{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,21]],"date-time":"2026-04-21T12:28:32Z","timestamp":1776774512127,"version":"3.51.2"},"reference-count":48,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,8]]},"abstract":"\n Purpose of review<\/jats:title>\n Despite an increasing understanding of the impact of emotional trauma and physical abuse on children, clinicians and hospitals still sometimes miss the diagnosis of abuse. The literature in 2017 focused on creating standardized approaches to recognition and diagnosis of physical abuse and occult injury, including using the electronic medical record to provide triggers for consultation of the hospital Child Protection Program. The American College of Radiology updated their standardized approach to the evaluation of physical abuse in the child, and other authors gave us screening tools for commercial exploitation, as well as guidance about how to recognize risks for emotional abuse in families. The opioid epidemic and legalization of marijuana are both impacting children, and providers are searching for ways to provide support for parents with substance use disorders whilst considering the safety of children.<\/jats:p>\n This article reviews relevant publications during the past year about issues of child maltreatment. It is intended to guide those providers in primary care or other medical disciplines who care for children and families.<\/jats:p>\n <\/jats:sec>\n \n Recent findings<\/jats:title>\n Child maltreatment cases are still not always diagnosed, either because of provider bias (leading to under evaluation), or because clinicians lack experience or understanding of proper evaluation approaches. There are many new tools to assist in recognition of abuse, including screening instruments and flags that can be used in the electronic medical record to trigger a consult with the Child Protection Program. The evaluation and diagnosis of sexual abuse continues to evolve, with the literature providing advice about what is or is not normal on physical exam, as well as advice for providers who work with adolescent sexual assault victims. The debate about the validity of abusive head trauma (AHT) diagnoses continues, with sweden being the most recent center of controversy. With the opioid epidemic having such a significant effect on families and children, clinicians are struggling to support parents with substance use disorder while protecting children from the impact of their parents\u2019 disease.<\/jats:p>\n <\/jats:sec>\n \n Summary<\/jats:title>\n The past year in child abuse literature has yielded increased clarity in screening and diagnostic recommendations across the fields of physical abuse, AHT, sexual abuse, and commercial sexual exploitation of children (CSEC). The body of literature surrounding emotional abuse and neglect continues to grow, especially in light of the burgeoning opioid epidemic. Critically, the year's research reflects an evolving understanding of effective prevention and intervention initiatives to address child maltreatment.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/mop.0000000000000648","type":"journal-article","created":{"date-parts":[[2018,5,16]],"date-time":"2018-05-16T19:27:21Z","timestamp":1526498841000},"page":"582-590","source":"Crossref","is-referenced-by-count":10,"title":["Recognizing, diagnosing, and preventing child maltreatment: an update for pediatric clinicians"],"prefix":"10.1097","volume":"30","author":[{"given":"Fiona","family":"Danaher","sequence":"first","affiliation":[{"name":"Child Protection Program, Department of Pediatrics, Massachusetts General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Vandeven","sequence":"additional","affiliation":[{"name":"Child Protection Program, Boston Children's Hospital, Department of Pediatrics, Harvard Medical School, Boston, Massachusetts, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aine","family":"Blanchard","sequence":"additional","affiliation":[{"name":"Child Protection Program, Department of Pediatrics, Massachusetts General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice W.","family":"Newton","sequence":"additional","affiliation":[{"name":"Child Protection Program, Department of Pediatrics, Massachusetts General Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20240108","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s40621-017-0103-1","article-title":"Retrospectively self-reported age of childhood abuse onset in a United States