ISSN 1302-6631
 

Original Research (Original Article) 


The evaluation of child sexual abuse in child advocacy center: one year experience of a single center

Özlem Bağ, Sevay Alşen Güney.

Abstract
Objective: Child Advocacy Centers (CAC) are multidisciplinary centers that evaluate child sexual abuse (CSA) cases. In Turkey, CACs, first in Ankara, has been established all around the country. This study is conducted to evaluate the CSA cases’ demographic findings, admission types, diagnosis and outcomes in the first year of İzmir CAC. Methods: The data of 943 cases were evaluated retrospectively and 848 child diagnosed as CSA were accepted as the study group. Descriptive statistical analysis were performed. Results: The mean age of the study group was 14.1±3.3 with female/male ratio 5.73. The most common presentation type was sexual abuse due to peer relations of adolescent girls. The most frequent admission type was by law enforcement while the most common presentation by medical services was from psychiatry clinics. The 60% of the study group defined CSA with contact while 27% defined penetration. The perpetrators were frequently (60%) recognized persons before CSA, most of them were friend/boyfriends and darlings. The frequency of incest cases was 10.7%. The most frequent perpetrator of incest cases were fathers. The 99% of perpetrators were males in the study group while 100% in the incest group. Forty eight percent of the study group required forensic examination but the diagnostic value was 32%. Discussion: CACs are functional centers in evaluating child sexual abuse cases in a multidisciplinary approach. As the most common type of admissions is sexual abuse due to peer relations in adolescents, we suggest that preventive social works should focus on this issue.

Key words: sexual abuse, childhood, Child Advocacy Centers



Çocuk izlem merkezinde cinsel istismarın değerlendirilmesi: Tek merkezin bir yıllık deneyimi

Ozet
Amaç: Çocuk izlem merkezleri (ÇİM), çocuğa yönelik cinsel istismarın (Cİ) yönetiminde çalışan multidisipliner merkezlerdir. Türkiye’de, ilki Ankara’da olmak üzere kurulan ÇİM’ler giderek yaygınlaşmaktadır. Bu çalışma, İzmir Çocuk İzlem Merkezi’nin ilk bir yıl içinde hizmet verdiği Cİ olgularının başvuru şekillerini, başvuru nedenlerini, tanılarını ve ÇİM’de geçirdiği işlemleri değerlendirmek üzere planlanmıştır. Yöntem: Merkezimize Kasım 2012-Ekim 2013 tarihleri arasında başvuran 943 olgunun dosyaları geriye dönük olarak incelenmiş ve cinsel istismar tanısı konan 848 olgu çalışmaya alınmıştır. Tanımlayıcı istatistiksel analiz yapılmıştır. Bulgular: Olguların ortalama yaşı 14.1±3.3; kız/erkek oranı 5.73 olarak bulundu. En sık başvuru nedeninin ergen kızlar ve akran ilişkileri şeklinde olduğu görüldü. Olguların büyük çoğunluğunun kolluk kuvvetleri aracılığı ile başvurduğu görülürken, sivil başvuruların en sık nedeninin psikiyatri polikliniklerinden yönlendirilme olduğu saptandı. Olguların %60’ı temas içeren Cİ tanımlarken, %27’sinde penetrasyon saptandı. Çalışma grubunda istismarcıların %80.5’i çocuğun daha önceden tanıdığı bireylerdi. En sık istismar eden kişilerin ise arkadaş/erkek arkadaş ve sevgili olduğu görüldü. Aile içi Cİ (ensest) oranı %10.7 olarak bulundu. Aile içi Cİ’de en sık istismarcının öz baba olduğu görüldü. İstismar eden kişilerin %99’u erkekti, ensest grubunda bu oran %100’dü. Çalışma grubunun %48’i adli muayene edilirken, muayene bulgularının sadece olguların %32’sinde tanı koydurucu özellikte olduğu saptandı. Tartışma: ÇİM’ler çocuğun cinsel istismarının yönetiminde multidisipliner yaklaşımlarıyla işlevsel çalışmalar yürütmektedir. Cinsel istismara en sık uğrayan grubun kız ergenler olması ve en sık cinsel istismarın akran ve arkadaşlar ile olan ilişkilerde ortaya çıkması nedeniyle, bu yaş grubunun, cinsel istismar ve değişen yasalarla birlikte hukuki sonuçları konusunda bilgilendirmesinin, en önemli önleyici çalışma olduğu kanısına varıldı.

