PMID: 16511365Mar 3, 2006Paper

The relevance of fecal soiling as an indicator of child sexual abuse: a preliminary analysis

Journal of Developmental and Behavioral Pediatrics : JDBP
Michael W MellonWilliam N Friedrich

Abstract

Encopresis is typically characterized as resulting from chronic constipation with overflow soiling but has been portrayed as an indicator of sexual abuse. The predictive utility of fecal soiling as an indicator of sexual abuse status was examined. In a retrospective analysis of three comparison groups of 4-12 year olds, we studied 466 children documented and treated for sexual abuse; 429 psychiatrically referred children with externalizing problems and 641 normative children recruited from the community, with the latter two samples having abuse ruled out. Standardized parent report measures identified soiling status and sexual acting out behaviors. Multiple regression analysis was used to predict abuse status in each group. Reported soiling rates were 10.3% (abuse), 10.5% (psychiatric), and 2% (normative), respectively. The soiling rate in the abused group differed significantly from that of the normative group, but not from the psychiatric group. Similar rates of soiling were reported among abused children, with and without penetration, and the psychiatric sample. Rates of sexualized behavior were reported significantly more often by the abused group versus both the psychiatric and normative groups and were a better predictor ...Continue Reading

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Citations

Jun 15, 2011·Italian Journal of Pediatrics·Nadeem A AfzalMike A Thomson
Oct 21, 2015·Journal of Pediatric Gastroenterology and Nutrition·Shaman RajindrajithMarc Alexander Benninga
Oct 2, 2007·Praxis der Kinderpsychologie und Kinderpsychiatrie·Alexander von Gontard
Jul 26, 2014·Journal of Tropical Pediatrics·Niranga Manjuri DevanarayanaMarc A Benninga
Jul 21, 2015·Journal of Pediatric Gastroenterology and Nutrition·Elise M PhilipsMarc A Benninga
Mar 8, 2017·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Alexander von GontardLinda Cardozo
Aug 13, 2009·Nordic Journal of Psychiatry·Rickard L Sjöberg, Torun Lindholm
Nov 21, 2013·Journal of Pediatric Gastroenterology and Nutrition·Shaman RajindrajithMarc A Benninga
May 7, 2019·Neurourology and Urodynamics·Alexander von GontardRalf Anding

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