Okul Temelli Bir Önleme Çalışması: Türkiye'deki Çocuklara Yönelik Cinsel İstismarı Önleme Programı

Yıl 2025, Cilt: 54 Sayı: 3, 849 - 873, 31.12.2025

Yasin Yılmaz , Fulya Cenkseven Önder

Öz

Çocuğun cinsel istismarı tüm toplumlarda karşılaşılan ortak bir sorundur ve psikolojik, fizyolojik ve sosyal alanlarda kısa ve uzun vadeli etkileri vardır. Bu sorunla başa çıkmanın en yaygın yollarından biri çocuklara okul temelli beceri eğitimi programları sunmaktır. Bu çalışmada yaşları 7-11 arasında değişen 160 2., 3. ve 5. sınıf öğrencisi araştırmacılar tarafından hazırlanan Cinsel İstismardan Korunma Programına (CİKEP) katılmıştır. Program duyguları tanıma, güvende hissetme, iyi dokunuş-kötü dokunuş, iyi sır-kötü sır, yabancılar ve sanal ortamda istismar konularını içermektedir. Veriler, programdan önce, programdan sonra ve programdan 4 ay sonra uygulanan Çocukların Cinsel İstismar Bilgi Düzeyi Ölçeği aracılığıyla toplanmıştır. Deney ve kontrol gruplarının CKAQ-R ön test-son test ve son test-izleme testi puanları karma ölçümler için iki faktörlü ANOVA testi kullanılarak analiz edilmiştir. Sonuçlar 2., 3. ve 5. sınıf öğrencilerinin deney ve kontrol grupları arasında anlamlı farklılıklar olduğunu göstermiştir. Programdan 4 ay sonra uygulanan izleme testinde de bu anlamlı farklılıkların korunduğu tespit edilmiştir. Sonuçlar, CİKEP rogramının Türk çocuklarından oluşan bir örneklemde çocukların cinsel istismarı tanımalarına ve bilgi düzeylerini artırmalarına yardımcı olmada etkili olduğunu göstermektedir.

Anahtar Kelimeler

Çocuk cinsel istismarı , Önleyici program , İlkokul , Türkiye

Proje Numarası

The Scientific Research Projects Unit of ………….. University (Project code: SDK-2017-8299)

A School Based Prevention Study: The Child Sexual Abuse Prevention Program in Turkey

Öz

Child sexual abuse is a common problem encountered in all societies, with both short- and long-term psychological, physiological, and social consequences. One of the most common ways of coping with this problem is to provide children with school-based skill training programs. This study utilized the Sexual Abuse Prevention Program (SAPP) prepared by the researchers and included 160 2nd, 3rd, and 5th grade students who were aged between 7 and 11. The program included the topics of recognizing emotions, feeling safe, good touch-bad touch, good secret-bad secret, strangers and abuse in virtual environments. Data were collected through the Children's Knowledge of Abuse Questionnaire-Revision III (CKAQ-R) administered before the program, immediately after, and four months after the program. The results indicated significant differences between the experimental and control groups among 2nd, 3rd, and 5th grade students. It was found that these significant differences were retained in the follow-up test administered four months after the program. The results showed that the SAPP program was effective in helping Turkish children to recognize sexual abuse and increase their knowledge levels, highlighting its value as an evidence-based, school-based prevention model.

Anahtar Kelimeler

child sexual abuse , prevention program , primary school , Turkey

Etik Beyan

This study was performed in line with the princeples of the Declaration of Helsinki. Approval was granted by the Ethics Committee of ........... University (date:12/06/2017, number: 2017-7/19). Permission was obtained by the institutions from which the study sample was identified. Parents of the children were informed about the study and verbal assent was obtained from the children. Following the administration of the SAPP to the experimental group, the same training was provided to the children in the control group to ensure the principle of equality.

Proje Numarası

The Scientific Research Projects Unit of ………….. University (Project code: SDK-2017-8299)

