scholarly journals Evaluation of the Cases who Applied to University Hospital Child and Adolescent Mental Health Committee Because of Sexual Abuse

Author(s):  
Birsen Şentürk Pilan ◽  
Serpil Erermiş ◽  
Tuğçe Özcan ◽  
Reyhan Çalışan ◽  
İlayda Barankoğlu ◽  
...  

Objective: The aim of this study was to examine the sociodemographic characteristics, psychiatric diagnoses and factors associated with psychiatric diagnoses of children and adolescents who are victims of sexual abuse. Method: The files of 92 children and adolescents aged between 0-18 who were referred to University Hospital Child and Adolescent Psychiatry Forensic Policlinic between January 2017 and December 2019 due to sexual abuse were evaluated retrospectively. Psychiatric diagnoses of the cases were made according to DSM 5 diagnostic criteria. Intellectual capacity of the cases was evaluated according to the latest verison of Wechsler Intelligence Scale for Children. Results: In our study, 78 (84.8%) cases were female and 14 (15.2%) were male. Mean age of the cases was 14.1±3.88 years. The most common type of sexual abuse was touching (52.2%, n=48). There was a psychiatric diagnose in 50 (54.3%) of them. The most common psychiatric diagnoses were posttraumatic stress disorder (n=29, 31.5%) and major depressive disorder (n=25, 27.2%). The rate of psychiatric diagnosis was significantly higher in cases exposed to coercion and violence (p=0.032). In 32 cases (34.8%), it was determined that the abuser was within the family. Conclusion: Sexual abuse has an effect on child’s development throughout life.In our study, the rate of psychiatric diagnosis was high. It is very important to provide the necessary psychiatric support to the victims of sexual abuse. With the studies to be done in this area, awareness can be increased and necessary precautions can be taken.

PEDIATRICS ◽  
1982 ◽  
Vol 69 (1) ◽  
pp. 8-14
Author(s):  
Mary Ellen Rimsza ◽  
Elaine H. Niggemann

The case records of 311 children and adolescents who were medically evaluated for sexual abuse are reviewed. Only 18% of these victims were assaulted by strangers; 131 of the assailants were relatives. Thirty percent of the victims reported multiple assaults over a time period of one week to nine years. Physical examination showed no abnormalities in only 23% of the patients. Twenty-one patients had gonorrhea and seven patients were pregnant. Guidelines for the medical evaluation of patients suspected to be victims of sexual abuse are discussed.


1993 ◽  
pp. 16-24
Author(s):  
Eino Jutikkala

Calculations have been made of the total child and adolescent mortality in Finland in the 1700s and 1800s and the beginning of the 1900s. The author examines the cohort mortality of children and adolescents in different periods, regions and social groups. He does this by using the family reconstruction method with the aid of genealogical tables. The study focuses on five populations. In these cases the common allegation that during preindustrial period half the children died before reaching maturity is somewhat exaggerated.


1997 ◽  
Vol 42 (8) ◽  
pp. 841-846 ◽  
Author(s):  
YC Janardhan Reddy ◽  
Satishchandra Girimaji ◽  
Shoba Srinath

Objectives: To see whether classic DSM-III-R criteria for mania are applicable to Indian youngsters and to examine the clinical presentation of mania in an Indian child and adolescent psychiatric sample. Method: Fifty subjects with a diagnosis of functional psychosis as per the definition in ICD-9 were recruited from the population referred during the study period of approximately one year (n = 840) to the Child and Adolescent Psychiatry (CAP) clinic of the National Institute of Mental Health and Neuro Sciences (NIMHANS), Bangalore, South India. The subjects were systematically evaluated using a standardized clinical interview and demographic questionnaire and were classified according to DSM-III-R. The subjects who satisfied DSM-III-R criteria for mania formed the sample for this study. Results: Twenty-one subjects received a diagnosis of mania according to DSM-III-R. The most common symptoms of mania included pressure of speech, irritability, elation, distractibility, increased self-esteem, expansive mood, flight of ideas, and grandiose delusions. No subject had comorbid attention-deficit hyperactivity disorder (ADHD). Additionally, 13 (61%) of the 21 manic subjects had delusions and/or hallucinations. The other common symptoms included psychomotor agitation, reduced sleep, anger, temper tantrums, decreased concentration, disobedience, aggression, and hyperactivity. Conclusions: Mania was diagnosable in Indian children and adolescents using classic DSM-III-R criteria. The clinical profile appears to be generally similar to that seen in adults. ADHD is not a comorbid condition. The presence of aggressive or disruptive behaviours and hyperactivity in childhood- and adolescent-onset mania, however, could lead to a misdiagnosis of attention-deficit hyperactivity disorder/conduct disorder (ADHD/CD). Similarly, the presence of psychotic features could lead to a misdiagnosis of schizophrenia.


