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Cinsel istismar mağduru çocuklarda olayın ortaya çıkış süresini etkileyen faktörler

Yıl 2022, Cilt 36, Sayı 2, 74 - 78, 01.08.2022

Öz

Amaç: Bu çalışmada çocuk cinsel istismar olgularının ortaya çıkış süresini etkileyen faktörlerin araştırılması amaçlanmıştır. Yöntemler: Bu çalışma retrospektif olarak tasarlanmış olup 1 Ocak 2018 ile 31 Aralık 2019 tarihleri arasında değerlendirilen çocuk cinsel istismar vakalarına ait raporlar incelenmiştir. Bulgular: Olguların; %75’i kızdı. Mağdurların istismara maruz kaldıkları tarihteki ortalama yaşı 12,5±3,5 bulunmuştur. Eylemlerin %68,9’u kentte meydana gelmiştir. Mağdurların %81,5’inde Zihinsel Yetersizlik yoktur. Mağdurların %51,4’ü üzerinden en az 6 ay geçtikten sonra olayı açıklamıştır. Kızlarda, okul öncesi dönem çocuklarında ve zihinsel yetersizliği olmayan çocuklarda olayın ortaya çıkma süresinin daha uzun olduğu saptanmıştır (sırasıyla p<0,001; p<0,001; p<0,05). Sonuç: Ülkemizde çocuğun cinsel istismarını önleme programlarına standardizasyon kazandırılması, uygulama oranlarının arttırılması, değerlendirme ve takibin sağlanması ile birlikte başta öğrenciler, öğretmenler ve sağlık görevlileri olmak üzere profesyonel meslek gruplarının farkındalığı artırmak cinsel istismar ve diğer istismar türlerini erken saptama ve atılacak sonraki adımları hızlandırma konusunda etkili olabilir.

Kaynakça

  • World Health Organization. Preventing child maltreatment: a guide to taking action and generating evidence. World Health Organization. 2006:
  • Johnson CF. Child sexual abuse. The lancet, 2004; 364(9432):462-70.
  • Smith DW, Letourneau EJ, Saunders BE, Kilpatrick DG, Resnick HS, Best CL. Delay in disclosure of childhood rape: Results from a national survey. Child abuse & neglect, 2000; 24(2):273-87.
  • Yates A. Sexual abuse of children. In: Wiener J eds. Textbook of Child and Adolescent Psychiatry. Washington. 1997: 699-709.
  • Kendall-Tackett KA, Williams LM, Finkelhor D. Impact of sexual abuse on children: a review and synthesis of recent empirical studies. Psychological bulletin, 1993;113(1): 164-80.
  • Schönbucher V,Maier T, Mohler-Kuo M, Schnyder U, Landolt MA. Disclosure of child sexual abuse by adolescents: A qualitative in-depth study. Journal of interpersonal violence, 2012;27(17):3486-513.
  • Lemaigre C, Taylor EP, Gittoes C. Barriers and facilitators to disclosing sexual abuse in childhood and adolescence: A systematic review. Child Abuse & Neglect, 2017;70: 39-52.
  • Bussey K, Grimbeek EJ. Disclosure processes: Issues for child sexual abuse victims. In:Rotenberg KJ eds. Disclosure Processes in Children and Adolescents. Cambridge University Press. 1995:166-203.
  • Gilbert R, Widom CS, Browne K, Fergusson D, Webb E, Janson S. Burden and consequences of child maltreatment in high-income countries. The lancet, 2009; 373(9657): 68-81.
  • Pereda N, Guilera G, Forns M, Gomez-Benito J. The prevalence of child sexual abuse in community and student samples: A meta-analysis. Clinical psychology review, 2009;29(4): 328-38.
  • Ayraler Taner H, Çetin FH, Işık Y, İşeri E. Psychopathology in abused children and adolescents and related risk factors [In Turkish]. Anatolian Journal of Psychiatry/Anadolu Psikiyatri Dergisi, 2015;16(4):294-301.
  • Baytunca MB, Ata E, Ozbaran B, Kaya A, Kose S, Aktas EO, Aydın R, Guney S, Yuncu Z, Erermis S, Bildik T, Aydin C. Childhood sexual abuse and supportive factors. Pediatrics international, 2017;59(1):10-5.
  • Schaeffer P, Leventhal JM, Asnes AG. Children’s disclosures of sexual abuse: Learning from direct inquiry. Child abuse & neglect, 2011;35(5):343-52.
  • Işık Ü, Aktepe E, Şimşek F, Akyıldız A, Yıldız A. Sociodemographic, Clinical and Family Characteristics of Victims of Sexual Abuse in a University Hospital in Isparta Province: 2014-2018 Data [In Turkish]. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 2019;10(1):53-7.
  • Bahali K, Akçan R, Yolga Tahiroğlu A, Avci A. Child sexual abuse: seven years in practice. Journal of forensic sciences, 2010;55(3):633-6.
  • Modelli ME, Galvão MF, Pratesi R. Child sexual abuse. Forensic science international, 2012; 217(1-3):1-4.
  • McElvaney R, Moore K, O’Reilly K, Turner R, Walsh B, Guerin S. Child sexual abuse disclosures: Does age make a difference? Child abuse & neglect, 2020;99:104121.
  • Wallis CR, Woodworth M. Non-offending caregiver support in cases of child sexual abuse: An examination of the impact of support on formal disclosures. Child abuse & neglect, 2021;113:104929.
  • Goodman-Brown TB, Edelstein RS, Goodman GS, Jones DPH, Gordon DS. Why children tell: A model of children’s disclosure of sexual abuse. Child abuse & neglect, 2003;27(5): 525-40.
  • Fontes LA, Plummer C. Cultural issues in disclosures of child sexual abuse. Journal of child sexual abuse, 2010;19(5):491-518.
  • Tetteh PM, Markwe U. Situating the notion of “gbɛkɛfɔŋs” in the discourse of child sexual abuse among the Ga in Accra, Ghana. Journal of child sexual abuse, 2018;27(5):510-22.

