Doğru Hicran, Esin İbrahim Selçuk, Kök Ahmet Nezih, Dursun Onur Burak
Department of Child and Adolescent Psychiatry, Atatürk University Faculty of Medicine, Erzurum, Türkiye.
Department of Forensic Medicine, Atatürk University Faculty of Medicine, Erzurum, Türkiye.
Eurasian J Med. 2024 Oct 23;56(3):163-169. doi: 10.5152/eurasianjmed.2024.24441.
This study covers Child Sexual Abuse (CSA) survivors who had never disclosed the abuse until their psychiatric interview. There is a clear lack of understanding of which factors contribute to delays in the disclosure of CSA. Thus, we aimed to examine the risk factors and sociodemographic variables that may inhibit CSA disclosures. We retrospectively analyzed the files of patients who presented to a child and adolescent psychiatry clinic with diferent complaints between 2010 and 2020 in a tertiary hospital. All of these sexual assaults were ofcially reported by a child and adolescent psychiatrist to the competent authorities. The mean period of time from abuse to disclosure was 28.4 ± 32.5 months. The time from abuse to disclosure was significantly negatively correlated with mothers' education years (r=-.430, P < .01) and with the age of onset of sexual abuse (r=-.589, P < .001). Results of multiple linear regression showed that female sex and the earlier age of onset of sexual abuse were significant predictors of increased duration from abuse to disclosure. Our results provide insights into several risks that may afect the time from abuse to disclosure for CSA survivors. Studies with larger samples are needed to understand the factors afecting the time from abuse to disclosure.
本研究涵盖了那些在接受精神科访谈之前从未披露过性虐待经历的儿童性虐待(CSA)幸存者。目前明显缺乏对哪些因素导致CSA披露延迟的了解。因此,我们旨在研究可能阻碍CSA披露的风险因素和社会人口统计学变量。我们回顾性分析了2010年至2020年期间在一家三级医院儿童和青少年精神科诊所就诊、有不同主诉的患者档案。所有这些性侵犯事件均由儿童和青少年精神科医生正式向主管当局报告。从虐待发生到披露的平均时间为28.4±32.5个月。从虐待发生到披露的时间与母亲的受教育年限(r = -0.430,P < 0.01)以及性虐待开始的年龄(r = -0.589,P < 0.001)显著负相关。多元线性回归结果表明,女性以及性虐待开始年龄较早是从虐待发生到披露时间延长的显著预测因素。我们的结果为可能影响CSA幸存者从虐待发生到披露时间的若干风险提供了见解。需要进行更大样本量的研究来了解影响从虐待发生到披露时间的因素。