Adölesanlarda Cinsel İstismar İle İlişkili Davranışsal Problemler: Retrospektif Bir Çalışma

Year 2018, , 188 - 193, 15.08.2018

Miraç Barış Usta , Seher Akbaş , Berna Aydın

https://doi.org/10.18521/ktd.382121

Cited By: 3

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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