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Coping with the pediatric anogenital exam
Mary Katherine Waibel Duncan1, Maureen Sanger
1Bloomsburg University of Pennsylvania, Bloomsburg, PA, USA. MKWDUNC@aol.com
Children and guardians facing pediatric exams utilize active coping strategies more than passive ones. Understanding these coping mechanisms can aid in successful medical evaluations and offer therapeutic benefits.
Area of Science:
- Pediatric healthcare
- Psychology
- Child abuse investigations
Background:
- Pediatric anogenital exams can be stressful for children and guardians.
- Coping strategies are crucial for navigating challenging medical procedures.
Purpose of the Study:
- To examine coping strategies used by children and guardians during pediatric anogenital exams.
- To understand anticipatory and acute coping mechanisms in this context.
Main Methods:
- Surveyed 40 girls (ages 8-15) and 109 adult guardians.
- Used a 5-point Likert scale to assess coping strategies pre- and post-exam.
Main Results:
- Participants reported high use of active coping and low use of passive coping.
- Situational and dispositional factors influenced coping strategy selection.
Conclusions:
- Individuals demonstrate inherent strengths and resilience when facing difficult situations like alleged child sexual abuse.
- Identifying coping resources can improve medical evaluations and provide therapeutic support for families.
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