nationally representative sample","volume":"4","author":"Cammack","year":"2017","journal-title":"Inj Epidemiol"},{"key":"R2-20240108","doi-asserted-by":"crossref","first-page":"129","DOI":"10.1016\/j.amepre.2017.08.031","article-title":"Injuries from physical abuse: National Survey of Children's Exposure to Violence I-III","volume":"54","author":"Simon","year":"2018","journal-title":"Am J Prev Med"},{"key":"R3-20240108","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.chiabu.2017.11.008","article-title":"Abusive fracture incidence over three decades at a level 1 pediatric trauma center","volume":"76","author":"Sharkey","year":"2018","journal-title":"Child Abuse Negl"},{"key":"R4-20240108","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1093\/jamia\/ocx063","article-title":"Development of an electronic medical record-based child physical abuse alert system","volume":"25","author":"Berger","year":"2018","journal-title":"J Am Med Inform Assoc"},{"key":"R5-20240108","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/j.chiabu.2017.04.012","article-title":"Child maltreatment in U.S. emergency departments: imaging and admissions","volume":"69","author":"Wheeler","year":"2017","journal-title":"Child Abuse Negl"},{"key":"R6-20240108","doi-asserted-by":"crossref","first-page":"1659","DOI":"10.1056\/NEJMcp1701446","article-title":"Physical abuse of children","volume":"376","author":"Berkowitz","year":"2017","journal-title":"N Engl J Med"},{"key":"R7-20240108","article-title":"Use of imaging in children with witnessed physical abuse","author":"Melville","year":"2017","journal-title":"Pediatr Emerg Care"},{"key":"R8-20240108","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2017-1188","article-title":"Social intuition and social information in physical child abuse evaluation and diagnosis","volume":"140","author":"Keenan","year":"2017","journal-title":"Pediatrics"},{"key":"R9-20240108","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1016\/j.chiabu.2017.09.027","article-title":"Factors associated with racial differences in child welfare investigative decision-making in Ontario, Canada","volume":"73","author":"King","year":"2017","journal-title":"Child Abuse Negl"},{"key":"R10-20240108","doi-asserted-by":"crossref","first-page":"222","DOI":"10.1016\/j.chiabu.2016.11.003","article-title":"Risk factors for fatal and nonfatal child maltreatment in families previously investigated by CPS: a case-control study","volume":"63","author":"Miyamoto","year":"2017","journal-title":"Child Abuse Negl"},{"key":"R11-20240108","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2016-1817","article-title":"Maltreatment risk among children with disabilities","volume":"139","author":"Maclean","year":"2017","journal-title":"Pediatrics"},{"key":"R12-20240108","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1542\/pir.2016-0098","article-title":"Child abuse in children and youth with special healthcare needs","volume":"38","author":"Brodie","year":"2017","journal-title":"Pediatr Rev"},{"key":"R13-20240108","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1016\/j.chiabu.2017.01.017","article-title":"Promising intervention strategies to reduce parents\u2019 use of physical punishment","volume":"71","author":"Gershoff","year":"2017","journal-title":"Child Abuse Negl"},{"key":"R14-20240108","doi-asserted-by":"crossref","first-page":"321.e1","DOI":"10.1016\/j.jaac.2017.01.013","article-title":"Child abuse, neural structure, and adolescent psychopathology: a longitudinal study","volume":"56","author":"Busso","year":"2017","journal-title":"J Am Acad Child Adolesc Psychiatry"},{"key":"R15-20240108","doi-asserted-by":"crossref","first-page":"29","DOI":"10.1016\/j.chiabu.2017.06.008","article-title":"Dimensions of physical punishment and their associations with children's cognitive performance and school adjustment","volume":"75","author":"Font","year":"2018","journal-title":"Child Abuse Negl"},{"key":"R16-20240108","doi-asserted-by":"crossref","first-page":"982","DOI":"10.2214\/AJR.16.17450","article-title":"Medical mimics of child abuse","volume":"208","author":"Christian","year":"2017","journal-title":"AJR Am J Roentgenol"},{"key":"R17-20240108","doi-asserted-by":"crossref","first-page":"1317","DOI":"10.1001\/jama.2017.11703","article-title":"Flawed theories to explain child physical abuse: what are the medical-legal consequences?","volume":"318","author":"Leventhal","year":"2017","journal-title":"JAMA"},{"key":"R18-20240108","doi-asserted-by":"crossref","first-page":"S338","DOI":"10.1016\/j.jacr.2017.01.036","article-title":"ACR