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I described 4 categories of sexually victimized children (① in family assaulted by adult, ② out of family assaulted by adult, ③ in family assaulted by child, ④ out of family assaulted by child) with model cases in terms of occurring factors and treatment techniques. There is limited research or empirical evidence in this area because those supporters hesitate to consult with a specialist, especially when the victim is a child. For the child psychiatrist and allied professional, the main role is evaluating, with standard developmental and emotional assessments, children who conducted the assault or were victimized. Professionals also need to decide the kind of care and degree of urgency of care that is needed for the victim, and the advice for the actual supporter, if continuous care is required. As in all cases of child abuse, the child who conducted the assault or the victimized child needs access to psychiatric services to address concerns about their situation, to determine appropriate levels of care, and to construct a healthy support system. [ABSTRACT FROM AUTHOR]

Introduction: This study focused on academic anxiety caused by COVID-19 among universitystudents in Japan. Some of the factors addressed were anxiety about the delay in their studies due to the change in class format and financial pressures of continuing university life. We examined how these factors affected symptoms of depression, anxiety, insomnia, and social dysfunction in the students. Methods: A web-based survey was conducted on 298 university students registered as monitors with Rakuten Insight. They were asked whether they had anxiety due to the changes in course formats and whether they were experiencing financial anxiety about continuing their college life. The PHQ-9, GAD-7, ISI, and SDISS assessments measured depression, anxiety, insomnia, and social functions, respectively. We performed Welch’s t-test, in which the independent variables were the presence or absence of anxiety about study delays and financial pressure. The dependent variables were reported symptoms of depression, anxiety, insomnia, and social dysfunction. Additionally, we examined the mediating effect of each psychiatric symptom on the relationship between academic anxiety caused by COVID-19 and social function. Results: The proportion of students with mild to severe depressive symptoms was 54%, and those with anxiety and insomnia symptoms were 35% and 50%, respectively. Welch’s t-test showed that students with coursebased or financial anxiety were more likely to exhibit the aforementioned symptoms than those without. The mediation analysis revealed that each psychiatric symptom mediated the relationship between academic anxiety caused by COVID-19 and social function. Discussion: The results of this study indicate that students require academic and financial support to help prevent the anxiety-induced deterioration of their mental and social health caused by COVID-19. [ABSTRACT FROM AUTHOR]