PURPOSE: To examine adolescents' responses to a medical examination, which included the use of video colposcopy, conducted during an investigation of possible @entity1 @entity458 . METHODS: @entity1 aged 11 to 18 years, referred for evaluation and treatment of @entity458 at an academic medical center were eligible to participate. Demographic data and information regarding the alleged @entity458 event(s) were obtained by medical record review. Prior to the medi- cal examination subjects were assessed regarding: anticipations of the medical examination; level of state @entity148 using the State-Trait @entity148 Inventory (STAI); response to stressful situations along the dimensions of information-seeking or information-avoiding using the Miller Behavioral Style Scale (MBSS); and knowledge of reproduction and genital anatomy. Subsequently, a medical examination, which included the use of video colposcopy with a monitor for subject viewing, was completed. The examining physician provided a standardized educational intervention regarding genital anatomy and a discussion about abuse issues and @entity2953 . An exit interview assessed perceptions of the medical examination and video colposcopy and reassessed @entity148 using the state portion of the STAI. Follow-up interviews occurred 3 months later during which knowledge of reproduction and genital anatomy was reassessed. Measures were evaluated using paired Student's t-tests, McNemar tests for correlated proportions, correlations and independent Student's t-tests, as appropriate. RESULTS: Seventy-seven eligible @entity1 participated; 51 returned for follow-up. The mean age of the subjects was 13.5 years (SD 1.4 years). Fifty-one percent of the sample was Caucasian, 29% African-American, 18% Hispanic, and 2% other. Seventy-nine percent of the @entity1 chose to watch the examination on the video monitor. The @entity1 ' post-examination perceptions were significantly more positive than their pre-examination anticipations (p <.001), even though some aspects continued to be embarrassing, @entity158 , or "scary". @entity148 , as measured by the STAI, significantly decreased from pre- to post-examination (p <.001). Pre-examination and post-examination @entity148 were negatively associated with pre-examination anticipation and post-examination perceptions, respectively. Information-avoiding coping styles on the MBSS were associated with positive anticipations of the examination, but exhibited a trend toward negative associations with perceptions of video colposcopy. Scores assessing knowledge of the reproductive functions of their bodies at 3 months revealed no significant differences during the period from pre-examination assessment to three month follow-up. CONCLUSIONS; Teens generally reported that the medical examination, which included the use of video colposcopy, was beneficial. There was a significant reduction in @entity148 from pre-examination to post-examination and the @entity1 ' feelings about the medical examination were significantly more positive afterwards.

Adolescents' responses to XXXX evaluation including the use of video colposcopy.

@entity1 :: ('9606', 'Species') :: ['girls', 'child', 'Girls'] @entity2953 :: ('MESH:D012749', 'Disease') :: ['sexually transmitted infections'] @entity458 :: ('MESH:D020018', 'Disease') :: ['sexual abuse'] @entity148 :: ('MESH:D001008', 'Disease') :: ['Anxiety', 'anxiety'] @entity158 :: ('MESH:D010146', 'Disease') :: ['painful']
@entity458 :: (MESH:D020018,Disease) :: ['sexual abuse']
