Child Sexual Abuse: Seven Years in Practice

Bahalı, Kayhan; Akçan, Ramazan; Tahiroğlu, Ayşegül Yolga; Avcı, Ayşe

doi:10.1111/j.1556-4029.2010.01357.x

Cited by 37 publications

(39 citation statements)

References 14 publications

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“…In our subjects, 56.8% of the children who were exposed to sexual abuse were found to be girls. Also in studies performed in Turkey, sexual abuse was reported to be more frequent in girls (7,10,12). In our study, 95% of physical abuse cases were reported to be punishment by slapping.…”

Section: Discussionmentioning

confidence: 57%

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Çocuk istismarı ve ihmali olgularımızın demografik ve klinik özellikleri: Ege Üniversitesi Çocuk Koruma Birimi’nin bir yıllık deneyimi

...

2012

Tpa

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Original Article Sum maryAim: Cases of child abuse and neglect (CAN) should be ideally managed by a multidisciplinary team. In the present study, our aim was to review the demographic and clinical features of cases of child abuse and neglect followed-up by the Child Protection Team of Ege University, İzmir, Turkey. Material and Method:The data of the cases of CAN referred to the multidisciplinary team of Ege University between August 2009 and 2010 were retrospectively reviewed. The demographic and clinical characteristics of the cases were summarized. Results: There were a total of 89 CAN cases evaluated by the team in our hospital during the last 12 months. The age of the subjects ranged from 1 to 17 years, and 43 (48.3%) of them were male, while 46 (51.7%) were female The sexual, physical and emotional abuse rates were 49%, 25% and 11% respectively, while 14% of them were diagnosed as pure neglect cases. The fathers were offenders in 67% of the cases of physical abuse and in 9% of the cases of sexual abuse. However, an extra-familial person was the perpetrator in 59% of the cases of sexual abuse. Conclusions: Recently, the number of reported CAN cases in our country has increased after the increase in the awareness of the public about this subject and multidisciplinary child protection teams have been established within many Education and University hospitals. However, there is a long way to go, although remarkable improvements have been observed in the last decade. (Turk Arch Ped 2012; 47: 121-5)

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Section: Discussionmentioning

confidence: 57%

“…In a study performed in Turkey, sexual abuse was reported to be practiced frequently by a foreigner outside of the family which was similar to our study (10). In another study, sexual abuse was reported to be practiced most frequently by a familiar person outside of the family and by a foreigner in the second order of frequency (12).…”

Section: Discussionmentioning

confidence: 99%

Çocuk istismarı ve ihmali olgularımızın demografik ve klinik özellikleri: Ege Üniversitesi Çocuk Koruma Birimi’nin bir yıllık deneyimi

...

2012

Tpa

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“…A Turkish study retrospectively analysed 101 cases of CSA (of children aged 4-17) from records kept by a University Department of Child and Adolescent Psychiatry (Bahali et al, 2010); two-thirds of victims had been abused by someone they knew. Another Turkish study, also using records from a child psychiatric unit (n=83), similarly reported that the majority (73.5 per cent) of suspected perpetrators were known to the children, with 31.1 per cent being intrafamilial (Perdahli Fis et al, 2010).…”

Section: Resultsmentioning

confidence: 99%

The prevalence, nature, and impact of intrafamilial child sexual abuse: findings from a rapid evidence assessment

Gekoski

Davidson

Horvath

2016

JCRPP

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Purpose -The purpose of this paper is to report on the findings from a study commissioned by the Office of the Children's Commissioner (OCC) in England, concerning intrafamilial child sexual abuse (IFCSA)/incest. Specifically, it aims to explore what is known about the prevalence, nature, and impact of IFCSA and where the gaps in knowledge lie.Design/methodology/approach -A rapid evidence assessment (REA) was used, the function of which is to: search the literature as comprehensively as possible within given time constraints; collate descriptive outlines of the available evidence on a topic and critically appraise it; sift out studies of poor quality; and provide an overview of the evidence. Over 57,000 documents were scanned, and 296 ultimately systematically analysed.Findings -It was found that: there is wide variation in prevalence rates between studies; girls are more likely to be victims than boys; the onset of abuse is typically school age; abuse in minority groups is underreported; sibling abuse may be more common than that by fathers; female perpetrated abuse may be under-reported; families where abuse occurs are often dysfunctional; and IFCSA has significant adverse effects on victims.Research limitations/implications -A REA is not a full systematic review, differing in the scope and depth of the searches and depending almost exclusively on electronic databases, not accompanied by searching journals by hand.Practical implications -This work found numerous gaps in current knowledge about IFCSA, which the authors recommend be addressed by further research, including: the scale and nature of IFCSA in disabled victims, research on BME children's experiences; the prevalence of abuse by stepfathers as compared to biological fathers; the experiences of male victims; the experiences of lesbian, gay, bisexual, and transgendered child victims; the short-term impact of IFCSA based on child victims' experiences; and more widely, further research on the prevalence of abuse in clinical populations and the relationship between that and prevalence in wider society. In addition to such questions, the OCC inquiry will also investigate issues surrounding child protection and criminal justice responses to (IF)CSA and how these might be improved. The evidence base for this section of the inquiry is reported in Gekoski et al. (2016).Originality/value -The findings of this research provide the evidence base for a new twoyear inquiry into the subject of IFCSA by the OCC.