Anahtar Kelimeler: Cinsel istismar, çocukluk, Çocuk İzlem Merkezi


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Export to
Export to
Related Records
 Articles by Özlem Bağ
Articles by Sevay Alşen Güney
on Google
on Google Scholar
Article Statistics
 Viewed: 899
Downloaded: 228
Cited: 0

How to Cite this Article
Pubmed Style

Bag O, Guney SA. [The evaluation of child sexual abuse in child advocacy center: one year experience of a single center]. Anadolu Psikiyatri Derg. 2017; 18(1): 62-68. Turkish. doi:10.5455/apd.214951


Web Style

Bag O, Guney SA. [The evaluation of child sexual abuse in child advocacy center: one year experience of a single center]. http://www.anadolupsikiyatri.net/?mno=214951 [Access: July 21, 2018]. Turkish. doi:10.5455/apd.214951


AMA (American Medical Association) Style

Bag O, Guney SA. [The evaluation of child sexual abuse in child advocacy center: one year experience of a single center]. Anadolu Psikiyatri Derg. 2017; 18(1): 62-68. Turkish. doi:10.5455/apd.214951



Vancouver/ICMJE Style

Bag O, Guney SA. [The evaluation of child sexual abuse in child advocacy center: one year experience of a single center]. Anadolu Psikiyatri Derg. (2017), [cited July 21, 2018]; 18(1): 62-68. Turkish. doi:10.5455/apd.214951



Harvard Style

Bag, O. & Guney, S. A. (2017) [The evaluation of child sexual abuse in child advocacy center: one year experience of a single center]. Anadolu Psikiyatri Derg, 18 (1), 62-68. Turkish. doi:10.5455/apd.214951



Turabian Style

Bag, Ozlem, and Sevay Alsen Guney. 2017. [The evaluation of child sexual abuse in child advocacy center: one year experience of a single center]. Anatolian Journal of Psychiatry, 18 (1), 62-68. Turkish. doi:10.5455/apd.214951



Chicago Style

Bag, Ozlem, and Sevay Alsen Guney. "[The evaluation of child sexual abuse in child advocacy center: one year experience of a single center]." Anatolian Journal of Psychiatry 18 (2017), 62-68. Turkish. doi:10.5455/apd.214951



MLA (The Modern Language Association) Style

Bag, Ozlem, and Sevay Alsen Guney. "[The evaluation of child sexual abuse in child advocacy center: one year experience of a single center]." Anatolian Journal of Psychiatry 18.1 (2017), 62-68. Print.Turkish. doi:10.5455/apd.214951



APA (American Psychological Association) Style

Bag, O. & Guney, S. A. (2017) [The evaluation of child sexual abuse in child advocacy center: one year experience of a single center]. Anatolian Journal of Psychiatry, 18 (1), 62-68. Turkish. doi:10.5455/apd.214951





Most Viewed Articles
  • Schizophrenia and mega cisterna magna: case report [Turkish]
    Semra Karayılan, Atila Erol
    Anadolu Psikiyatri Derg. 2013; 14(1): 90-92
    » Abstract & References » doi: 10.5455/apd.36699

  • Impulsivity in patients with obesity and correlations with body perception and self-esteem [Turkish]
    G Sarısoy, A Atmaca, G Ecemiş, K Gümüş, O Pazvantoğlu
    Anadolu Psikiyatri Derg. 2013; 14(1): 53-61
    » Abstract & References » doi: 10.5455/apd.34469

  • The relationship between aggression and online video game addiction: a study on massively multiplayer online video game players [Turkish]
    H. Andaç Demirtaş Madran, Eda Ferligül Çakılcı
    Anadolu Psikiyatri Derg. 2014; 15(2): 99-107
    » Abstract & References » doi: 10.5455/apd.39828

  • Reliability and validity of the Morisky Medication Adherence Scale for bipolar mood disorder [Turkish]
    Güven Bahar, Haluk A. Savaş, Ahmet Ünal, Esen Savaş, Hilal Kaya, Aynur Bahar
    Anadolu Psikiyatri Derg. 2014; 15(2): 141-149
    » Abstract & References » doi: 10.5455/apd.39827

  • The effects of the service of community mental health center on the patients with schizophrenia - evaluation of quality of life, disabilities, general and social functioning- a summary of one year follow-up [Turkish]
    Hülya Ensari, Bülent Kadri Gültekin, Derya Karaman, Ayşegül Koç, Ali Fuat Beşkardeş
    Anadolu Psikiyatri Derg. 2013; 14(2): 108-114
    » Abstract & References » doi: 10.5455/apd.36380