appropriateness criteria suspected physical abuse-child","volume":"14","author":"Wootton-Gorges","year":"2017","journal-title":"J Am Coll Radiol"},{"key":"R19-20240108","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.chiabu.2017.11.004","article-title":"Skeletal surveys in young, injured children: a systematic review","volume":"78","author":"Painea","year":"2018","journal-title":"Child Abuse Negl"},{"key":"R20-20240108","doi-asserted-by":"crossref","first-page":"538","DOI":"10.1097\/PEC.0000000000001106","article-title":"Missed fractures in infants presenting to the emergency department with fussiness","volume":"33","author":"Kondis","year":"2017","journal-title":"Pediatr Emerg Care"},{"key":"R21-20240108","doi-asserted-by":"crossref","first-page":"1827","DOI":"10.1016\/j.jpedsurg.2017.02.014","article-title":"Consistent screening of admitted infants with head injuries reveals high rate of nonaccidental trauma","volume":"52","author":"Kim","year":"2017","journal-title":"J Pediatr Surg"},{"key":"R22-20240108","doi-asserted-by":"crossref","first-page":"942","DOI":"10.1007\/s00247-017-3872-3","article-title":"Radiologic head CT interpretation errors in pediatric abusive and nonabusive head trauma patients","volume":"47","author":"Kralikl","year":"2017","journal-title":"Pediatr Radiol"},{"key":"R23-20240108","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1007\/s00247-016-3551-9","article-title":"Child abuse: we have problems","volume":"46","author":"Strouse","year":"2016","journal-title":"Pediatr Radiol"},{"key":"R24-20240108","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1007\/s00247-017-4037-0","article-title":"Distinguishing child abuse fractures from rickets","volume":"48","author":"Oestreich","year":"2018","journal-title":"Pediatr Radiol"},{"key":"R25-20240108","doi-asserted-by":"crossref","first-page":"991","DOI":"10.2214\/AJR.16.17602","article-title":"CNS injuries in abusive head trauma","volume":"208","author":"Wright","year":"2017","journal-title":"AJR Am J Roentgenol"},{"key":"R26-20240108","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.1007\/s00381-017-3517-8","article-title":"Shaken baby syndrome: what certainty do we have?","volume":"33","author":"Vinchon","year":"2017","journal-title":"Childs Nerv Syst"},{"key":"R27-20240108","article-title":"Lifetime cost of abusive head trauma at ages 0-4, USA","author":"Miller","year":"2017","journal-title":"Prev Sci"},{"key":"R28-20240108","doi-asserted-by":"crossref","first-page":"1386","DOI":"10.1007\/s00247-017-3932-8","article-title":"Throwing the baby out with the bath water \u2014 response to the Swedish Agency for Health Technology Assessment and Assessment of Social Services (SBU) report on traumatic shaking","volume":"47","author":"Saunders","year":"2017","journal-title":"Pediatr Radiol"},{"key":"R29-20240108","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1111\/apa.13840","article-title":"The way forward in addressing abusive head trauma in infants- current perspectives from Sweden","volume":"106","author":"Lucas","year":"2017","journal-title":"Acta Paediatr"},{"key":"R30-20240108","doi-asserted-by":"crossref","first-page":"477","DOI":"10.1111\/apa.14138","article-title":"National study shows that abusive head trauma mortality in Sweden was at least 10 times lower than in other Western countries","volume":"107","author":"Andersson","year":"2018","journal-title":"Acta Paediatr"},{"key":"R31-20240108","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/S0932-8610(19)80070-1","article-title":"A proposed system for the classification of anogenital findings in children with suspected sexual abuse","volume":"5","author":"Adams","year":"1992","journal-title":"Adolesc Pediatr Gynecol"},{"key":"R32-20240108","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.jpag.2015.01.007","article-title":"Updated guidelines for the medical assessment and care of children who may have been sexually abused","volume":"29","author":"Adams","year":"2016","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"R33-20240108","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1016\/j.jpag.2017.10.006","article-title":"Anogenital findings in 3569 pediatric examinations for sexual abuse\/assault","volume":"31","author":"F. Smith","year":"2018","journal-title":"J Pediatr Adolesc Gynecol"},{"key":"R34-20240108","first-page":"518","article-title":"Acute sexual