Demographic characteristics and psychiatric disorders of sexually abuse children: An analysis of 343 cases

Year 2017, Volume: 34 Issue: 4, 251 - 256, 10.10.2019

Hatice Altun , Nilfer Şahin

Abstract

The aim of this study was to examine demographic
characteristics and psychiatric diagnosis of sexually abused children and
adolescents who referred for forensic examination to Child and Adolescent
Psychiatry outpatient clinic. We retrospectively reviewed records of 343
children and adolescent aged 3-18 years who exposure to sexual abuse between
January 2010 and 2013 by judicial authority. In all cases, age, gender,
educational status, intelligence level, type and frequency of abuse, degree of
familiarity of abuser and psychiatric diagnosis according to DSM-IV-TR
classification were evaluated. The mean age of cases was 13.46±3.1 years. Majority
of cases were girls (78.7%). It was found that 77.8% of the cases were between
12 and 18 years of age. The most common type of sexual abuse was touching
and/or friction (51.6%). Majority of cases was exposed to sexual for once (57.4%).
The abusers
were all male, and 85.1% were known to their victim. It was found that rate of early marriage was 10.5%.The
rate of mental retardation was found as 7.3%. Psychiatric disorders were
determined in 71.4% of the cases, post traumatic stress disorder (37.6%) and
depression (13.1%) were the most common psychiatric disorders. Given the fact
that abuse has negative impact on mental health of children, long-term
management should be stressed in such cases. Increasing
awareness about child sexual abuse and its damaging effects is very important. Great significance should be given to the treatment
and rehabilitation of the cases. İn addition, preventive measures
must be taken.

