medigraphic.com
Revista Médica Sinergia

2020, Number 04

<< Back Next >>

Revista Médica Sinergia 2020; 5 (04)

Approachment of child sexual abuse

Fung FMP, Medina CNV, Quesada MC

Language: Spanish
References: 19
Page: 1-10
PDF size: 140.02 Kb.


ABSTRACT

Child sexual abuse is a problem with high prevalence both in Costa Rica and worldwide. It can be presented with changes in behavior, signs outside the physical examination, or be silent and revealed through disclosure by the victim. The doctor and other health personnel must play a number of different roles to address these cases, including diagnosing abuse and ruling out differential diagnoses, informing child protection services, evaluating and treating sexually transmitted infections, providing support and peace of mind to children and their families, as well as to advise parents and children on ways to help keep them safe from sexual abuse. In this way, an integral intervention of the victim and his environment that favors a better prognosis is achieved.


REFERENCES

  1. Hernández B, Gutiérrez G, Flores G. Examen físico en abuso sexual infantil en Europa, Estados Unidos y Latinoamérica. Rev Clínica la Esc Med UCR-HSJD . 2019;9(2):49–55. https://doi.org/10.15517/RC_UCRHSJD. V9I2.37360

  2. Amin A, MacMillan H, García C. Responding to children and adolescents who have been sexually abused: WHO recommendations. Paediatr Int Child Health. 2017;38(2):85– 6. https://doi.org/10.1080/20469047.2018.1427179

  3. Gifford J. A practical guide to conducting a child sexual abuse examination. Paediatr Child Heal (United Kingdom). 2019;29(10):448–54. https://doi.org/10.1016/j.paed.2019.07.006

  4. González M, Álvarez S, Soto J, Quirós V. Abordaje del abuso sexual infantil: combatiendo la revictimización. 2016;33(1). https://www.scielo.sa.cr/pdf/mlcr/v33n1/1409-0015-mlcr-33-01-00116.pdf

  5. Lane W, Dubowitz H. Sexual Abuse. In: Nelson Textbook of Pediatrics. 2020. p. 98-111.e1.

  6. Chiesa A, Golding C. Child sexual abuse. Pediatr Rev. 2017;38(3):105– 18. https://doi.org/10.1017/CBO9781107585812.017

  7. Joki-Erkkilä M, Niemi J, Ellonen N. Child sexual abuse — Initial suspicion and legal outcome. Forensic Sci Int. 2018;291(2018):39–43. https://doi.org/10.1016/j.forsciint.2018.06.032

  8. Moynihan M, Mitchell K, Pitcher C, Havaei F, Ferguson M, Saewyc E. A systematic review of the state of the literature on sexually exploited boys internationally. Child Abus Negl. 2018;76:440– 51. https://doi.org/10.1016/j.chiabu.2017.12.003

  9. McGuire K, London K. A retrospective approach to examining child abuse disclosure. Child Abus Negl. 2019;99(2020):104263. https://doi.org/10.1016/j.chiabu.2019.104263

  10. Franco A, Ramírez L. Child sexual abuse: Clinical perspectives and ethico-legal dilemmas. Rev Colomb Psiquiatr. 2016;45(1):51–8. Available from: http://dx.doi.org/10.1016/j.rcp.2015.07.003

  11. Centro de ciencias médicas de la CCSS. Intervenciones por el personal de salud en el servicio de urgencias pediátricas en caso de abuso sexual a niños y niñas. Hospital Nacional de Niños Dr. Carlos Sáenz Herrera. 2015;23–36.

  12. McElvaney R, Moore K, O’Reilly K, Turner R, Walsh B, Guerin S. Child sexual abuse disclosures: Does age make a difference? Child Abus Negl. 2020;99. https://doi.org/10.1016/j.chiabu.2019.104121

  13. Freeman M. Child Sexual Abuse and Differential Diagnoses: A Case Report. J Pediatr Heal Care. 2019;33(2):201–5. https://doi.org/10.1016/j.pedhc.2018.08.006

  14. Gil J, Vicente C. Abuso sexual infantil. AEPap (ed) Congr Actual Pediatr. 2019;3:267–75.

  15. Arroyo G. Valoración médico legal de la víctima de delito sexual. Med Leg Costa Rica. 2016;33(1):126– 32. https://www.scielo.sa.cr/pdf/mlcr/v33n1/2215-5287-mlcr-33-0100126.pdf

  16. Yoon S, Voith LA, Kobulsky JM. Gender differences in pathways from child physical and sexual abuse to adolescent risky sexual behavior among high-risk youth. J Adolesc. 2018;64(2018):89– 97. https://doi.org/10.1016/j.adolescence.2018.02.006

  17. Pomeranz ES. Child Abuse and Conditions That Mimic It. Pediatr Clin North Am. 2018;65(6):1135– 50. https://doi.org/10.1016/j.pcl.2018.07.009

  18. Adams JA, Kellogg ND, Farst KJ, Harper NS, Palusci VJ, Frasier LD, et al. Updated Guidelines for the Medical Assessment and Care of Children Who May Have Been Sexually Abused. J Pediatr Adolesc Gynecol. 2016;29(2):81–7. http://dx.doi.org/10.1016/j.jpag.2015.01.007

  19. McTavish JR, Sverdlichenko I, MacMillan HL, Wekerle C. Child sexual abuse, disclosure and PTSD: A systematic and critical review. Child Abus Negl. 2019;92(April):196– 208. https://doi.org/10.1016/j.chiabu.2019.04.006




2020     |     www.medigraphic.com