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Psychological consequences of trauma were first seen in veterans of war and described in the literature as shell shock. By , the diagnosis of post-traumatic stress disorder PTSD was listed in the Diagnostic and Statistical Manual of Mental Disorders DSM , which guides healthcare practitioners with diagnosis, treatment, and reimbursement. For years we have been studying the psychological changes that are the sequelae of childhood trauma. These long-term consequences include a higher incidence of depression, intrusive flashback memories, hypervigilance, maladaptive coping skills, dysfunctional social skills, and an overactive stress response.
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Anal signs of child sexual abuse: a case–control study

Welles contributed to the construction of the baseline study instrument, conducted all analyses, and had primary responsibility for writing and editing this article. Baker, D. Brennan, S. Jacoby, and B.
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Long-term health outcomes of childhood sexual abuse

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None of the prepubertal children had semen recovered from any body site; semen was recovered only from clothing or linen in those 3 children. Consideration should be given to amending guidelines regarding forensic evidence collections in child and adolescent sexual abuse or assault victims. When an allegation of sexual abuse is reported within 72 hours after the event, the American Academy of Pediatrics 1 recommends that children and adolescents be taken immediately to a medical facility so that a physical examination can be performed and forensic evidence collected when appropriate. However, when the likelihood of forensic evidence contributing positively to the diagnosis of sexual abuse is low, the potential emotional harm to the child by evidence collection may be greater than the likelihood of benefit. Sedation, when required, also has attendant risks.
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