Bourgou S, Meddouri S L, Ben Hamouda A, Ben Mustapha H, Charfi F, Hamza M, Belhadj A
Faculté de médecine de Tunis, service de pédopsychiatrie, hôpital Mongi-Slim, université de Tunis-El-Manar, 1007, La Marsa, 2046 Tunis, Tunisie.
Faculté de médecine de Tunis, service de pédopsychiatrie, hôpital Mongi-Slim, université de Tunis-El-Manar, 1007, La Marsa, 2046 Tunis, Tunisie.
Encephale. 2021 Jun;47(3):221-226. doi: 10.1016/j.encep.2020.06.011. Epub 2020 Nov 12.
Child sexual abuse is a major health problem that remains under-declared and under-reported worldwide. In this paper we have taken an interest in establishing the profile of the victims in a clinical population of children consulting for sexual abuse.
We conducted a descriptive retrospective study in the child and teenager psychiatry department of the Mongi-Slim hospital (Tunis, Tunisia). We included all patients referred for treatment or medical expertise during the period from January 2013 to June 2019 and recorded sociodemographic data and clinical characteristics on pre-established charts from patient files.
The total number of consultants was 150 patients with 61,33 % of female subjects (n=92). The average age was 9,9 years old with extremes ranging from 2 to 18 years old. The assault was unique in 62,7 % and happened in a place known by the victim in 47,33 %. Sexual abuse with non-penetrating contact was the most frequent (48 %). The average age at which the first sexual abuse happened was 9 years old. In the vast majority of cases, the abuser was a male. Concerning the identity of the abuser, he was someone of the family in 37,3 % of the cases and in half of these cases, he was the father. In the other cases where the abuser wasn't a family member, the identity was known by the child and/or his family in 48,66 %. A psychiatric diagnosis was made in 58 % of the cases with a percentage of 52,1 % among girls and 60,3 % among boys. Main diagnoses were acute stress disorder in 10,6 %, post trauma stress disorder in 19,3 %, adjustment disorder in14,6 % and a major depressive disorder in 8 %.
Knowing the profile of victims of child sexual abuse and taking into consideration the social and psychiatric impact can help in adapting the means to intervene properly in order to take care of the victims and prevent such abuse.
儿童性虐待是一个重大的健康问题，在全球范围内仍未得到充分报告。在本文中，我们关注于确定因性虐待前来咨询的临床儿童群体中受害者的特征。
我们在蒙吉 - 斯利姆医院（突尼斯突尼斯市）的儿童和青少年精神科进行了一项描述性回顾性研究。我们纳入了2013年1月至2019年6月期间所有前来接受治疗或医学专业评估的患者，并根据患者档案中预先设定的图表记录了社会人口统计学数据和临床特征。
前来咨询的患者总数为150人，其中女性患者占61.33%（n = 92）。平均年龄为9.9岁，年龄范围在2岁至18岁之间。62.7%的性侵事件为单次发生，47.33%发生在受害者熟悉的地方。非插入性接触的性虐待最为常见（48%）。首次遭受性虐待的平均年龄为9岁。在绝大多数情况下，施虐者为男性。关于施虐者的身份，37.3%的案件中施虐者为家庭成员，其中一半情况下是父亲。在施虐者不是家庭成员的其他案件中，48.66%的情况下儿童和/或其家人知道施虐者的身份。58%的病例进行了精神科诊断，女孩中的比例为52.1%，男孩中的比例为60.3%。主要诊断包括急性应激障碍占10.6%、创伤后应激障碍占19.3%、适应障碍占14.6%以及重度抑郁症占8%。
了解儿童性虐待受害者的特征并考虑到社会和精神影响，有助于调整适当的干预方式，以便照顾受害者并预防此类虐待行为。
