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Yıl:2017; Cilt: 3; Sayı: 3>> Özet
Türkiye Klinikleri Çocuk Psikiyatrisi Özel Dergisi; 2017;3(3):204-208
Çocuk Cinsel İstismarında Psikiyatrik Yaklaşım
EK Aşkın, E İşeri
Gazi Üniversitesi, Ankara
Çocuğun cinsel istismarı yaşam boyu etkileri olan önemli bir toplumsal sorundur. Cinsel istismar olgularının çocuk psikiyatristleri tarafından detaylı ele alınması ve takip edilmesi gerekmektedir. Çocukla yapılacak istismar görüşmesi ve klinik muayene için bu alanda deneyimli olmak önemlidir. Cinsel istismarın çocuklar üzerindeki etkilerini bilmek değerlendirme, tedavi ve koruyuculuk açısından önem taşır. İstismar mağduru çocuklarda çeşitli psikiyatrik tablolar gelişebilir. Çocuğun cinsel istismarı depresif bozukluk, anksiyete bozukluğu, travma sonrası stres bozukluğu, dışa atım bozuklukları gibi ruhsal hastalıklara yol açabilir. Risk gruplarının belirlenmesi, istismar görüşmesinin yapılması, tanı ve ayırıcı tanı konulması, tedavi ve takip altına alınması ve koruyucu hekimlik çalışmaları çocuk istismarına psikiyatrik yaklaşımın temel konularıdır.
Psychiatric Approach to Child Sexual Abuse
Child sexual abuse is a significant social problem which has lifelong consequences. Sexually abused children should be evaluated and followed up carefully by child psychiatrists. Experience is necessary for evaluation and mental status examination of abused children. Understanding consequences of child abuse is important in the aspect of assesment, treatment and prevention. Various psychiatric symptoms could be seen in abused children. Child abuse leads to mental disorders like depressive disorder, anxiety disorder, posttraumatic stress disorder, elimination disorder. Determination of risk groups, abuse assessment, diagnosis and differential diagnosis, treatment and prevention are all in the field of child psychiatric approach.

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