Zihinsel Engelliliği Olan Ergenlerde Cinsel Davranışların Değerlendirilmesi

Öz

Amaç: Zihinsel engelli (ZE) ergenlerin, genel popülasyona göre uygunsuz ve güvensiz cinsel davranışlar ve cinsel davranış sorunları sergileme olasılığı daha yüksektir. Bununla birlikte az sayıda çalışma bu ergenlerdeki cinsel davranış sorunlarını araştırmıştır. Bu nedenle bu çalışmada ZE’ye sahip ergenlerde görülen uygunsuz cinsel davranışların türleri, sıklığı ve ilişkili klinik özelliklerin araştırılması amaçlanmıştır. Gereç ve Yöntem: Bu çalışmaya çocuk ve ergen psikiyatrisi polikliniğine kayıtlı 12-18 yaş aralığındaki 74 ZE tanısı konulmuş ergen dahil edildi. Katılımcıların sosyodemografik verilerini ve cinsel davranış özelliklerini elde etmek için Google dokümanlar üzerinden bir anket formu ebeveynlerle iletişime geçilerek onların ulaşabilecekleri erişim ağları üzerinden paylaşıldı ve ebeveynlerden doldurmaları istendi. Bulgular: Örneklemimizde cinsel davranış sorunu varlığı %35,1 ve toplum içinde uygunsuz cinsel davranış oranı %27 sıklıkta idi. Mastürbasyon en sık gözlenen cinsel davranıştı. Cinsel davranış sorunları yaş ve cinsiyete göre farklılık göstermedi. Ancak, cinsel davranış sorunları olan grupta ZE derecesi anlamlı olarak daha şiddetli idi. Ebeveynlerin çocuklarına cinsel eğitim verme oranı %18,9 ve cinsel davranış sorunlarına yönelik herhangi bir profesyonel tarafından cinsel eğitim almış olma oranı %8,1 idi. Sonuç: Sonuçlarımız ZE tanısı olan ergenlerin cinsel davranış sorunları yaşama riskinin yüksek olduğu bulgusunu desteklemektedir. Ayrıca ZE tanılı ergenler ve ailelerine yönelik kapsamlı bir cinsel eğitim ve müdahale ihtiyacı olduğu açıkça görülmektedir. Bu durum klinisyenler, psikologlar ve öğretmenler tarafından dikkate alınmalıdır.

Anahtar Kelimeler

• zihinsel engellilik
• cinsel davranış
• cinsellik
• ergen
• cinsel eğitim

Evaluation of Sexual Behavior in Adolescents with Intellectual Disability

Öz

Objectives: Adolescents with intellectual disability (ID) are more likely than the general population to exhibit inappropriate and unsafe sexual behaviors and sexual behavior problems. However, few studies have investigated sexual behavior problems in these adolescents. Thus, the present study aimed to examine the types, frequency, and associated clinical features of inappropriate sexual behaviors in adolescents with ID. Material and Methods: This study included 74 adolescents diagnosed with ZE between the ages of 12-18, registered in the child and adolescent psychiatry outpatient clinic. A questionnaire form via Google documents was shared with the parents through the access networks that they could reach by contacting the parents, and the parents were asked to fill it out in order to obtain sociodemographic data and sexual behavior characteristics of the participants. Results: In our sample, the prevalence of sexual behavior problems was 35.1% and the rate of inappropriate sexual behavior in the community was 27%. Masturbation was the most commonly observed sexual behavior. Sexual behavior problems did not differ according to age and gender. However, the ID degree was significantly more severe in the group with sexual behavior problems. The rate of parents giving sexual education to their children was 18.9%, and the rate of having received sexual education by any professional for sexual behavior problems was 8.1%. Conclusion: Our results support the finding that adolescents with ID have a high risk of experiencing sexual behavior problems. In addition, it is clearly seen that there is a need for comprehensive sexual education and intervention for adolescents with ID and their families. Clinicians, psychologists, and teachers should all be aware of this. Keywords: Intellectual disability, sexual behavior, sexuality, adolescent, sexual education

Anahtar Kelimeler

• Intellectual disability
• sexual behavior
• sexuality
• adolescent
• sexual education

Kaynakça

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