Kaynakça

• Alşen Güney, S., & Bağ, Ö. (2020). Protective and supportive injunctions for children exposed to sexual abuse: The first data from Turkey. Journal of Child Sexual Abuse, 29(6), 627-637. https://doi.org/10.1080/10538712.2019.1703234
• Barth, J., Bermetz, L., Heim, E., Trelle, S., & Tonia, T. (2012). The current prevalence of child sexual abuse worldwide: A systematic review and meta-analysis. International Journal of Public Health, 58, 469–483. https://doi.org/10.1007/s00038-012-0426-1
• Blumberg, E. J., Chadwick, M. W., Fogarty, L. A., Speth, T. W. & Chadwick, D. L. (1991). The touch discrimination component of sexual abuse prevention training: Unanticipated positive consequences. Journal of Interpersonal Violence, 6(1), 12-28. https://doi.org/10.1177/088626091006001002
• Brenick, A., Shattuck, J., Donlan, A., Duh, S. & Zurbriggen, E.L. (2014). Empowering children with safety-skills: An evaluation of the Kidpower Everyday Safety-Skills Program. Children and Youth Services Review, 44, 152–162. https://doi.org/10.1016/j.childyouth.2014.06.007
• Carr, A., Duff, H. & Craddock, F. A. (2020) Systematic review of reviews of the outcome of noninstitutional child maltreatment. Trauma Violence Abuse, 21:828-843. https://doi.org/10.1177/1524838018801334.
• Chen, Y., Fortson, B.L., & Tseng, K. (2012) Pilot evaluation of a sexual abuse prevention program for Taiwanese children. Journal of Child Sexual Abuse, 21, 621–645. https://doi.org/10.1080/10538712.2012.726699
• Citak Tunc, G., & Yavas, H. (2022). The impact of using creative drama in the delivery of Body Safety Training Programs for preschool children on preventing sexual abuse in Turkey. Psychology in the Schools, 59(5), 915-931. https://doi.org/10.1002/pits.22656
• Cohen, J. (2016). A power primer. In A. E. Kazdin (Ed.), Methodological issues and strategies in clinical research (4th ed., pp. 279–284). American Psychological Association.
• Cox, A.D. (1998). Preventing child abuse: A review of community-based projects II: Issues arising from reviews and future directions. Child Abuse Review, 7, 30–43. https://doi.org/10.1002/(SICI)1099-0852(199801/02)7:1%3C30::AID-CAR339%3E3.0.CO;2-5
• Çeçen-Erogul, A. R., ve Kaf Hasırcı, Ö. (2013). The effectiveness of psycho-educational school-based child sexual abuse prevention training program on Turkish elementary students. Educational Sciences: Theory & Practice, 13(2), 719-729.
• Celik, P. (2024). The effectiveness of school-based child sexual abuse prevention programmes among primary school-aged children: A systematic review. International Journal of Educational Research Open, 7, 100348 https://doi.org/10.1016/j.ijedro.2024.100348
• Daigneault, I., Hébert, M., Mcduff, P., & Frappier, J. (2012). Evaluation of a sexual abuse prevention workshop in a multicultural, ımpoverished urban area. Journal of Child Sexual Abuse, 21(5), 521–542. https://doi.org/10.1080/10538712.2012.703291
• Dake, J. A., Price, J. H., & Murnan, J. (2003). Evaluation of a child abuse prevention curriculum for third-grade students: assessment of knowledge and efficacy expectations. Journal of School Health,73(2), 76–82. https://doi.org/10.1111/j.1746-1561.2003.tb03576.x
• Dalea, R., Shanleya, D. C., Zimmer-Gembecka, M. J., Linesb, K., Pickeringb, K. & Whitea, C. (2016). Empowering and protecting children by enhancing knowledge, skills and well-being: A randomized trial of “Learn to BE SAFE with EmmyTM”. Child Abuse & Neglect 51, 368–378. https://doi.org/10.1016/j.chiabu.2015.07.016
• Deblinger, E., Behl L. E., & Glickman, A. R. (2006). Treating children who have experienced sexual abuse, Child And Adolescent Therapy (Cognitive Behavioral Procedures), P. C. Kendall (Ed). New York: Guilford Pres.
• Del Campo Sanchez, A., & Sanchez, F. (2006). Evaluation of schoolbased child sexual abuse prevention program [Evaluacion de un programa de prevencion de abusos sexuales a menores en Educacion Primaria]. Psicothema, 18, 1–8.
• Ferragut, M., Cerezo, M.V., Ortiz-Tallo, M. & Rodríguez-Fernandez, R. (2023). Effectiveness of child sexual abuse prevention programs on knowledge acquisition: A meta-analytical study, Child Abuse & Neglect, 146, 106489. https://doi.org/10.1016/j.chiabu.2023.106489
