Sexually abused young people often display few or no physical symptoms, and delay of verbal disclosure is common. Based on previous research, we assume that sexually abused children and adolescents may display nonverbal emotional signs, which can be assessed during an investigative interview for suspected child sexual abuse (CSA). We aim to present an overview of reported instruments for the assessment of children's and adolescents' nonverbal emotional signs by medical, psychological and forensic professionals during an investigative interview for suspected CSA. Structured search strategies were developed for MEDLINE (OvidSP), Embase (OvidSP) and PsychINFO (OvidSP). Two reviewers independently performed study selection and data extraction. The search yielded 6711 studies, of which nine were included. All included studies had different study aims and reported a variety of purposes for the assessment of nonverbal emotional signs. Eight different, newly developed instruments were used. Although all studies reported the measurement properties of the instruments, insufficient information was provided for analysis of their reliability and validity. This indicates the need for one reliable, validated instrument for the assessment of nonverbal emotional signs. Standardised, generally approved methods to collect uniform and comparable information during the investigative interview for suspected CSA are essential to enhance the knowledge base in this field.

中文翻译：

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对用于怀疑性虐待的调查性访谈期间评估儿童非言语情绪信号的工具的系统评价

受性虐待的年轻人通常很少或根本没有身体症状，口头披露延迟很常见。根据先前的研究，我们假设遭受性虐待的儿童和青少年可能会表现出非言语的情绪信号，可以在对可疑儿童性虐待（CSA）的调查性访谈中对其进行评估。我们的目的是在对可疑CSA进行调查性采访时，对医学，心理和法医专业人员评估儿童和青少年的非言语情绪征兆的报告工具进行概述。针对MEDLINE（OvidSP），Embase（OvidSP）和PsychINFO（OvidSP）开发了结构化搜索策略。两名审稿人独立进行研究选择和数据提取。搜索产生6711项研究，其中包括9项。所有纳入的研究均具有不同的研究目的，并报告了多种评估非语言情绪征兆的目的。使用了八种不同的新开发的仪器。尽管所有研究都报告了仪器的测量特性，但仍缺乏足够的信息来分析其可靠性和有效性。这表明需要一种可靠的，经过验证的工具来评估非语言情绪征兆。在可疑的CSA的调查访谈期间，采用标准化，普遍认可的方法收集统一和可比较的信息对于增强该领域的知识基础至关重要。尽管所有研究都报告了仪器的测量特性，但仍缺乏足够的信息来分析其可靠性和有效性。这表明需要一种可靠的，经过验证的工具来评估非语言情绪征兆。在可疑的CSA的调查访谈期间，采用标准化，普遍认可的方法收集统一和可比较的信息对于增强该领域的知识基础至关重要。尽管所有研究都报告了仪器的测量特性，但仍缺乏足够的信息来分析其可靠性和有效性。这表明需要一种可靠的，经过验证的工具来评估非语言情绪征兆。在可疑的CSA的调查访谈期间，采用标准化，普遍认可的方法收集统一和可比较的信息对于增强该领域的知识基础至关重要。