assault in the pediatric and adolescent population","volume":"29","author":"Trotman","year":"2016","journal-title":"J Ped Adol Gyn"},{"key":"R35-20240108","doi-asserted-by":"crossref","first-page":"e20164243","DOI":"10.1542\/peds.2016-4243","article-title":"Care of the adolescent after and acute sexual assault","volume":"139","author":"Crawford-Jakubiak","year":"2017","journal-title":"Pediatrics"},{"key":"R36-20240108","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1542\/pir.2016-0113","article-title":"Child sexual abuse","volume":"38","author":"Chiesa","year":"2017","journal-title":"Ped Rev"},{"key":"R37-20240108","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.chiabu.2017.05.009","article-title":"Barriers and facilitators to disclosing sexual abuse in childhood and adolescence: a systematic review","volume":"70","author":"Lemaigre","year":"2017","journal-title":"Child Abuse Negl"},{"key":"R38-20240108","doi-asserted-by":"crossref","first-page":"825","DOI":"10.1016\/j.acap.2017.07.009","article-title":"Commercial sexual exploitation and sex trafficking of children and adolescents: a narrative review","volume":"17","author":"Barnert","year":"2017","journal-title":"Acad Pediatr"},{"key":"R39-20240108","doi-asserted-by":"crossref","first-page":"413","DOI":"10.1016\/j.pcl.2016.11.013","article-title":"Sex trafficking of minors","volume":"64","author":"Moore","year":"2017","journal-title":"Pediatr Clin N Am"},{"key":"R40-20240108","doi-asserted-by":"crossref","first-page":"e20173138","DOI":"10.1542\/peds.2017-3138","article-title":"Global human trafficking and child victimization","volume":"140","author":"Greenbaum","year":"2017","journal-title":"Pediatrics"},{"key":"R41-20240108","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1542\/peds.2014-4138","article-title":"Child sex trafficking and commercial sexual exploitation: healthcare needs of victims","volume":"135","author":"Greenbaum","year":"2015","journal-title":"Pediatrics"},{"key":"R42-20240108","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1097\/PEC.0000000000000602","article-title":"A short screening tool to identify victims of child sex trafficking in the healthcare setting","volume":"34","author":"Greenbaum","year":"2018","journal-title":"Pediatr Emerg Care"},{"key":"R43-20240108","doi-asserted-by":"crossref","DOI":"10.1542\/peds.2016-4070","article-title":"A public heath response to opioid use in pregnancy","volume":"139","author":"Patrick","year":"2017","journal-title":"Pediatrics"},{"key":"R44-20240108","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1016\/j.jpeds.2017.08.045","article-title":"Maternal substance use disorders and infant outcomes in the first year of life among Massachusetts singletons 2003\u20132010","volume":"191","author":"Hwang","year":"2017","journal-title":"J Pediatr"},{"key":"R45-20240108","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1016\/j.jpeds.2017.07.005","article-title":"Unintentional cannabis ingestion in children: a systematic review","volume":"190","author":"Richards","year":"2017","journal-title":"J Pediatr"},{"key":"R47-20240108","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1542\/pir.2016-0224","article-title":"Child psychological abuse","volume":"38","author":"Kimber","year":"2017","journal-title":"Pediatr Rev"},{"key":"R48-20240108","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1002\/car.2353","article-title":"The prevalence of child maltreatment across the globe: review of a series of meta-analyses","volume":"24","author":"Stoltenborgh","year":"2015","journal-title":"Child Abuse Rev"},{"key":"R49-20240108","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1016\/j.chiabu.2017.05.004","article-title":"Resilience in young children involved with child protective services","volume":"75","author":"Sattler","year":"2018","journal-title":"Child Abuse Negl"}],"container-title":["Current Opinion in Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/00008480-201808000-00022","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T09:05:41Z","timestamp":1704704741000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/00008480-201808000-00022"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8]]},"references-count":48,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1097\/mop.0000000000000648","relation":{},"ISSN":["1040-8703","1531-698X"],"issn-type":[{"value":"1040-8703","type":"print"},{"value":"1531-698X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,8]]}}}