Table 4 Description of selected studies estimating diagnostic accuracy of test identifying abused children, excluding physical abuse

Cheung et al, 2004 [23]

Children <18 y, referred to specialized team*

Sexual abuse

77

Classification of anal and genital examination findings

Assessment by medical team integrating medical history, children behavior, laboratory results, anogenital findings

98 (91-100)

Berenson et al, 2002 [22]

Girls 3-8 y referred to specialized team* or consulting at the pediatric clinics

Sexual abuse with penetration

386

Horizontal diameter of the hymen > or ≤ 6.5 mm in knee-chest position

Assessment by nurse, psychologist or social worker integrating children interview, CSBI† and assessment by CPS‡. Assessment by nurse integrating D/P vulvar Penetration Rating Scale§

86 (81-91)

Drach et al, 2001 [24]

Children 2-12 y referred to SCAP team‖

Sexual abuse

209

CSBI† parental interview about child sexual behavior

Expert assessment integrating child interview, history and physical examination

50 (42-58)

Wells et al, 1997 [21]

Boy < 18 y referred to CPS or consulting for well-child examination

Sexual abuse

74

SASA¶, parental interview integrating 12 child symptoms

Assessment by CPS or by a series of screening techniques

88 (77-96)

Fernan-dopulle et al, 2003 [32]

Children

Emotional abuse

98

Self-report questionnaire directed to children

Psychiatrist’s assessment during child interview

51 (39-63)

13-15 y in school

Bernstein et al, 1997 [33]

Children

Physical abuse

190

CTQ**, self-report questionnaire directed to children

Assessment by therapists integrating structured child interview, follow-up information and assessment of CPS†

73 (63-81)

12-17 y hospitalized in psychiatry

Emotional abuse

72 (62-80)

Sexual abuse

76 (67-83)

Physical neglect

61 (53-70)