 more Smart Citations

Factors influencing children to self-disclose sexual abuse

Paine

Hansen²

2002

Clinical Psychology Review

388

291

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Self-disclosure by victims of child sexual abuse (CSA) is critical to initiate legal and therapeutic intervention. Unfortunately, research indicates that lengthy delays in disclosure and even nondisclosure are common. A comprehensive review of the clinical and research literature on CSA and an overview of related bodies of literature was conducted. Areas addressed include the context of sexual abuse as it relates to disclosure, the context and elements of children's disclosures, motivational factors inhibiting disclosure, and models of the disclosure process. Ancillary and analogue research on secrecy and disclosure are also reviewed. Implications for future research and practice are discussed.

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Section: Abuse and Victim Characteristicsmentioning

confidence: 99%

Section: Abuse and Victim Characteristicsmentioning

confidence: 99%

Section: Victim-perpetrator Relationshipmentioning

confidence: 99%

Section: Latency To Disclosurementioning

confidence: 99%

Section: Latency To Disclosurementioning

confidence: 99%

See 3 more Smart Citations

Factors influencing children to self-disclose sexual abuse

Paine

Hansen²

2002

Clinical Psychology Review

388

291

View full text Add to dashboard Cite

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Medical Assessment and Legal Outcome in Child Sexual Abuse

Palusci

Cox²,

Cyrus³

et al. 1999

Arch Pediatr Adolesc Med

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To examine the relationship of behavioral symptoms, interview disclosures, and physical examination findings with changing legal outcomes in child sexual abuse. Design: Retrospective case series. Setting: Hospital-and community-based multidisciplinary child abuse evaluation teams in the same county in 2 periods. Patients: Children ages 0 to 17 years referred for evaluation of sexual abuse. Main Outcome Measures: Substantiation by child protective services, issuance of a warrant by law enforcement authorities, and criminal penalties were compared with reported changes in behavior, disclosure by the child, and physical evidence on examination. Results: Among 497 children evaluated in 1991-1992 and 1995-1996, those with a positive examination finding were 2.5 times more likely to result in a criminal prosecution with a finding of perpetrator guilt (PϽ.001). Similar rates of disclosure, positive examination findings, child protective services substantiation, and warrant issuance were noted in the 2 periods. Decreasing rates of guilt determination and increasing criminal penalties were identified in 1995-1996 (PϽ.002). Disclosure of child sexual abuse during medical assessment was significantly associated with a positive physical examination finding, child protective services substantiation, and issuance of a warrant, but not a finding of guilt or criminal penalty. Conclusions: Medical assessment plays an important role in the overall community response to child sexual abuse. While behavioral symptoms and disclosure are important in medical treatment and child protective services investigation, positive physical findings are associated with a finding of guilt. There is a trend toward less finding of guilt and more years of criminal penalty that is not explained by case characteristics.

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2008

Tell Me What Happened

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Predictors of Disclosure During Medical Evaluation for Suspected Sexual Abuse

Cited by 81 publications

References 3 publications

Factors influencing children to self-disclose sexual abuse

Factors influencing children to self-disclose sexual abuse

Medical Assessment and Legal Outcome in Child Sexual Abuse

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