Soussia Rim Ben, Omezzine Rim Gniwa, Bouali Walid, Zemzem Mouna, Bouslah Sarra, Zarrouk Lazhar, Gaha Lotfi
Service de Psychiatrie, Hôpital Universitaire Tahar Sfar, Mahdia, Tunisie.
Service de Psychiatrie, Hôpital Universitaire Fattouma Bourguiba, Monastir, Tunisie.
Pan Afr Med J. 2021 Feb 1;38:105. doi: 10.11604/pamj.2021.38.105.21766. eCollection 2021.
Child sexual abuse is a disturbing reality and a major public health problem. Indeed, it is a subject that has long been treated as taboo, with dramatic consequences on physical and mental health as well as on social wellbeing of the victims. The purpose of this study was to highlight the epidemiological and clinical features as well as the legal aspects of child sexual abuse.
we conducted a retrospective descriptive study at the psychiatric outpatient service of the University Hospital of Monastir over a period of 12 years and 6 months. All children younger than 18 years diagnosed with suspected or confirmed sexual assault were included.
a total of 93 children, victims of sexual abuse were enrolled. The average age of patients was 10 years, with a standard deviation of 3.9 years. Sex-ratio M/F was 0.9. The most common sexual contact was touching (47,3% of cases). The majority of abusers were male (93,5%). In more than half of the cases (53,8%) they were relatives of the child and in 28% of cases intra-familial abuse was reported. Initial psychiatric assessment showed mental disorders in 70% of cases.
sexual abuse is a very broad field of violence which varies widely in nature and intensity. Although, in some types of sexual abuse occasionally there is a lack of physical traces, the emotional and psychological impact is ubiquitous and characterized by numerous clinical manifestations.
儿童性虐待是一个令人不安的现实，也是一个重大的公共卫生问题。事实上，这个话题长期以来一直被视为禁忌，对受害者的身心健康以及社会福祉都产生了巨大影响。本研究的目的是突出儿童性虐待的流行病学和临床特征以及法律方面。
我们在莫纳斯提尔大学医院的精神科门诊进行了一项为期12年零6个月的回顾性描述性研究。纳入所有18岁以下被诊断为疑似或确诊性侵犯的儿童。
共纳入93名遭受性虐待的儿童。患者的平均年龄为10岁，标准差为3.9岁。男女比例为0.9。最常见的性接触是触摸（占病例的47.3%）。大多数施虐者为男性（占93.5%）。在超过一半的病例中（53.8%），他们是儿童的亲属，28%的病例报告为家庭内部虐待。初次精神科评估显示70%的病例存在精神障碍。
性虐待是一个非常广泛的暴力领域，其性质和强度差异很大。虽然在某些类型的性虐待中偶尔缺乏身体痕迹，但情感和心理影响无处不在，且具有众多临床表现。
