Department of Family Medicine, Health Campus, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia.
Women's Health Development Unit, Health Campus, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian 16150, Malaysia.
Int J Environ Res Public Health. 2021 Sep 5;18(17):9373. doi: 10.3390/ijerph18179373.
Sexual abuse of children is increasing at an alarming rate. This study aims to describe the risk factors and the effects of sexual abuse on children. This unobtrusive qualitative study was conducted on children aged 10 to 18 years old who experienced sexual abuse and followed-up at a psychiatric clinic between the years 2019 and 2021. The information from case records was transcribed. Thematic analysis was performed. Thirty case records were reviewed. The mean age of the victims was 14.6 years; 94% of the victims had experienced vaginal penetration, and 23% of the cases involved incest. The results indicated that socio-psychological predisposing factors involving family structure and dynamic dysfunction, low intrapersonal strength, social influence, and low family socioeconomic status could lead to sexual victimization. This sexual victimization can then lead to emotional turmoil, negative effects on cognitive, academic and social function, negative parental reactions toward the incident, the creation of baby-mother relationships and love-hate relationships, and a lack of goals and hope for the future. Children who experienced sexual abuse may show rape or pregnancy symptoms but may also show entirely non-specific ones. A thorough examination of their history, including biopsychosocial aspects, is necessary to appropriately care for them.
儿童性虐待的发生率正在以惊人的速度上升。本研究旨在描述儿童性虐待的危险因素和影响。本非介入性定性研究对 2019 年至 2021 年间在精神病诊所接受随访的 10 至 18 岁遭受性虐待的儿童进行了研究。从病历中转录了信息。进行了主题分析。审查了 30 份病历。受害者的平均年龄为 14.6 岁;94%的受害者经历过阴道穿透,23%的病例涉及乱伦。结果表明,涉及家庭结构和功能障碍、内在力量低、社会影响和家庭社会经济地位低等社会心理促成因素可能导致性受害。这种性受害可能会导致情绪波动、对认知、学业和社会功能产生负面影响、父母对事件的负面反应、母婴关系和爱恨交织的关系、以及缺乏目标和对未来的希望。遭受性虐待的儿童可能表现出强奸或怀孕的症状,但也可能表现出完全非特异性的症状。对他们的病史进行全面检查,包括生物心理社会方面,对于适当照顾他们是必要的。