Childhood Sexual Abuse: Identification, Screening, and Treatment Recommendations in Primary Care Settings.
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.
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. Electronic address: hansonrf@musc.edu.
Rochelle F
RF
Hanson
PGY-3 Trident/MUSC Family Medicine Residency, Department of Family Medicine, Medical University of South Carolina, 135 Rutledge Avenue, Charleston, SC 29425, USA.
Cristin S
CS
Adams
D000293:Adolescent; D001526:Behavioral Symptoms / Q000175:diagnosis / Q000523:psychology; D002648:Child; D002650:Child Abuse, Sexual / Q000175:diagnosis* / Q000628:therapy*; D002675:Child, Preschool; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D019221:Mandatory Reporting; D008605:Mental Health Services / Q000458:organization & administration; D011320:Primary Health Care / Q000458:organization & administration*; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000523:psychology
Childhood PTSD; Childhood sexual abuse; Sexual abuse screening; Sexual victimization; Trauma-focused cognitive behavioral therapy (TF-CBT)