  • Cases of sibling incest resulting in pregnancy [Turkish]
    Evrim Aktepe, Orhan Kocaman
    Anadolu Psikiyatri Derg. 2013; 14(2): 177-180
    » Abstract & References » doi: 10.5455/apd.35965

  • Job satisfaction and perceived job stress of the health professionals and the relationship between them [Turkish]
    Etem Erdal Erşan, Gülay Yıldırım, Orhan Doğan, Selma Doğan
    Anadolu Psikiyatri Derg. 2013; 14(2): 115-121
    » Abstract & References » doi: 10.5455/apd.34482

  • The Scale of Positive and Negative Experience: a validity and reliability study for adolescents [Turkish]
    Bülent Baki Telef
    Anadolu Psikiyatri Derg. 2013; 14(1): 62-68
    » Abstract & References » doi: 10.5455/apd.36692

  • Eating disorders and psychosis [Turkish]
    Vesile Altınyazar, Fulya Maner
    Anadolu Psikiyatri Derg. 2014; 15(1): 84-88
    » Abstract & References » doi: 10.5455/apd.38073

  • Death anxiety in elderly cases [Turkish]
    Zehra Öztürk, Gonca Karakuş, Lut Tamam
    Anadolu Psikiyatri Derg. 2011; 12(1): 37-43
    » Abstract

  • Most Downloaded
  • Impulsivity in patients with obesity and correlations with body perception and self-esteem [Turkish]
    G Sarısoy, A Atmaca, G Ecemiş, K Gümüş, O Pazvantoğlu
    Anadolu Psikiyatri Derg. 2013; 14(1): 53-61
    » Abstract & References » doi: 10.5455/apd.34469

  • Educational needs assessment of stigmatization towards mental illness in medical education: qualitative and quantitative approach [Turkish]
    Meral Demirören, Yeşim Şenol, Ayşen Melek Aytuğ-Koşan, Meram Can Saka
    Anadolu Psikiyatri Derg. 2015; 16(1): 22-29
    » Abstract & References » doi: 10.5455/apd.45731

  • Characteristic features of perpetrators of sexual abuse on children and adolescents in four different regions of Turkey [Turkish]
    Ayten Erdoğan, Evren Tufan, Mehmet Gökşin Karaman, Mehmet Süleyman Atabek, Cem Koparan, Esra Özdemir, Anna Baranova Çetiner, Nihal Yurteri, Ülkem Öztürk, Mehmet Ali Kurçer, Handan Ankaralı
    Anadolu Psikiyatri Derg. 2011; 12(1): 55-61
    » Abstract

  • Death anxiety in elderly cases [Turkish]
    Zehra Öztürk, Gonca Karakuş, Lut Tamam
    Anadolu Psikiyatri Derg. 2011; 12(1): 37-43
    » Abstract

  • Investigation of mindfulness and affecting factors of mindfulness among substance users and non users [Turkish]
    Kültegin Ögel, Nuray Sarp, Defne Tamar Gürol, Eda Ermağan
    Anadolu Psikiyatri Derg. 2014; 15(4): 282-288
    » Abstract & References » doi: 10.5455/apd.169583

  • Job satisfaction and perceived job stress of the health professionals and the relationship between them [Turkish]
    Etem Erdal Erşan, Gülay Yıldırım, Orhan Doğan, Selma Doğan
    Anadolu Psikiyatri Derg. 2013; 14(2): 115-121
    » Abstract & References » doi: 10.5455/apd.34482

  • The influence of temperament and character dimensions on marital satisfaction [Turkish]
    Makbule Kansız, Haluk Arkar
    Anadolu Psikiyatri Derg. 2011; 12(1): 24-29
    » Abstract

  • The relationship between smoking & alcohol use and internet addiction among the university students [Turkish]
    Hüseyin Alaçam, Figen Çulha Ateşçi, Abdullah Cem Şengül, Selim Tümkaya
    Anadolu Psikiyatri Derg. 2015; 16(6): 383-388
    » Abstract & References » doi: 10.5455/apd.172340

  • The effects of the service of community mental health center on the patients with schizophrenia - evaluation of quality of life, disabilities, general and social functioning- a summary of one year follow-up [Turkish]
    Hülya Ensari, Bülent Kadri Gültekin, Derya Karaman, Ayşegül Koç, Ali Fuat Beşkardeş
    Anadolu Psikiyatri Derg. 2013; 14(2): 108-114
    » Abstract & References » doi: 10.5455/apd.36380

