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Yıl:2016; Cilt: 23; Sayı: 1>> Özet
TAM METİN
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2016;23(1):59-66
Çocukluk Çağı Mastürbasyonu
Ö Yorbık, C Mutlu
Marmara Üniversitesi, İstanbul
Amaç: Çocukluk çağı mastürbasyonu (ÇÇM) puberte öncesi bir çocuğun genital bölgesini uyarması olarak tanımlanır. Bu yazının amacı, ÇÇM’nin değerlendirilmesi ve ele alınmasını gözden geçirmektir. Yöntem: “Masturbation” ve “children” anahtar kelimeleri kullanılarak PubMed taraması yapıldı. Ayrıca, Haziran 2015’e kadar olan makale ve gözden geçirme yazılarının kaynak listeleri araştırıldı. Sonuçlar: ÇÇM, yanlışlıkla karın ağrısı ve epileptik nöbet olarak tanımlanabilir. Yanlış tanı konulan ÇÇM, gereksiz tetkiklere ve ilaç kullanımına neden olabilir. ÇÇM, çok yoğunsa, takıntılı bir şekildeyse, saldırganlık içeriyorsa, sıklığı ve yoğunluğu nedeniyle tıbbi sorunlara neden oluyorsa veya işlevselliğin önemli alanlarında bozulma yapıyorsa, anormal olabilir. İnternet yoluyla pornografi k materyale kolayca ulaşım ÇÇM sıklığını arttırabilir. Tartışma: ÇÇM her yaşta görülebilmesine karşın, sınırlı sayıda çalışmayla araştırılmıştır ve kanıta dayalı bilgi yoktur. Normal ve anormal ÇÇM’yi araştıran çalışmalara ihtiyaç vardır.
Childhood Masturbation
Objective: Childhood masturbation (CM) is defi ned as self-stimulation of the genitalia in a prepubescent child. The aim of the current review is to revisit the assessment and management of CM. Method: Using key words that include “masturbation” and “children”, the PubMed was screened. In addition, the reference lists of retrieved articles and reviews were searched up to June 2015. Results: CM may be misdiagnosed as abdominal pain or epileptic seizures. Misdiagnosed CM could lead to multiple unnecessary medical procedures and drug use. CM might be considered as abnormal when it includes excessive, obsessive, aggressive or more imitative of adult sexual behaviour, or is with increased frequency and intensity leading to medical problems or causing signifi cant impairment in important areas of functioning. Easy access to pornographic material via internet may contribute to increased frequency of CM. Discussion: Although CM may be observed any age in childhood, limited studies have investigated the phenomenon so far and evidence-based data is mainly lacking. More studies investigating normal and abnormal CM is warranted.

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