Neethumol Xaviour, Anvar Sadath, Sonu Sudevan Dev, Jaseem Koorankott, Anish Palliyalil Kakkolil, Seema Purushothaman Uthaman
{"title":"据称有性虐待史的儿童的社会心理和临床概况：喀拉拉邦一家三级精神保健中心的研究。","authors":"Neethumol Xaviour, Anvar Sadath, Sonu Sudevan Dev, Jaseem Koorankott, Anish Palliyalil Kakkolil, Seema Purushothaman Uthaman","doi":"10.1177/00207640251358096","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Given the long lasting physical and psychological effects of child sexual abuse (CSA), especially in light of its traumatic nature, and recognizing the dearth of knowledge regarding CSA and its associated risks within the context of Kerala, South India, this study endeavours to fill this critical gap.</p><p><strong>Aim: </strong>To investigate the psychosocial and clinical characteristics of children with alleged history of child sexual abuse (CSA), particularly within the unique setting of a tertiary mental health care centre in Kerala.</p><p><strong>Methods: </strong>This is a retrospective chart review carried out in the child and adolescent psychiatric unit of IMHANS, Kozhikode, between January 2016 and December 2023. Data collected includes, socio demographic details, CSA characteristics, perpetrator characteristics, adherence to mandatory reporting protocols, level of willingness regarding reporting under Protection of Children from Sexual Offences Act, 2012 (POCSO Act) and the clinical profile of the victim of CSA at the time of presentation. Statistical analysis were performed using SPSS.</p><p><strong>Result: </strong>The study comprised 114 children, and the mean age of the victims at the first instance of abuse was 11.3 ± 3.52 years. 92.1% of perpetrators of CSA were individuals known to the victims. The most common form of CSA was genital contact without penetration (34.2%). The commonest psychiatric diagnosis was Adjustment Disorder (28.9%). Older children were associated with lower odds of parental reluctance in reporting cases under Protection of children from sexual offense act, 2012 (<i>B</i> = 0.167; <i>OR</i> = 0.84; CI [0.730, 0.981]). The odds of parental reluctance to reporting was approximately four times higher in cases where the perpetrator is a family member (<i>B</i> = 1.518; <i>OR</i> = 4.01; CI [1.724, 9.346]).</p><p><strong>Conclusion: </strong>Overall, the study emphasizes the urgent need for raising awareness regarding legal procedures as well the manifestation of psychological symptoms, promoting early detection, providing specialized interventions, and establishing robust support systems to address the complex psychological and social concerns of the child sexual abuse victims.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"207640251358096"},"PeriodicalIF":2.7000,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Psychosocial and clinical profiles of children with alleged history of sexual abuse: A study from a tertiary mental health care centre in Kerala.\",\"authors\":\"Neethumol Xaviour, Anvar Sadath, Sonu Sudevan Dev, Jaseem Koorankott, Anish Palliyalil Kakkolil, Seema Purushothaman Uthaman\",\"doi\":\"10.1177/00207640251358096\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Given the long lasting physical and psychological effects of child sexual abuse (CSA), especially in light of its traumatic nature, and recognizing the dearth of knowledge regarding CSA and its associated risks within the context of Kerala, South India, this study endeavours to fill this critical gap.</p><p><strong>Aim: </strong>To investigate the psychosocial and clinical characteristics of children with alleged history of child sexual abuse (CSA), particularly within the unique setting of a tertiary mental health care centre in Kerala.</p><p><strong>Methods: </strong>This is a retrospective chart review carried out in the child and adolescent psychiatric unit of IMHANS, Kozhikode, between January 2016 and December 2023. Data collected includes, socio demographic details, CSA characteristics, perpetrator characteristics, adherence to mandatory reporting protocols, level of willingness regarding reporting under Protection of Children from Sexual Offences Act, 2012 (POCSO Act) and the clinical profile of the victim of CSA at the time of presentation. Statistical analysis were performed using SPSS.</p><p><strong>Result: </strong>The study comprised 114 children, and the mean age of the victims at the first instance of abuse was 11.3 ± 3.52 years. 92.1% of perpetrators of CSA were individuals known to the victims. The most common form of CSA was genital contact without penetration (34.2%). The commonest psychiatric diagnosis was Adjustment Disorder (28.9%). Older children were associated with lower odds of parental reluctance in reporting cases under Protection of children from sexual offense act, 2012 (<i>B</i> = 0.167; <i>OR</i> = 0.84; CI [0.730, 0.981]). The odds of parental reluctance to reporting was approximately four times higher in cases where the perpetrator is a family member (<i>B</i> = 1.518; <i>OR</i> = 4.01; CI [1.724, 9.346]).