  • The relationship between aggression and online video game addiction: a study on massively multiplayer online video game players [Turkish]
    H. Andaç Demirtaş Madran, Eda Ferligül Çakılcı
    Anadolu Psikiyatri Derg. 2014; 15(2): 99-107
    » Abstract & References » doi: 10.5455/apd.39828

  • Most Cited Articles
  • Burnout, job satisfaction and depression in the healthcare personnel who work in the emergency department [Turkish]
    Cem Gökçen, Suat Zengin, Mehmet Murat Oktay, Gökay Alpak, Behçet Al, Cuma Yıldırım
    Anadolu Psikiyatri Derg. 2013; 14(2): 122-128
    » Abstract & References » doi: 10.5455/apd.36379
    Cited : 8 times [Click to see citing articles]

  • Validity and reliability of the Turkish version of the Smartphone Addiction Scale-Short Version among university students [Turkish]
    Cemal Onur Noyan, Aslı Enez Darçın, Serdar Nurmedov, Onat Yılmaz , Nesrin Dilbaz
    Anadolu Psikiyatri Derg. 2015; 16(Supplement 1): 73-81
    » Abstract & References » doi: 10.5455/apd.176101
    Cited : 6 times [Click to see citing articles]

  • The Scale of Positive and Negative Experience: a validity and reliability study for adolescents [Turkish]
    Bülent Baki Telef
    Anadolu Psikiyatri Derg. 2013; 14(1): 62-68
    » Abstract & References » doi: 10.5455/apd.36692
    Cited : 4 times [Click to see citing articles]

  • Childhood trauma in recurrent and first episode depression [Turkish]
    Feridun Bülbül, Ülkü Çakır, Cuma Ülkü, İdris Üre, Onur Karabatak, Gökay Alpak
    Anadolu Psikiyatri Derg. 2013; 14(2): 93-99
    » Abstract & References » doi: 10.5455/apd.34484
    Cited : 4 times [Click to see citing articles]

  • The prediction level of caregiver burden on caregivers’ state-trait anxiety levels [Turkish]
    Zümra Özyeşil, Aslin Oluk, Duran Çakmak
    Anadolu Psikiyatri Derg. 2014; 15(1): 39-44
    » Abstract & References » doi: 10.5455/apd.39820
    Cited : 4 times [Click to see citing articles]

  • Psychometric properties of the Turkish version of the Yale Food Addiction Scale among bariatric surgery patients [English]
    Güzin Mukaddes Sevinçer, Numan Konuk, Süleyman Bozkurt, Özge Saraçlı, Halil Coşkun
    Anadolu Psikiyatri Derg. 2015; 16(Supplement 1): 44-53
    » Abstract & References » doi: 10.5455/apd.174345
    Cited : 4 times [Click to see citing articles]

  • Internet addiction in adolescence period: its relations with identity style and ruminative exploration [Turkish]
    Ümit Morsünbül
    Anadolu Psikiyatri Derg. 2014; 15(1): 77-83
    » Abstract & References » doi: 10.5455/apd.43504
    Cited : 3 times [Click to see citing articles]

  • Peripheral edema associated with mirtazapine: A case report [Turkish]
    Birmay Çam, Hüseyin Kurt
    Anadolu Psikiyatri Derg. 2013; 14(1): 84-86
    » Abstract & References » doi: 10.5455/apd.35963
    Cited : 3 times [Click to see citing articles]

  • The effects of the service of community mental health center on the patients with schizophrenia - evaluation of quality of life, disabilities, general and social functioning- a summary of one year follow-up [Turkish]
    Hülya Ensari, Bülent Kadri Gültekin, Derya Karaman, Ayşegül Koç, Ali Fuat Beşkardeş
    Anadolu Psikiyatri Derg. 2013; 14(2): 108-114
    » Abstract & References » doi: 10.5455/apd.36380
    Cited : 3 times [Click to see citing articles]

  • An evaluation of the quality of life of children with attention-deficit/hyperactivity disorder (ADHD) and their families [English]
    Hasan Kandemir, Birim Günay Kılıç, Suat Ekinci, Murat Yüce
    Anadolu Psikiyatri Derg. 2014; 15(3): 265-271
    » Abstract & References » doi: 10.5455/apd.46202
    Cited : 3 times [Click to see citing articles]