儿童期性虐待：初级保健机构中的识别、筛查及治疗建议

Childhood Sexual Abuse: Identification, Screening, and Treatment Recommendations in Primary Care Settings.

作者信息

Hanson Rochelle F, Adams Cristin S

机构信息

Department of Psychiatry and Behavioral Sciences, National Crime Victims Research and Treatment Center, Medical University of South Carolina, 67 President Street, MSC861, Charleston, SC 29425, USA.

PGY-3 Trident/MUSC Family Medicine Residency, Department of Family Medicine, Medical University of South Carolina, 135 Rutledge Avenue, Charleston, SC 29425, USA.

出版信息

Prim Care. 2016 Jun;43(2):313-26. doi: 10.1016/j.pop.2016.01.005.

DOI:10.1016/j.pop.2016.01.005

PMID:27262010

Abstract

It is estimated that 8% to 12% of American youths have experienced at least one sexual assault in their lifetime, making childhood sexual abuse (CSA) an important public health problem that is likely to be encountered by primary care providers. Use of screening tools and understanding the principles behind targeted clinical evaluation can aid in identification of CSA victims despite highly variable presentation. The primary care provider must be aware of potential signs and symptoms as well as differential diagnoses in order to identify children who may benefit from further mental health evaluation and intervention.

摘要

据估计，8%至12%的美国青少年一生中至少经历过一次性侵犯，这使得儿童性虐待（CSA）成为一个重要的公共卫生问题，初级保健提供者很可能会遇到。使用筛查工具并理解有针对性的临床评估背后的原则，有助于识别CSA受害者，尽管其表现差异很大。初级保健提供者必须了解潜在的体征和症状以及鉴别诊断，以便识别可能从进一步的心理健康评估和干预中受益的儿童。