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“…Bahali et al (42) reported that the majority (66.3%) of the victims had been abused by an acquaintance, and 33.7% had been abused by a stranger. Another study by several institutions in Turkey reported that adolescents are more likely to be abused than children by someone known to them (54).…”

Section: Discussionmentioning

confidence: 99%

“…The severity and type of sexual abuse, the gender and age of the child and the offender, the relationship between the child and the offender, any accompanying physical abuse, and the frequency, number, and length of the abusive acts all seem to affect the child's outcomes (37,38,39,40,41,42). A previous study found that the victim's relationship with the abuser, the persistence and recurrence of the abuse, genital penetration, and the use of force or intimidation are associated with more adverse outcomes (43).…”

Section: Introductionmentioning

confidence: 99%

The Psychiatric Consequences of Child and Adolescent Sexual Abuse

Yüce

Karabekiroğlu

Yıldırım

et al. 2015

Arch Neuropsychiatr

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Introduction: The purpose of this study was to investigate the psychiatric consequences of sexual abuse and its associated factors in children and adolescents referred to our child and adolescent psychiatry clinic from official medico-legal units.Methods: All victims of sexual abuse (n=590) aged 1-18 (mean: 13.56±3.38) referred from forensic units to Ondokuz Mayis University Child and Adolescent Psychiatry Clinic over a period of 2 years [boys: 83 (14.1%); girls: 507 (85.9%)] were included. Child and adolescent psychiatry and forensic medicine specialists evaluated all the cases. The Wechsler Intelligence Scale for Children-Revised Form (WISC-R) and the Schedule for Affective Disorders and Schizophrenia for School Age Children-Present and Lifetime Version-Turkish Version (K-SADS-PL-T) were applied.Results: Abuse-related psychiatric diagnoses (of which 45.9% were major depressive disorder and 31.7% were post-traumatic stress disorder cases) were made in 75.2% of the cases. In 80.3% of the cases, the perpetrators were known to their victims [incest, n=91 (15.1%)], and intercourse took place in 48.8%. Although gender and age were not significantly associated with the appearance of any psychiatric disorders, severity of abuse (e.g., intercourse; p=.006), additional physical assault (p<.001), and incest (p<.001) had a significant correlation with psychiatric disorders. To explore the predictive value of multiple factors in the appearance of any sexual assault-related psychiatric disorder, a logistic regression model was used to determine the best linear combination of age, gender, abuse severity, incest, involvement of any other victim, additional physical assault, and length of time from first abuse to first psychiatric evaluation. This combination of variables (occurrence of incest, additional physical assault, and a long duration from first abuse to first psychiatric evaluation) significantly predicted the appearance of a psychiatric disorder of any kind (χ 2 =55.42; df=7; n=522; p<.001).Conclusion: Our findings reveal that the occurrence of incest, additional physical assault, and a long duration from first abuse to first psychiatric evaluation predict higher rates of sexual abuse-related psychiatric disorders.Keywords: Child sexual abuse, children and adolescence, psychiatric outcomes, trauma ABSTRACTResearch Article

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Child Sexual Abuse: Seven Years in Practice

Cited by 37 publications

References 14 publications

Çocuk istismarı ve ihmali olgularımızın demografik ve klinik özellikleri: Ege Üniversitesi Çocuk Koruma Birimi’nin bir yıllık deneyimi

Çocuk istismarı ve ihmali olgularımızın demografik ve klinik özellikleri: Ege Üniversitesi Çocuk Koruma Birimi’nin bir yıllık deneyimi

The prevalence, nature, and impact of intrafamilial child sexual abuse: findings from a rapid evidence assessment

The Psychiatric Consequences of Child and Adolescent Sexual Abuse

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