What does a child denying discomfort during an assessment of injuries typically indicate?

The indication that a child denies discomfort during an assessment of injuries can suggest the presence of physical abuse. This response may be a protective mechanism where the child is either trying to hide the pain associated with their injuries or feels compelled to downplay their discomfort due to fear of repercussions or a learned response to not disclose harm. Children who are experiencing abuse may feel ashamed, fearful, or uncertain about sharing details regarding their injuries, which complicates accurate assessment and intervention.

In contrast, emotional resilience might lead to coping strategies that include a willingness to express discomfort, while seeking attention usually involves some level of communication about feelings and experiences. Mild anxiety might influence a child's willingness to engage in conversation about their injuries, but would not typically manifest as outright denial of discomfort.