Impact of Uncertainty on Non-Medical Professionals' Estimates of Sexual Abuse Probability
| Autor: | Michelle I. Amaya, Kathleen E. Fountain, Robert M. Centor, Crayton A. Fargason, Myriam C. Peralta-Carcelen |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Child abuse
medicine.medical_specialty medicine.diagnostic_test Concordance Medical information Physical examination Pathology and Forensic Medicine Psychiatry and Mental health Clinical Psychology Bayes' theorem Sexual abuse Intervention (counseling) Child sexual abuse Pediatrics Perinatology and Child Health medicine Psychiatry Psychology Clinical psychology |
| Zdroj: | Journal of Child Sexual Abuse. 6:49-64 |
| ISSN: | 1547-0679 1053-8712 |
| DOI: | 10.1300/j070v06n03_04 |
| Popis: | The study assesses how an educational intervention describing uncertainty m child sexual abuse assessments affects estimates of sexual abuse probability by non-physician child abuse professionals (CAP). It evaluates whether CAP incorporate medical information into abuse estimates in concordance with Bayes' Theorem. Eighty-nine CAP estimated the abuse probability for a hypothetical preadolescent female: (1) randomly selected; (2) disclosing abuse; (3) with physical evidence of abuse; and (4) disclosing abuse but with a normal physical examination. CAP then attended a workshop that included discussion of uncertainty in abuse assessment. Post-lecture questionnaires, identical to pre-lecture questionnaires except for estimates of the examination sensitivity and specificity, were administered. Expected responses for post-lecture Scenarios (3) and (4) were generated using Bayes' Theorem and compared to actual responses. Respondents estimated a high abuse prevalence (average 32%, range 5 to 75%). Respon... |
| Databáze: | OpenAIRE |
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