Clinical practice: Recognizing child sexual abuse—what makes it so difficult?

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dc.contributor.authorVrolijk-Bosschaart, T. F., Brilleslijper-Kater, S. N., Benninga, M. A., Lindauer, R. J., & Teeuw, A. H.
dc.date.accessioned2021-10-19T15:22:04Z
dc.date.available2021-10-19T15:22:04Z
dc.date.issued2018
dc.description.abstractRecognizing child sexual abuse (CSA) in children is difficult, as there can be many hurdles in the assessment of alleged CSA. With this paper, we try to improve the recognition of CSA by discussing: (1) the difficulties regarding this matter and (2) the diagnostic evaluation of alleged CSA, combining both practical clinical recommendations based on recent research. Children are restrained to disclose CSA due to various reasons, such as fears, shame, and linguistic or verbal limitations. Associations between CSA and urogenital or gastrointestinal symptoms, internalizing and externalizing behavioral problems, post-traumatic stress symptoms, and atypical sexual behavior in children have been reported. However, these symptoms are non-specific for CSA. The majority of sexually abused children do not display signs of penetrative trauma at anogenital examination. Diagnosing a STI in a child can indicate CSA. However, other transmission routes (e.g., vertical transmission, auto-inoculation) need to be considered as well. Conclusion: The assessment consists of medical interview and child interview (parents and child separate and together) with special attention to the child’s development and behavior (problems), psychosocial situation and physical complaints, the child’s mental health, and the child’s trauma history; anogenital examination should be done in all cases of alleged CSA. The examination should be documented by photo or video graphically. Recent research suggests that videography may be the preferred method, and testing on STIs. The assessment should be done multidisciplinary by experienced professionals. Health-care professionals who care for children need to know how child protective agencies and law enforcement are organized. In case there are concerns about a child’s safety, the appropriate authorities should be alarmed.en_US
dc.identifier.citationVrolijk-Bosschaart, T. F., Brilleslijper-Kater, S. N., Benninga, M. A., Lindauer, R. J., & Teeuw, A. H. (2018). Clinical practice: recognizing child sexual abuse—what makes it so difficult?. European journal of pediatrics, 177(9), 1343-1350.en_US
dc.identifier.urihttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6096762/
dc.identifier.urihttp://hdl.handle.net/11212/5240
dc.language.isoenen_US
dc.publisherEuropean journal of pediatricsen_US
dc.subjectchild sexual abuseen_US
dc.subjectInternational Resourcesen_US
dc.subjectNetherlandsen_US
dc.subjectresearchen_US
dc.subjectdiagnostic evaluationen_US
dc.subjectclinical recommendationsen_US
dc.subjectdisclosureen_US
dc.subjectmedical evaluationen_US
dc.titleClinical practice: Recognizing child sexual abuse—what makes it so difficult?en_US
dc.typeArticleen_US

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