Providers' Ability to Identify Sentinel Injuries Concerning for Physical Abuse in Infants.
A statewide collaborative focused on sentinel injuries administered a survey to pediatric health care providers and social workers in the emergency department, urgent care, and primary care. The survey contained 8 case scenarios of infants under 6 months of age with an injury, and respondents were asked if they would consider the injury to be a sentinel injury requiring a physical abuse evaluation. Respondents were then presented with several factors and asked how much each influences the decision to perform a physical abuse evaluation.
The objectives of this study were to assess the ability of pediatric health care providers and social workers to recognize sentinel injuries in infants under 6 months of age and to determine what factors influence their decision to evaluate for physical abuse.
Eismann EA; Shapiro RA; Thackeray J; Makoroff K; Bressler CJ; Kim GJ; Vavul-Roediger L; McPherson P; Izsak E; Spencer SP
Pediatric Emergency Care
2021
2021-05-01
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Journal Article
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Application Of The Stressor Vulnerability Model To Understanding Posttraumatic Stress Disorder (ptsd) And Alcohol-related Problems In An Undergraduate Population
alcohol use disorder; differential role; events; exposed college-students; gender differences; identification test; physical abuse; posttraumatic stress disorder (PTSD); problem drinking; Psychology; refusal self-efficacy; social support; stressor; Substance Abuse; substance use; traumatic; vulnerability model
Research examining the comorbidity of posttraumatic stress disorder (PTSD) and alcohol-use disorder (AUD) suggests that individuals experiencing PTSD symptoms (PTSS) often drink alcohol as a means to self-medicate their trauma symptoms; however, little attention has been given to moderating variables that may make this association more likely. The stressor vulnerability model proposes that being male, relying on maladaptive forms of coping, and holding positive alcohol-outcome expectancies predispose individuals to engage in alcohol use when experiencing psychological distress. In the current study, sex, avoidance coping (AVC), tension-reduction expectancies (TRE), and emotional-relief drinking-refusal self-efficacy. (ERDRSE) were examined as moderators of the relationship between PTSS and alcohol-related problems in a sample of 144 undergraduates. Results indicated that males reporting high levels of TRE exhibited a stronger positive relationship between PTSS and alcohol-related problems than was present for males reporting low levels of TRE and for females reporting either high or low levels of TRE. In addition, a significant positive relationship between PTSS and alcohol-related problems was observed for individuals reporting high levels of TRE and low levels of ERDRSE, but not for individuals reporting high levels of TRE and high levels of ERDRSE, low TRE-low ERDRSE, or low TRE-high ERDRSE. Assessment of these vulnerability factors in traumatized youth and young adults may serve as a useful means of identifying individuals at risk for the development of alcohol-related problems.
Hruska B; Delahanty D L
Psychology of Addictive Behaviors
2012
2012-12
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1037/a0027584" target="_blank" rel="noreferrer noopener">10.1037/a0027584</a>