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Yıl:2017; Cilt: 24; Sayı: 3>> Özet
Çocuk ve Gençlik Ruh Sağlığı Dergisi; 2017;24(3):251-265
Ergenlik Döneminde Cinsel İstismara Ait Değişkenler Özsaygıyı Nasıl Etkiler? Bir Çocuk İzlem Merkezi Deneyimi
SA Güney
Dr. Behçet Uz Çocuk Hastalıkları ve Cerrahisi Eğitim ve Araştırma Hastanesi, İzmir
Amaç: Çalışmamızda İzmir Çocuk İzlem Merkezine (ÇİM) başvuran cinsel istismar (Cİ) mağduru ergenlerin özsaygı düzeylerinin, aralarında Cİ sonrası aile desteği görüp görmeme ve Cİ ile ilişkili bir psikiyatrik tanı alıp almamanın da dahil olduğu cinsel istismara ait değişkenlerden nasıl etkilendiğinin değerlendirilmesi amaçlanmıştır. Yöntem: İzmir ÇİM’e 01 Ağustos 2016-31 Ocak 2017 tarihleri arasında yaşamış oldukları Cİ nedeniyle yönlendirilen 93 ergene (14-18 yaş) Coopersmith Özsaygı Envanteri (CÖE) verilmiş ergenlerin yaşamış oldukları Cİ’ye ait (Cİ tipi, süresi, istismarcı- mağdur ilişkisi, istismar ile ilişkili aile desteği olup olmaması) değişkenlerin, ve varsa Cİ sonrası aldıkları psikiyatrik tanıların karşılaştırılması amaçlanarak geriye yönelik dosya taraması yapılmıştır. Sonuçlar: Çocuk İzlem Merkezi örnekleminde Cİ mağduru ergenlerin özsaygı düzeylerine ait veriler değerlendirildiğinde, yaşamış oldukları Cİ ile ilişkili aile desteği hissetmeyen, bir psikiyatrik tanıya sahip olan, penetrasyon tipi ve aile içi Cİ mağduru olan olgularda daha düşük özsaygı düzeyleri görülme ihtimalinin daha fazla arttığını söylemek mümkündür. Tartışma: Kişilik gelişiminin bir parçası olan özsaygı yaşamın her döneminde Cİ’den zarar görebilmektedir. Cinsel istismar mağduru ergenlerin sağaltımında özsaygının, Cİ’ye ait çeşitli özellikler ve Cİ’nin sonuçlarından nasıl etkilendiğinin değerlendirilmesinde çalışmamızda elde edilen verilerin yol gösterici olabileceği ve olguların bireysel sağaltım süreçlerini şekillendirmeye de yardımcı olabileceği düşünülmüştür.
How Do Variables Related to Sexual Abuse in Adolescence Affect Self-Esteem? A Child Advocacy Center Experience
Objective: The purpose of the study was to evaluate relationship between self-esteem and variables related to sexual abuse, including family support and psychiatric diagnosis due to sexual abuse, among adolescents admitted to Izmir Child Advocacy Center (CAC). Method: The fi les were evaluated retrospectively belonged to 93 adolescents (between 14 to 18 years old) who admitted Izmir CAC between 1st of August 2016 and 31st of January 2017 and who completed Coppersmith’s Self-esteem inventory (CSI) in order to obtain data about the variables of sexual abuse (such as type of abuse, duration of abuse, victim-abuser relationship and family support after sexual abuse experience ), and psychiatric diagnosis that belonged to sexually abused adolescents to compare with their Coopersmith’s Self-esteem inventory scores. Results: When the data derived from sexually abused adolescents admitted to CAC, victims without family support and with a psychiatric diagnosis due to sexual abuse, penetration type and intrafamilial sexual abuse victims had higher probability to have lower self-esteem scores. Discussion: Self-esteem as a part of personality development, might be harmed by sexual abuse in every period of life. in the treatment of sexually abused adolescents, the data derived from our study about how self-esteem may be affected by the variables and outcomes of sexual abuse may guide to sexual abuse victims’ individual treatment process.

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