Turkiye Klinikleri Journal of Forensic Medicine and Forensic Sciences

.: ORIGINAL RESEARCH
Cinsel İstismar Mağduru 9-15 Yaş Arası Çocuklarda Algılanan Sosyal Desteğin Travmatik Strese Etkisi
Impact of Perceived Social Support on Traumatic Stress in Children Who are 9-15 Aged and Sexual Abused
Ayşegül SARICANa, Işık KARAKAYAb
aÇocuk İzlem Merkezi, Kocaeli Sağlık Bilimleri Üniversitesi, Derince Eğitim ve Araştırma Hastanesi, Kocaeli, TÜRKİYE
bBilgi Üniversitesi Sağlık Bilimleri Fakültesi, İstanbul, TÜRKİYE
Turkiye Klinikleri J Foren Sci Leg Med. 2019;16(1):14-27
doi: 10.5336/forensic.2018-60389
Article Language: TR
Full Text
ÖZET
 Amaç: Cinsel istismara maruz kalmış çocuklarda ve ergenlerde sosyal desteğin travmatik strese etkisini belirlemektir. Gereç ve Yöntemler: Araştırma, Kocaeli ilinde yaşayan, yaş aralığı 9-15 yıl olan cinsel istismara maruz kalan 50 çocukla yapılmıştır. Çocukların sosyodemografik özellikleri, yaşadıkları cinsel istismar türleri, sosyal destek algıları ve travmatik stres tepkileri arasındaki ilişkilere bakılmıştır. Araştırmada, araştırmacı tarafından hazırlanan Sosyodemografik Bilgi Formu, Çocuklar İçin Sosyal Desteği Değerlendirme Ölçeği ve Çocuk ve Gençlerde Travma Sonrası Stres Tepki Ölçeği kullanılmıştır. Bulgular: Sosyal destek aile alt ölçeğiyle travmatik stres arasında anlamlı ilişki saptanmıştır. Sosyal destek toplam puanlarıyla travmatik stres arasında anlamlı bir ilişki bulunamamıştır. Yaş değişkeni ve penetrasyon varlığı ile travmatik stres arasında anlamlı bir ilişki bulunmuştur. Yaş değişkeniyle sosyal destek arasında anlamlı bir ilişki bulunmuştur. Sonuç: Araştırmada, yaş arttıkça cinsel istismar riskinin arttığı, yaş arttıkça sosyal desteğin azaldığı ve yaş arttıkça travmatik stres belirtilerinin arttığı sonucuna ulaşılmıştır. Travmatik stresle özellikle aileden gelen sosyal destek arasında anlamlı bir ilişki bulunmuştur. Aile desteği arttıkça travmatik stresin azaldığı sonucuna ulaşılmıştır.

Anahtar Kelimeler: Çocuk; çocuk cinsel istismarı; ruhsal travma; travmatik stres; sosyal destek
ABSTRACT
 Objective: The purpose of this investigation is to detect impact of social support on traumatic stress in children and adolescents who are sexual abused. Material and Methods: This study was made with 50 children WHO lived in Kocaeli, 9-15 aged and sexual abused. Some relationships that children's sociodemographic properties, types of sexual abuse, social support perceptions and traumatic stress reaction were analyzed. Sociodemographic information form that was prepared by researcher, social support appraisals scale for children and child posttraumatic stress reaction index were used. Results: There was significant relationship that social support family subscale and traumatic stress. It wasn't found significant relationship between social support total score and traumatic stress. It was found significant relationship between age, penetration variables and traumatic stress. It was found significant relationship between age variables and social support. Conclusion: In this study, there was positive relationship between age and sexual abusement, there was negative relationship between age and social support and there was positive relationship between age and traumatic stress reactions, were found. It was found significant relationship between traumatic stress and social support that was provided by family. It was found that while family support is increasing, traumatic stress is decreasing.

Keywords: Child; child sexual abuse; psychological trauma; traumatic stress; social support
REFERENCES:
  1. Çam Ş. [Debates on child pornography that matter]. İletişim Araştırmaları. 2003;1(2):5586.