Factors related to disclosure time in sexually abused children

Yıl 2022, Cilt 36, Sayı 2, 74 - 78, 01.08.2022

Öz

Objective: The aim of this study is to investigate the factors affecting the disclosure time of child sexual abuse cases. Methods: This study was designed retrospectively and the reports of child sexual abuse cases evaluated between January 1, 2018 and December 31, 2019 were examined. Results: 75% of the cases were girls. The mean age of the victims at the time they were abused was found to be 12.5±3.5. 68.9% of crime was committed in the city. There is no Intellectual Disability in 81.5% of the victims. 51.4% of the victims disclosed the abuse after at least 6 months. It was determined that the disclosure period was longer in girls, preschool children and children without intellectual disability (p<0.001; p<0.001; p<0.05, respectively). Conclusion: In our country standardization of child sexual abuse prevention programs, increasing the rate of implementation, ensuring the evaluation and providing follow-up, raising awareness of professional occupational groups, especially students, teachers and health workers can be effective in early detection of sexual abuse and other types of abuse and in accelerating the next steps to be taken.

Kaynakça

  • World Health Organization. Preventing child maltreatment: a guide to taking action and generating evidence. World Health Organization. 2006:
  • Johnson CF. Child sexual abuse. The lancet, 2004; 364(9432):462-70.
  • Smith DW, Letourneau EJ, Saunders BE, Kilpatrick DG, Resnick HS, Best CL. Delay in disclosure of childhood rape: Results from a national survey. Child abuse & neglect, 2000; 24(2):273-87.
  • Yates A. Sexual abuse of children. In: Wiener J eds. Textbook of Child and Adolescent Psychiatry. Washington. 1997: 699-709.
  • Kendall-Tackett KA, Williams LM, Finkelhor D. Impact of sexual abuse on children: a review and synthesis of recent empirical studies. Psychological bulletin, 1993;113(1): 164-80.
  • Schönbucher V,Maier T, Mohler-Kuo M, Schnyder U, Landolt MA. Disclosure of child sexual abuse by adolescents: A qualitative in-depth study. Journal of interpersonal violence, 2012;27(17):3486-513.
  • Lemaigre C, Taylor EP, Gittoes C. Barriers and facilitators to disclosing sexual abuse in childhood and adolescence: A systematic review. Child Abuse & Neglect, 2017;70: 39-52.
  • Bussey K, Grimbeek EJ. Disclosure processes: Issues for child sexual abuse victims. In:Rotenberg KJ eds. Disclosure Processes in Children and Adolescents. Cambridge University Press. 1995:166-203.
  • Gilbert R, Widom CS, Browne K, Fergusson D, Webb E, Janson S. Burden and consequences of child maltreatment in high-income countries. The lancet, 2009; 373(9657): 68-81.