2005 ◽  
Vol 2 (8) ◽  
pp. 19-22
Author(s):  
Ernest Caffo ◽  
Luisa Strik Lievers

The European Society for Child and Adolescent Psychiatry (ESCAP) assembles 29 national societies of child and adolescent psychiatry of several countries belonging to the European Union or to its cultural and geographical area. It is the only association that gathers European psychiatrists who work with children and adolescents.


2021 ◽  
Vol 12 ◽  
Author(s):  
Javier Martín-Babarro ◽  
M. Paz Toldos ◽  
Lorena Paredes-Becerra ◽  
Renzo Abregu-Crespo ◽  
Juan Fernández-Sánchez ◽  
...  

Objective: To examine the relationship between exposure to multiple forms of child abuse and neglect within the family context and peer victimization at school, accounting for the moderator effect of sex and educational level.Methods: Two thousand four hundred fifteen children and adolescents, aged 9 to 15 years, attending public schools in Mexico completed the Childhood Trauma Questionnaire-Short Form and a modified version of the Olweus' Bully/Victim Questionnaire. We used linear regression models to assess the association of five different forms of child abuse (emotional, physical, and sexual abuse, and emotional and physical negligence) with three forms of peer victimization (direct, indirect, and cyberbullying).Results: Direct forms of child abuse within the family (i.e., emotional, physical, and sexual abuse), but not neglect, were significantly and positively associated with a risk for peer victimization. In the fully adjusted models, emotional abuse was significantly associated with the three types of peer victimization: [indirect b = 0.48, t = 6.75, p < 0.001, direct (b = 0.47, t = 4.89, p < 0.001), and cyberbullying (b = 0.85, t = 5.45, p < 0. 001)]; while physical abuse was positive and significantly associated with direct victimization (b = 0.29, t = 3.28, p < 0.001). Boys suffering from sexual abuse within the family context showed higher levels of all subtypes of peer victimization. Students attending secondary school who suffered from sexual abuse showed higher levels of indirect victimization than did students attending primary schools.Conclusion: Child abuse within the family context seems to be associated with the risk of peer victimization. Preventive strategies to address bullying and promote resilience should take family factors into account. Interventions for high-risk families might be useful to prevent child multi-victimization.


2018 ◽  
Vol 3 (5) ◽  
pp. 53
Author(s):  
Ana Virginia Quiroz De la Cruz ◽  
José Raymundo Triviño Sabando

En este trabajo se aborda la temática del abuso sexual a niños, niñas y adolescentes y la importancia de la orientación familiar en la prevención de este abominable mal que azota con gran fuerza a una población vulnerable de la sociedad. Comprende un análisis de datos históricos de los orígenes de esta práctica hasta la incidencia de casos que en la actualidad se revelan en la realidad ecuatoriana, sobre todo. Se reflexiona sobre el preocupante aumento de casos que salen a la luz pública, así como también aquellos que no son expuestos y que son parte de una estadística oculta, pero que constituyen una realidad latente que urge ser tratada. Actualmente en un alto índice de familias es muy escaso el diálogo sobre temas de prevención de la violencia sexual infantojuvenil, en gran medida por tabúes, temores e idiosincrasias culturales y falta de capacitación, por lo que se concluye que, a partir de una mayor intervención a través de procesos técnicos, la orientación familiar podría ser un proceso clave para disminuir esta abominable práctica social. PALABRAS CLAVE: Orientación familiar; abuso sexual; violación; población vulnerable. THE FAMILY ORIENTATION IN THE PREVENTION OF SEXUAL ABUSE TO CHILDREN AND ADOLESCENTS ABSTRACT This paper addresses the issue of sexual abuse of children and adolescents and the importance of family guidance in the prevention of this abominable evil that strikes with great force a vulnerable population of society. It includes an analysis of historical data on the origins of this practice up to the incidence of cases that are currently revealed in the Ecuadorian reality, above all. It reflects on the worrying increase of cases that come to public light, as well as those that are not exposed and that are part of a hidden statistic, but that constitute a latent reality that urgently needs to be addressed. At present, in a high index of families, there is very little dialogue about prevention of sexual violence against children and adolescents, largely due to taboos, fears and cultural idiosyncrasies and lack of training, so it is concluded that, after a greater intervention Through technical processes, family counseling could be a key process to reduce this abominable social practice. KEYWORDS: Family orientation; sexual abuse; violation; vulnerable population.


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