Adölesanlarda Cinsel İstismar İle İlişkili Davranışsal Problemler: Retrospektif Bir Çalışma

Abstract

Amaç: Çocuk cinsel istismarı, çocukların ve ergenlerin zihinsel sağlığı ve gelişimini olumsuz yönde etkileyen halk sağlığı problemidir. Bu çalışmanın amacı, ergenlik çağındaki çocuklarda cinsel istismarın psikiyatrik sonuçlarını ve travmaya bağlı davranışsal ve duygusal sorunları tanımlamaktır.

Gereç ve Yöntem: 1 Aralık 2010 ile 31 Aralık 2013 tarihleri arasında değerlendirilen 409 mağdur retrospektif arşiv çalışmasına katıldı. DSM-IV-TR kriterlerine göre çocuk ve ergen psikiyatrları tarafından konulan ve davranışsal ve duygusal sorunlar özbildirim ölçekleri ile değerlendirilmiş toplam 136 mağdur çalışmaya katıldı.

Bulgular: Mağdurlarının % 86.0'ı kızdı ve % 30.1'i birden fazla cinsel istismara maruz kalmıştır. Mağdurlarının %72.1'sinde Eksen 1'de psikiyatrik tanı mevcut bulunmuştur. Kontrollerle karşılaştırıldığında, içe dönük sorunlar (p<0.001), anksiyete/depresyon (p<0.001), çökkünlük (p<0.001) ve kural bozma davranışı (p=0.002) puanlarının mağdur grubunda daha yüksek olduğu gözlenmiştir.

Sonuç: Cinsel istismar sonrası ortaya çıkabilecek spesifik davranış problemlerini tanımak ve formüle etmek, daha sonraki travmaları önlemek ve psikiyatrik tedavi açısından önem taşımaktadır. Cinsel istismar mağdurlarının duygusal ve davranışsal sorunlarını anlamak için uzunlamasına çalışmalarına ihtiyaç duyulmaktadır.

Keywords

• Cinsel İstismar,Ptsd,Adolesan,Davranışsal Sorunlar

Behavioural Problems Associated with Child Sexual Abuse in Adolescents: A Retrospective Study

Abstract

Backgroud/aim: Child Sexual Abuse (CSA) is a public health problem with negative effects on the mental health and development of children and adolescents. The aim of this study was to identify the psychiatric outcomes of child sexual abuse and the trauma-related behavioural and emotional problems in adolescents.

Method: 136 CSA victims and 136 age and gender-matched control group participated in the study between 1 December 2010 and 31 December 2013. Diagnostic evaluation of the CSA victims was applied with the criteria of the DSM-IV-TR by child and adolescent psychiatrists and behavioral and emotional problems were assessed by the Youth Self Report.

Results: CSA victims are 86.0% were female and %30.1 expereinced multiple sexual abuse events. %72.1 of CSA victims has psychiatric diagnosis on Axis 1. Compared to age-matched controls Internalizing problems (p<0.001), Anxiety/depression (p<0.001), Withdrawn (p<0.001), and Rule breaking behaviour (p=0.002) scores are higher in the CSA group.

Conclusion: Specific problems following a traumatic event may be important in respect of treatment and a formulation to understand the psychopathology. There is a need for longitudinal childhood studies to investigate the mediators of the psychopathology and to understand the emotional and behavioural problems of CSA victims.  

Keywords

• sexual abuse,ptsd,adolescent,behavioural problems

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