  • Pereda N, Guilera G, Forns M, Gomez-Benito J. The prevalence of child sexual abuse in community and student samples: A meta-analysis. Clinical psychology review, 2009;29(4): 328-38.
  • Ayraler Taner H, Çetin FH, Işık Y, İşeri E. Psychopathology in abused children and adolescents and related risk factors [In Turkish]. Anatolian Journal of Psychiatry/Anadolu Psikiyatri Dergisi, 2015;16(4):294-301.
  • Baytunca MB, Ata E, Ozbaran B, Kaya A, Kose S, Aktas EO, Aydın R, Guney S, Yuncu Z, Erermis S, Bildik T, Aydin C. Childhood sexual abuse and supportive factors. Pediatrics international, 2017;59(1):10-5.
  • Schaeffer P, Leventhal JM, Asnes AG. Children’s disclosures of sexual abuse: Learning from direct inquiry. Child abuse & neglect, 2011;35(5):343-52.
  • Işık Ü, Aktepe E, Şimşek F, Akyıldız A, Yıldız A. Sociodemographic, Clinical and Family Characteristics of Victims of Sexual Abuse in a University Hospital in Isparta Province: 2014-2018 Data [In Turkish]. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi, 2019;10(1):53-7.
  • Bahali K, Akçan R, Yolga Tahiroğlu A, Avci A. Child sexual abuse: seven years in practice. Journal of forensic sciences, 2010;55(3):633-6.
  • Modelli ME, Galvão MF, Pratesi R. Child sexual abuse. Forensic science international, 2012; 217(1-3):1-4.
  • McElvaney R, Moore K, O’Reilly K, Turner R, Walsh B, Guerin S. Child sexual abuse disclosures: Does age make a difference? Child abuse & neglect, 2020;99:104121.
  • Wallis CR, Woodworth M. Non-offending caregiver support in cases of child sexual abuse: An examination of the impact of support on formal disclosures. Child abuse & neglect, 2021;113:104929.
  • Goodman-Brown TB, Edelstein RS, Goodman GS, Jones DPH, Gordon DS. Why children tell: A model of children’s disclosure of sexual abuse. Child abuse & neglect, 2003;27(5): 525-40.
  • Fontes LA, Plummer C. Cultural issues in disclosures of child sexual abuse. Journal of child sexual abuse, 2010;19(5):491-518.
  • Tetteh PM, Markwe U. Situating the notion of “gbɛkɛfɔŋs” in the discourse of child sexual abuse among the Ga in Accra, Ghana. Journal of child sexual abuse, 2018;27(5):510-22.

Ayrıntılar

Birincil Dil Türkçe
Konular Adli Tıp
Bölüm Araştırma Makaleleri
Yazarlar

Mustafa KABUL> (Sorumlu Yazar)
Adli Tıp Kurumu Bursa Grup Başkanlığı
0000-0002-8306-9868
Türkiye


Alperen BIKMAZER>
İSTANBUL MEDENİYET ÜNİVERSİTESİ, TIP FAKÜLTESİ
0000-0001-8219-8185
Türkiye

Yayımlanma Tarihi 1 Ağustos 2022
Başvuru Tarihi 21 Temmuz 2022
Kabul Tarihi 29 Temmuz 2022
Yayınlandığı Sayı Yıl 2022, Cilt 36, Sayı 2

Kaynak Göster

Vancouver Kabul M. , Bıkmazer A. Cinsel istismar mağduru çocuklarda olayın ortaya çıkış süresini etkileyen faktörler. Adli Tıp Dergisi. 2022; 36(2): 74-78.

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