  2. Birleşmiş Milletler Çocuk Haklarına Dair Sözleşme; 20 Kasım 1989. p.16.
  3. Hochart F. La maltraitance des enfants. Bull Acad Natl Med. 2002;186(6):963-70.
  4. Polat O. 4. Bölüm. [Child abuse]. Klinik Adli Tıp. Baskı. Ankara: Seçkin Yayıncılık; 2004. p.85131.
  5. Güner Şİ, Güner S, Şahan MH. [Social and medical problem in children: abuse]. Van Tıp Dergisi. 2010;17(3):108-13.
  6. Aydın B. Bölüm 8. [Child and adolescent psychology]. Çocuk ve Ergen Psikolojisi. 3. Baskı. Ankara: Nobel Yayın Dağıtım; 2010. p.128-30.
  7. Glaser D. Emotional abuse and neglect (psychological maltreatment): a conceptual framework. Child Abuse Negl. 2002;26(6-7): 697-714. [Crossref]
  8. Dönmez YE, Soylu N, Özel Özcan Ö, Yüksel T, Çalışkan Demir A, Çon Bayhan P, et al. [Sociodemographic and clinical features of sexually abused children and adolescents cases]. J Turgut Ozal Med Cent. 2014;21(1): 44-8.
  9. Topçu S. Bölüm 1. [Child sexual abuse-diagnostic criteria]. Cinsel İstismar. 1. Baskı. Ankara: Phoenix Yayınevi; 2009. p.21-6.
  10. Polat O. 3. Bölüm. [Violence against children]. Şiddet. 2. Baskı. Ankara: Seçkin Yayınevi; 2017. p.152-75.
  11. Berber G, Korkut S. Father incest against A 4,5 month old baby: case report. Adli Tıp Dergisi. 2009;23(3):28-32.
  12. Kara B, Biçer Ü, Gökalp AS. [Child abuse]. Çocuk Sağlığı ve Hastalıkları Dergisi. 2004;47(2):14051.
  13. Ovayolu N, Uçan N, Serindağ S. [Sexual abuse in child and its effects]. Fırat Sağlık Hizmetleri Dergisi. 2007;2(4):13-21.
  14. Salı G, Köksal Akyol A. A study on the peer relationship, social support perceptions and perfectionism of working and non-working children according to gender. Education & Science. 2014;39(173):208-21.
  15. Feiring C, Taska LS, Lewis M. Social support and children?s and adolescents? adaptation to sexual abuse. J Interper Viol. 1998;13:240-60. [Crossref]
  16. Hyman SM, Gold SN, Cott MA. Forms of social support that moderate PTSD in childhood sexual abused survivors. J Fam Violence. 2003;18:5. [Crossref]
  17. Flannery Jr RB. Social support and psychological trauma: a methodological review. J Trauma Stress. 1990;3(4):593-611. [Crossref]
  18. Tremblay C, Hébert M, Piché C. Coping strategies and social support as mediators of consequences in child sexual abuse victims. Child Abuse Negl. 1999;23(9):929-45. [Crossref]
  19. Bal S, Crombez G, Van Oost P, Debourdeaudhuij I. The role of social support in well-being and coping with self-reported stressful events in adolescents. Child Abuse Negl. 2003;27(12):1377-95. [Crossref] [PubMed]
  20. Vranceanu AM, Hobfoll SE, Johnson RJ. Child multi-type maltreatment and associated depression and PTSD symptoms: the role of social support and stress. Child Abuse Negl. 2007;31(1): 71-84. [Crossref] [PubMed] [PMC]
  21. Spaccarelli S, Kim S. Resilience criteria and factors assosiated with resilience in sexually abused girls. Child Abuse Negl. 1995;9(9): 1171-82. [Crossref]
  22. Pynoos RS, Geojian A, Tashjian M, Karakashian M, Manjikian R, Manoukian G, et al. Post-traumatic stress reactions in children after the 1988 Armenian earthquake. Br J Psychiatry. 1993;163:239-47. [Crossref] [PubMed]
  23. Erden G, Kılıç EZ, Uslu Rİ, Kerimoğlu E. [Summary: the validity and reliability study of Turkish version of child posttraumatic stres reaction index]. Çocuk ve Gençlik Ruh Sağlığı Dergisi. 1999;6(3):143-9.