• Ferragut, M., Ortiz-Tallo, M. & Blanca, M.J. (2021). Prevalence of child sexual abuse in Spain: A representative sample study. Journal of Interpersonal Violence, p. 1-20. https://doi.org/10.1177/08862605211042804
• Finkelhor, D., Turner, H. & Colburn, D. (2022). Prevalence of online sexual offenses against children in the US. JAMA Network Open, 5 (10):e2234471 https://doi.org/10.1001/jamanetworkopen.2022.34471
• Gardner, M.J., Thomas, H.J., Erskine, H.E. (2019). The association between five forms of child maltreatment and depressive and anxiety disorders: A systematicreview and meta-analysis. Child Abuse & Neglect, 96: 104082 https://doi.org/10.1016/j.chiabu.2019.104082
• Gelfand, D. M., & Drew, C. J. (2003). Understanding Child Behaviour Disorders (4. ed), Wadsworth Pres, USA.
• Guiney, H., Caspi, A., Ambler, A. Belsky, J. , Kokaua, J. & Broadbent, J. (2022). Childhood sexual abuse and pervasive problems across multiple life domains: Findings from a five-decade study Development and Psychopathology, 1-17. https://doi.org/10.1017/S0954579422001146
• Hazzard, A., Webb, C., Kleemeier, C., Angert, L. & Pohl, J. (1991). Child sexual abuse prevention: evaluation and one-year follow-up. Child Abuse & Neglect, 15(1-2), 123-138. https://doi.org/10.1016/0145-2134(91)90097-W
• Hebert, M., Lavoie, F., Piche, C., & Poitras, M. (2001). Proximate effects of a child sexual abuse prevention program in elementary school children. Child Abuse & Neglect, 25, 505–522. https://doi.org/10.1016/S0145-2134(01)00223-X
• Hurtado, A,. Katz, C.L., Ciro, D., Guttfriend, D., & Nosike, D. (2014) Children’s knowledge of sexual abuse prevention in El Salvador. Icahn School of Medicine at Mount Sinai. Annals of Global Health, 80, 103-107. https://doi.org/10.1016/j.aogh.2014.04.004
• Johnson, R. B., & Christensen, L. (2019). Educational research: Quantitative, qualitative, and mixed approaches. Thousand Oaks, CA: Sage publications.
• Kaya, I., & Çeçen Erogul, A. R. (2013). The role of family functions as the predictors of childhood trauma experiences among adolescents. Egitim ve Bilim, 38(168), 386-397.
• Kenny, M.C., Capri, V., Thakkar-Kolar, R.R., Ryan, E.R., & Melissa, K.R. (2008). Child sexual abuse: From prevention to self-protection. Child Abuse Review, 17, 36–54. https://doi.org/10.1002/car.1012
• Koçtürk, N., & Yüksel, F. (2018). The characteristics of child sexual abuse in the school environment in Turkey. Journal of Child Sexual Abuse, 27(7), 852-869. https://doi.org/10.1080/10538712.2018.1501787
• Kolko, D.J., Moser, J.T., & Hughes, J. (1989). Classroom training in sexual victimization awareness and prevention skills: an extension of the Red Flag/Green Flag people program. Journal of Family Violence; 4(1), 25–45. https://doi.org/10.1007/BF00985655
• Kraizer, S., Witte, S.S., & Fryer, G.E. (1989). Child sexual abuse prevention programs: What makes them effective in protecting children?. Children Today, 18(5), 23–27.
• Kucuk, S. (2016). Analyses of child sex abuse cases in Turkey: A provincial case. Journal of child sexual abuse, 25(3), 262-275. https://doi.org/10.1080/10538712.2016.1153557
• Lu, M., Barlow, J., Meinck, F., Walsh, K. & Wu, Y. (2022). School-based child sexual abuse interventions: A systematic review and meta-analysis. Research on Social Work Practice, 33, 390-412. https://doi.org/10.1177/10497315221111393
• Oldfield, D., Hays, B. J., & Megel, M. E. (1996). Evaluation of the effectiveness of project trust: An elementary school-based victimization prevention strategy. Child Abuse & Neglect, 20, 821–832. https://doi.org/10.1016/0145-2134(96)00070-1
• Orak, O.S. & Okanli, A. (2021). The effect of preventive psychosocial interventions directed towards mothers and children on children's knowledge about protection from sexual abuse. Journal of Child and Adolescent Psychiatric Nursing, 34, 294-302 https://doi.org/10.1111/jcap.12334
• Patterson, A., Ryckman, L. & Guerra, C. (2022). A systematic review of the education and awareness interventions to prevent online child sexual abuse. Journal of Child & Adolescent Trauma, 15, 857-867. https://doi.org/10.1007/s40653-022-00440-x
• Pelcovitz, D., Adler, N., Kaplan, S. Packman, L. & Kreifer, R. (1992). The failure of a school-based child sexual abuse prevention program. Child and Adolescent Psychiatry, 31(5), 887-892. https://doi.org/10.1097/00004583-199209000-00017
