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Finally, because detection and reporting may be differential by maltreatment type additional research is needed to determine if maltreatment type produce the same patterns of bias as seen with any maltreatment, and if particular sources increase/decrease detection of specific maltreatment types.
The original maltreatment type assignment was compared to the recoded maltreatment type assignment to examine the concordance of assigned maltreatment types (neglect, physical, sexual, psychological, and other) (See Table 5).
For Auditor Maltreatment Type, the column headings 'Yes' and 'No' refer to the maltreatment types signified in the row heading.
Lastly, maltreatment type was included in the analysis to control for the influence of the type of maltreatment being investigated.
Cases where children were suspected to suffer from multiple types of maltreatment were coded by the substantiated maltreatment type.
The sensitivity and specificity were calculated for each maltreatment type (using the auditor assigned types as the gold standard).
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Correlations were observed for combined forms of maltreatment, with two to five maltreatment types producing mild to moderate symptoms.
The maltreatment types which were the most 'under-coded' by the original coder were psychological abuse and neglect.
Sensitivity and specificity were calculated comparing the two coders' assignment of cases to maltreatment strata and the two coders' assignment of maltreatment types.
For cases where any maltreatment code was assigned by either coder, the number of maltreatment types assigned by each coder was compared (See Table 4).
Future studies will need to recruit women who experienced a variety of childhood maltreatment types to parcel out the effects of sexual abuse from other forms of childhood maltreatment.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com