ISSN 1302-6631
 

Original Research (Original Article) 


Evaluation of abuse and abuser’s features and risk factors associated with psychopathology in children and adolescents victimized by sexual abuse

Çiğdem Yektaş, Ali Evren Tufan, Bora Büken, Nihal Yurteri Çetin, Merve Yazıcı.

Abstract
Objective: The aim of this study to determine sociodemographic variables, characteristics of abuses and abusers, clinical diagnosis after abuse and factors associated with the psychopathology of sexually abused children and adolescents who referred to the department of child and adolescent psychiatry with the request of criminal report. Methods: Sexually abused 106 children and adolescents (83 girls and 23 boys) aged 3-18 years who referred for criminal reports were evaluated. Case files and criminal reports were examined retrospectively. Results: Great majority of the group was consisted of adolescent girls (63.2%). Touching to the body for sexual arousal was the most reported type of the sexual abuse (47.2%). 10.4% of the children reported multiway abuse. 32.1% of the cases experienced physical violence during sexual abuse. Other victims were also present in 17.0% (n=18) of the sample. Recurrent sexual abuse was found in 69.8% of cases. 50.0% of sexually abused cases were also exposed to different types of abuse within the family. The most common clinical diagnoses were post-traumatic stress disorder (24.5%) adjustment disorder (16.0%) and acute stress disorder (11.3%). Conclusion: Consistent with the literature, our finding, in which a significant proporiton of the cases were girls, shows that the girls are exposed to the sexual abuse more than boys. All abusers are male who were mostly familiar to the victims. Children and adolescents with mental retardation and experienced physical violence during abuse had a higher risk of developing psychopathology.

Key words: Sexual abuse, children, adolescents, psychopathology, mental disability, physical violence



Cinsel istismar mağduru çocuk ve ergenlerde istismar ve istismarcıya ilişkin özelliklerin ve psikopatoloji ile ilişkili risk etkenlerinin değerlendirilmesi

Ozet
Amaç: Bu çalışmada, bir çocuk ve ergen ruh sağlığı ve hastalıkları kliniğine adli mercilerce yönlendirilen istismar mağduru çocuk ve ergen olguların sosyodemografik özelliklerinin, istismar ve istismarcıların niteliğinin ve istismar sonrası klinik tanılarının değerlendirilmesi ile psikopatoloji gelişimini yordayan etkenlerin belirlenmesi amaçlan-mıştır. Yöntem: Adli mercilerce yönlendirilen 3-18 yaşları arasındaki 106 çocuk ve ergenin (83 kız, 23 erkek) sosyo-demografik ve klinik bilgileri dosyaları ve adli raporları incelenerek geriye dönük olarak değerlendirilmiştir. Bulgular: Örneklemin %63.2’si ergenlik dönemindeki kızlardan oluşuyordu. En sık bildirilen cinsel istismar tipi cinsel uyarılma için bedene dokunmaydı (%47.2). Çocukların %10.4’ünün birden fazla yolla cinsel istismara uğradığı belirlendi. Olguların %32.1’i cinsel istismar sırasında fiziksel şiddet görmüştü. Örneklemin %17.0’si başka istismar türlerine de uğramıştı. Tüm örneklemde yineleyen cinsel istismar oranı %69.8 olarak saptandı. Cinsel istismar edilen olgula-rın %50.0’ının aile içinde farklı tipte istismarlara da uğradığı bildiriliyordu. Cinsel istismara maruz kalan çocuklara en sık konulan klinik tanılar sırasıyla travma sonrası stres bozukluğu (%24.5), uyum bozukluğu (%16.0) ve akut stres bozukluğu (%11.3) oldu. Sonuç: Çalışmamızdaki olguların önemli bir bölümünün kızlardan oluşması kız çocukların daha fazla istismara maruz kaldığı bilgisini desteklemektedir. İstismarcıların hepsi erkek cinsiyette olup çoğunlukla çocuğun tanıdığı kişilerdir. Zeka geriliği olan ve istismar sırasında fiziksel şiddet gören çocuk ve ergen-lerde ruhsal sorun gelişme riski daha yüksek bulunmuştur.

Anahtar Kelimeler: cinsel istismar, çocuk, ergen, psikopatoloji, zeka geriliği, fiziksel şiddet


 
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Pubmed Style

Yektas C, Tufan AE, Buken B, Cetin NY, Yazici M. [Evaluation of abuse and abuser’s features and risk factors associated with psychopathology in children and adolescents victimized by sexual abuse]. Anadolu Psikiyatri Derg. 2018; 19(5): 501-508. Turkish. doi:10.5455/apd.291908


Web Style

Yektas C, Tufan AE, Buken B, Cetin NY, Yazici M. [Evaluation of abuse and abuser’s features and risk factors associated with psychopathology in children and adolescents victimized by sexual abuse]. http://www.anadolupsikiyatri.net/?mno=291908 [Access: July 21, 2018]. Turkish. doi:10.5455/apd.291908


AMA (American Medical Association) Style

Yektas C, Tufan AE, Buken B, Cetin NY, Yazici M. [Evaluation of abuse and abuser’s features and risk factors associated with psychopathology in children and adolescents victimized by sexual abuse]. Anadolu Psikiyatri Derg. 2018; 19(5): 501-508. Turkish. doi:10.5455/apd.291908



Vancouver/ICMJE Style

Yektas C, Tufan AE, Buken B, Cetin NY, Yazici M. [Evaluation of abuse and abuser’s features and risk factors associated with psychopathology in children and adolescents victimized by sexual abuse]. Anadolu Psikiyatri Derg. (2018), [cited July 21, 2018]; 19(5): 501-508. Turkish. doi:10.5455/apd.291908



Harvard Style

Yektas, C., Tufan, A. E., Buken, B., Cetin, N. Y. & Yazici, M. (2018) [Evaluation of abuse and abuser’s features and risk factors associated with psychopathology in children and adolescents victimized by sexual abuse]. Anadolu Psikiyatri Derg, 19 (5), 501-508. Turkish. doi:10.5455/apd.291908



Turabian Style

Yektas, Cigdem, Ali Evren Tufan, Bora Buken, Nihal Yurteri Cetin, and Merve Yazici. 2018. [Evaluation of abuse and abuser’s features and risk factors associated with psychopathology in children and adolescents victimized by sexual abuse]. Anatolian Journal of Psychiatry, 19 (5), 501-508. Turkish. doi:10.5455/apd.291908



Chicago Style

Yektas, Cigdem, Ali Evren Tufan, Bora Buken, Nihal Yurteri Cetin, and Merve Yazici. "[Evaluation of abuse and abuser’s features and risk factors associated with psychopathology in children and adolescents victimized by sexual abuse]." Anatolian Journal of Psychiatry 19 (2018), 501-508. Turkish. doi:10.5455/apd.291908



MLA (The Modern Language Association) Style

Yektas, Cigdem, Ali Evren Tufan, Bora Buken, Nihal Yurteri Cetin, and Merve Yazici. "[Evaluation of abuse and abuser’s features and risk factors associated with psychopathology in children and adolescents victimized by sexual abuse]." Anatolian Journal of Psychiatry 19.5 (2018), 501-508. Print.Turkish. doi:10.5455/apd.291908



APA (American Psychological Association) Style

Yektas, C., Tufan, A. E., Buken, B., Cetin, N. Y. & Yazici, M. (2018) [Evaluation of abuse and abuser’s features and risk factors associated with psychopathology in children and adolescents victimized by sexual abuse]. Anatolian Journal of Psychiatry, 19 (5), 501-508. Turkish. doi:10.5455/apd.291908





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