• Selengia, V., Thuy, H.N.T. & Mushi, D. (2020). Prevalence and patterns of child sexual abuse in selected countries of Asia and Africa: A review of literature. Open Journal of Social Sciences, 8, 146-160. https://doi.org/10.4236/jss.2020.89010
• Sivis-Cetinkaya, R. (2015). Turkish school counselors’ experiences of reporting child sexual abuse: A brief report. Journal of Child Sexual Abuse, 24(8), 908-921. https://doi.org/10.1080/10538712.2015.1084072
• Tabachnick, B. G., & Fidell, L. S. (2001). Using multivariate statistics. Boston: Allyn&Bacon, Inc.
• Thompson, C. L., Rudolph, L. B., & Henderson, D. A.,. (2004). Counselling Children, (6 ed.). USA:Brooks-Cole Pres.
• Tutty, L. M. (1992). The ability of elementary school children to learn child sexual abuse prevention concepts. Child Abuse & Neglect, 16(3), 369-384. https://doi.org/10.1016/0145-2134(92)90046-T
• Tutty, L. M. (1995) The revised Children's Knowledge of Abuse Questionnaire: Development of a measure of children's understanding of sexual abuse prevention concepts. Social Work Research, 19(2), 112-120. https://doi.org/10.1093/swr/19.2.112
• Tutty, L. M. (1997). Child sexual abuse prevention programs: Evaluating ‘‘Who do you tell.’’ Child Abuse & Neglect, 21, 869–881. https://doi.org/10.1016/S0145-2134(97)00048-3
• Tutty, L. M. (2000). What children learn from sexual abuse prevention programs: Difficult concept and developmental issues. Research on Social Work Practice, 10, 275–300. https://doi.org/10.1177/104973150001000301
• Türkmen, S.N., Sevinç, İ., Kırlı. Ö., Erkul, I., ve Kandemir, T., (2017). Cinsel istismara uğrayan kız çocuklarının profilleri. İzmir Dr. Behçet Uz Çocuk Hastanesi Dergisi, 7(3), 197-202.
• Urbann, K., Bienstein, P., Kaul, T. (2020). The evidence-based sexual abuse prevention program: strong with Sam. The Journal of Deaf Studies and Deaf Education, 25(4), 421–429. https://doi.org/10.1093/deafed/enaa019
• Walsh, K., Zwi, K., Woolfenden, S. & Shlonsky, A. (2018). School-based education programs for the prevention of child sexual abuse: A Cochrane systematic review and Meta-analysis. Research on Social Work Practice, 28, 33-55. https://doi.org/10.1177/1049731515619705
• Wenar, C. (1994). Developmental psychopathology : From infancy through adolescence, (3. ed). New York: McGraw-Hill Pres.
• World Health Organization (WHO). (2006). Preventing child maltreatment: a guide to taking action and generating evidence. Geneva:WHO Press.
• World Health Organization (WHO). (2017). Responding to children and adolexcents who have been sexually abused: WHO clinical guidelines: Geneva: World Health Organization; 2017. License: CC BY-NC-SA 3.0 IGO.
• Wolfe, D.A., MacPherson, T., Blount, R, & Wolfe, V.V. (1986). Evaluation of a brief intervention for educating school children in awareness of physical and sexual abuse. Child Abuse & Neglect, 10(1), 85–92. https://doi.org/10.1016/0145-2134(86)90036-0
• Wurtele, S.K. (2009). Preventing Sexual abuse of children in the twenty-first century: Preparing for challenges and opportunities. Journal of Child Sexual Abuse, 18 (1), 1–18.
• Wurtele, S. K. & Kenny, M. C. (2010). Primary prevention of child sexual abuse: Child- and parent-focused approaches. In Kaufman K. L. (Ed.), The prevention of sexual violence: A practitioner's sourcebook (pp. 107-119). Holyoke, MA: NEARI Press.
• Yılmaz, Y., & Cenkseven-Önder, F. (2020). The Adaptation of Children's Knowledge of Abuse Questionnaire-Revised (CKAQ-R) to Turkish: Validity and reliability study. Elementary Education Online, 19(1): 384-392. http://doi.org/10.17051/ilkonline.2020.661859
• Yüce, M., Karabekiroğlu, K., Yıldırım, Z., Şahin, S., Sapmaz, D., Babadağı, Z., Turla, A. ve Aydın, B. (2015). The psychiatric consequences of child and adolescent sexual abuse. Nöropsikiyatri Arşivi, 52, 393-399. http://doi.org./10.5152/npa.2015.7472
• Zhang , W., Chen, J., Feng, Y., Li, J., Zhao, X. & Luo, X. (2013). Young children’s knowledge and skills related to sexualabuse prevention: A pilot study in Beijing, China. Child Abuse & Neglect. 37: 623–630. https://doi.org/10.1016/j.chiabu.2013.04.018
• Zoroğlu, S.S., Tüzün, Ü., Şar V., Öztürk, M., Eröcal Kora, M., ve Alyanak B.,(2001). Probable results of childhood abuse and neglect. Anadolu Psikiyatri Dergisi, 2(2):69-78.