Duncan Mary Katherine Waibel, Sanger Maureen
Bloomsburg University of Pennsylvania, Bloomsburg, PA, USA.
J Child Adolesc Psychiatr Nurs. 2004 Jul-Sep;17(3):126-36. doi: 10.1111/j.1744-6171.2004.tb00006.x.
To focus on children's and adult guardians' anticipatory and acute attempts to cope with the pediatric anogenital exam.
A sample of 40 girls (ages 8-15) and a separate sample of 109 adult guardians who accompanied children to the medical clinic rated their use of specific coping strategies on a 5-point Likert scale both pre- and postexam.
Overall, participants reported relatively high levels of active coping strategies and relatively low levels of passive coping responses throughout the medical encounter. Effects of situational and dispositional variables on the use of specific coping strategies also were found.
Data provided indirect evidence of the inherent strengths and self-righting tendencies of those dealing with the exceptional circumstances surrounding allegations of child sexual abuse. Such data suggest the value of identifying individuals' coping resources and options to facilitate successful completion of the medical evaluation and provide therapeutic benefit to patients and families.
关注儿童及其成年监护人在儿科肛门生殖器检查前的预期应对和检查期间的紧急应对尝试。
选取40名8至15岁女童的样本以及109名陪同儿童前往诊所的成年监护人的独立样本，让他们在检查前后使用5点李克特量表对特定应对策略的使用情况进行评分。
总体而言，参与者在整个医疗过程中报告的积极应对策略水平相对较高，消极应对反应水平相对较低。还发现了情境和性格变量对特定应对策略使用的影响。
数据间接证明了那些应对儿童性虐待指控相关特殊情况的人所具有的内在优势和自我纠正倾向。这些数据表明，识别个体的应对资源和选择对于促进医疗评估的顺利完成以及为患者和家庭带来治疗益处具有重要价值。