Keywords

Child and adolescent, child sexual abuse, psychiatric disorder

References

• Alikasifoglu, M., Ercan, O., Erginoz, E., Albayrak-Kaymak, D., Uysal, O., Ilter, O., 2006. Sexual abuse among female high school students in Istanbul, Turkey. Child Abuse Negl. 30, 247-255
• Bahali, K., Akçan, R., Tahiroglu, A.Y., Avci, A., 2010. Child sexual abuse: Seven years in practice. J ForensicSci. 55(3), 633-636.
• Barth, L., Bermetz, E., Heim, S., Trelle, T., Tonia K., 2013. The current prevalence of child sexual abuse worldwide: asystematic review and meta-analysis. Int J Public Health. 58, 469-483
• Butler, A.C, 2013. Child sexual assault: Risk factors for girls. Child Abuse Negl. 37(9), 643-652
• Cattaneo, C., Ruspa, M., Motta, T., Gentilomo, A., Scagnelli, C., 2007. Child sexual abuse: an Italian perspective. Am J Forensic Med Pathol. 28(2), 163-167
• Csorba, R.,Tsikouras, P., Lampe, R., Poka, R., 2012. The sexual abuse of female children in Hungary: 20 years’experience. Arch Gynecol Obstet. 286(1):161-166.
• Cengel-Kültür, E., Çuhadaroğlu-Çetin, F., Gökler, B., 2007. Demographic and clinical features of child abuse and neglect cases. Turkish J Pediatr. 49(3), 256-262.
• Davies, E.A., Jones, A.C, 2013. Risk factors in child sexual abuse. J Forensic Leg Med. 20(3):146-150.
• DeVoe, E.R., Coulborn-Faller, K., 1999. The characteristics of disclosure among children who may have been sexually abused. Child Maltreat. 4(3), 217-227.
• Fergusson, D.M.,McLeod, G.F., Horwoo, L.J., 2013. Childhood sexual abuse and adult developmental outcomes: findings from a 30-year longitudinal study in New Zealand. Child Abuse Negl. 37(9), 664-674.
• Finkelhor, D.,Wolak, J., Berliner, L., 2001. Police reporting and Professional help seeking for child crime victims. A review. Child Maltreat. 6, 17-30.
• Finkelhor, D., 1994. The international epidemiology of child sexual abuse. Child Abuse Negl. 18, 409-417.
• Friedrich, W.N.,Fisher, J.L., Dittner, C.A., Acton, R., Berliner, L., Butler, J., Damon, L., Hobart Davies W., Gray A., Wright J., 2001. Child sexual behavior inventory: normative, psychiatric and sexual abuse comparisons. Child Maltreat. 6, 347-349.
• Fis, N.P., Arman, A., Kalaca, S., Berkem M., 2010. Psychiatric evaluation of sexual abuse cases: a clinical representative sample from Turkey. Child Youth ServRev. 32,1285-1290
• Glazer, D., 2008. Child Sexual Abuse. Rutter’s Child and Adolescent Psychiatry, 5th Edition. Rutter M, editor. USA: Balckwell Publishing.pp. 440-458
• Gospodarevskaya, E., 2013. Post-Traumatic Stres Disorder and Quality of Life in Sexually Abused Australian Children. J Child Sex Abuse. 22(3), 277-296
• Gunduz, T.,Karbeyaz, K., Ayranci, U., 2011. Evaluation of the adjudicated incest cases in Turkey: difficulties in notification of incestuous relationships. J Forensic Sci. 56(2), 438-443.
• Hornor, G., 2010. Child sexual abuse: consequences and implications. J Pediatr Health Care. 24(6), 358-364
• İmren, S.G., Ayaz, A.B., Yusufoğlu, C., Arman, A.R., 2013. Cinsel istismara uğrayan çocuk ve ergenlerde klinik özellikler ve intihar girişimi ile ilişkili risk etmenleri. Marmara Medical Journal. 26, 11-16 (in Turkish)
• Johnson, C.F., 2004. Child sexual abuse. Lancet. 364, 462-470.
• Kaufman, J., 2007. Child abuse and neglect, in Lewis’s Child and Adolescent Psychiatry: A Comprehensive Textbook, 4th Edition. Martin A and Volkmar FR, editors. USA: Lippincott Williams &Wilkins. pp.1041-1048.
• Kendal-Tackett, K.A., Williams, L.M., Finkelhor, D., 1993. Impact of sexual abuse on children: a review and synthesis of recant empirical studies. Psychol Bull. 113, 164-180.
• Köse, S., Aslan, Z., Başgül, Ş.S., Şahin, S., Yılmaz, Ş., Çıtak, S., Ertan Tercan A., 2011. Bir eğitim ve araştırma hastanesi çocuk psikiyatrisi polikliniğine yönlendirilen adli olgular. Anadolu Psikiyatri Dergisi. 12, 221-225(in Turkish).
• Maniglio, R., 2009. The impact of child sexual abuse on health: A systematic review of reviews. Clinical Psychology Review. 29, 647-657.
• Morano, J.P., 2001. Sexual abuse of mentally retarded patient: medical and legal analysis for the primary care physician. Primary Care Companion J Clin Psychiatry. 3, 126-135.
• Nickel, M.K., Tritt, K., Mitterlehner, F.O., Leiberich, P., Nickel, C., Lahmann, C., Forthuber, P., Rother, W.K., Loew T.H., 2004. Sexual abuse in childhood and youth as psychopathology relevant life occurrence: cross-sectional survey. Croat Med J. 45, 483-489.
• Pereda, N., Guilera, G., Forns, M., Gomez-Benito, J., 2009. The international epidemiology of child sexual abuse: a continuation of Finkelhor. Child Abuse Negl. 33, 331-342
• Pinera-Lucatero, A.G., Trujillo-Hernandez, B., Millan-Guerrero, R.O., Vasquez, C., 2008. Prevalence of childhood sexual abuse among Mexican adolescents. Child Care Health Dev. 35, 184-189.
• Pintello, D., Zuravin, S., 2001. Intrafamilial child sexual abuse: predictors of post disclosure maternal belief and protective action. Child Maltreat. 6(4), 344-352.
• Polusny, M.A., Follette, V.M., 1995. Long-term correlates of child sexual abuse: theory and review of the empirical literature. Appl Prev Psychol. 4(3), 143-166.
• Putnam, F.W., 2003. Ten year research up date review: child sexual abuse. J Am Acad Child Adolesc Psychiatr. 42, 269-278
• Syengo-Mutisya, C.M., Kathuku, D.M., Ndetei, D.M., 2008. Psychiatric morbidity among sexually abused children and adolescents. East Afr Med J. 85, 85-91.
• Yildirim, A.,Ozer, E., Bozkurt, H., Ozsoy, S., Enginyurt, O., Evcuman, D., Yılmaz, R., Kuyucu, Y.E., 2014. Evaluation of social and demographic characteristics of incest cases in a university hospital in Turkey. Med Sci Mon. 26(20), 693-697
• Walrath, C.,Ybarra, M., Holden, E.W., 2003. Children with reported histories of sexual abuse: Utilizing multiple perspectives to understand clinical and psychosocial profiles. Child Abuse Negl. 27(5), 509-524.