  24. Cobb S. Presidental address-1976. Social support as a moderator of life stress. Psychosom Med. 1976;38(5):300-14. [Crossref]
  25. Dubow EF, Ullman DG. Assessing social support in elementary school children: the survey of children?s social support. J Clin Child Psychol. 1989;18(1):52-64. [Crossref]
  26. Gökler I. [Summary: the Turkish adaptation study of social support appraisals scale to be used with children and adolescents: factor structure, validity and reliability]. Çocuk ve Gençlik Ruh Sağlığı Dergisi. 2007;14(2): 90-9.
  27. Uğur Ç, Şireli Ö, Esenkaya Z, Yaylalı H, Duman SN, Gül B, et al. [Summary: psychiatric assessment and follow-up of child abuse victims: experience from the last four-years]. Çocuk ve Gençlik Ruh Sağlığı Dergisi. 2012;19(2):816.
  28. İmren SG, Ayaz AB, Yusufoğlu C, Arman AR. [Clinical features and risk factors related with suicide attempts in sexually abused children and adolescents]. Marmara Medical Journal. 2013;26(1):11-6.
  29. Ayraler Taner H, Çetin FH, Işık Y, İşeri E. [Psychopathology in abused children and adolescents and related risk factors]. Anatolian Journal of Psychiatry. 2015;16(4):294-300. [Crossref]
  30. Evans E, Hawton K, Rodham K. Suicidal phenomena and abuse in adolescents: a review of epidemiological studies. Child Abuse Negl. 2005;29(1):45-58. [Crossref] [PubMed]
  31. Fassler IR, Amodeo M, Griffin ML, Clay CM, Ellis MA. Predicting long-term outcomes for women sexually abused in childhood: contribution of abuse severity versus family environment. Child Abuse Negl. 2005;29(3): 269-84. [Crossref] [PubMed]
  32. Aktepe E. [Childhood sexual abuse]. Psikiyatride Güncel Yaklaşımlar. 2009;1(2):95-119.
  33. Bernet W. [Child maltreatment]. Sadock BJ, Sadock VA, eds. Kaplan Sadock Psikiyatri. Aydın S, Bozkurt A, çeviri editörleri. 8. Baskı. Ankara: Güneş Kitabevi; 2007. p.3412-25.
  34. Şimşek Ş, Fettahoğlu Ç, Özatalay E. [Post-traumatic stress disorder in children who were sexually abused and in their parents]. Dicle Medical Journal. 2011;38(3):318-24. [Crossref]
  35. Newman BM, Newman PR, Griffen S, O?Connor K, Spas J. The relationship of social support to depressive symptoms during the transition to high school. Adolescence. 2007;42(167):441-59. [PubMed]
  36. Levitt MJ, Guacci-Franco N, Levitt JL. Convoys of social support in childhood and early adolescence: structure and function. Developmental Psychology. 1993;29(5):811-8. [Crossref]
  37. Xie P, Wu K, Zheng Y, Guo Y, Yang Y, He J, et al. Prevalence of childhood trauma and correlations between childhood trauma, suicidal ideation, and social support in patients with depression, bipolar disorder, and schizophrenia in southern China. J Affect Disord. 2018;228:41-8. [Crossref] [PubMed]
  38. Oh A, Han M, Choi Y, Lau S, Shum MSW. Exploring relationship among child maltreatment experience in childhood and behavior problems as young adults: role of social support among college students in Hong Kong. International Social Work 2018. [Link]
  39. Ellis EM. A review of empirical rape research: victim reactions and response to treatment. Clin Psychol Rev. 1983;3(4):473-90. [Crossref]
  40. Dworkin ER, Ullman SE, Stappenbeck C, Brill CD, Kaysen D. Proximal relationships between social support and PTSD symptom severity: a daily diary study of sexual assault survivors. Depress Anxiety. 2018;35(1):43-9. [Crossref] [PubMed] [PMC]
  41. Von Cheong E, Sinnott C, Dahly D, Kearney PM. Adverse childhood experiences (ACEs) and laterlife depression: perceived social support as a potential protective factor. BMJ Open. 2017;7(9): 1-11. [Crossref]
  42. Krammer S, Eisenbarth H, Huegli D, Rosenstock ML, Kuwert P. The relationship between childhood traumatic events, social support, and mental health problems in prisoners. The Journal of Forensic Psychiatry & Psychology. 2018;29(1):72-85. [Crossref]

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