</p><p><strong>Conclusion: </strong>Overall, the study emphasizes the urgent need for raising awareness regarding legal procedures as well the manifestation of psychological symptoms, promoting early detection, providing specialized interventions, and establishing robust support systems to address the complex psychological and social concerns of the child sexual abuse victims.</p>\",\"PeriodicalId\":14304,\"journal\":{\"name\":\"International Journal of Social Psychiatry\",\"volume\":\" \",\"pages\":\"207640251358096\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-08-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Social Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/00207640251358096\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Social Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00207640251358096","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PSYCHIATRY","Score":null,"Total":0}
Psychosocial and clinical profiles of children with alleged history of sexual abuse: A study from a tertiary mental health care centre in Kerala.
Background: Given the long lasting physical and psychological effects of child sexual abuse (CSA), especially in light of its traumatic nature, and recognizing the dearth of knowledge regarding CSA and its associated risks within the context of Kerala, South India, this study endeavours to fill this critical gap.
Aim: To investigate the psychosocial and clinical characteristics of children with alleged history of child sexual abuse (CSA), particularly within the unique setting of a tertiary mental health care centre in Kerala.
Methods: This is a retrospective chart review carried out in the child and adolescent psychiatric unit of IMHANS, Kozhikode, between January 2016 and December 2023. Data collected includes, socio demographic details, CSA characteristics, perpetrator characteristics, adherence to mandatory reporting protocols, level of willingness regarding reporting under Protection of Children from Sexual Offences Act, 2012 (POCSO Act) and the clinical profile of the victim of CSA at the time of presentation. Statistical analysis were performed using SPSS.
Result: The study comprised 114 children, and the mean age of the victims at the first instance of abuse was 11.3 ± 3.52 years. 92.1% of perpetrators of CSA were individuals known to the victims. The most common form of CSA was genital contact without penetration (34.2%). The commonest psychiatric diagnosis was Adjustment Disorder (28.9%). Older children were associated with lower odds of parental reluctance in reporting cases under Protection of children from sexual offense act, 2012 (B = 0.167; OR = 0.84; CI [0.730, 0.981]). The odds of parental reluctance to reporting was approximately four times higher in cases where the perpetrator is a family member (B = 1.518; OR = 4.01; CI [1.724, 9.346]).
Conclusion: Overall, the study emphasizes the urgent need for raising awareness regarding legal procedures as well the manifestation of psychological symptoms, promoting early detection, providing specialized interventions, and establishing robust support systems to address the complex psychological and social concerns of the child sexual abuse victims.
期刊介绍：
The International Journal of Social Psychiatry, established in 1954, is a leading publication dedicated to the field of social psychiatry. It serves as a platform for the exchange of research findings and discussions on the influence of social, environmental, and cultural factors on mental health and well-being. The journal is particularly relevant to psychiatrists and multidisciplinary professionals globally who are interested in understanding the broader context of psychiatric disorders and their impact on individuals and communities.
Social psychiatry, as a discipline, focuses on the origins and outcomes of mental health issues within a social framework, recognizing the interplay between societal structures and individual mental health. The journal draws connections with related fields such as social anthropology, cultural psychiatry, and sociology, and is influenced by the latest developments in these areas.
The journal also places a special emphasis on fast-track publication for brief communications, ensuring that timely and significant research can be disseminated quickly. Additionally, it strives to reflect its international readership by publishing state-of-the-art reviews from various regions around the world, showcasing the diverse practices and perspectives within the psychiatric disciplines. This approach not only contributes to the scientific understanding of social psychiatry but also supports the global exchange of knowledge and best practices in mental health care.
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