title: Psychiatric disorders and characteristics of abuse in sexually abused children and adolescents with and without intellectual disabilities.
abstract: The purpose of this study was to compare sexually abused children and adolescents, with and without intellectual disabilities (ID), in terms of post-abuse psychiatric disorders, features of the sexual abuse, and sociodemographic characteristics. The study included sexually abused children aged 6-16 years, who were sent to three different child mental health units for forensic evaluation; there were 102 cases (69 girls and 33 boys) with ID and 154 cases (126 girls and 28 boys) without ID. Researchers retrospectively examined the files, social examination reports, and the judicial reports of the cases. It was determined that in the group with ID, sexual abuse types including penetration and contact had higher rates, they were exposed to more frequent repeated abuses, the abuses were revealed with their own reports at a later period and lower rates, and post-abuse pregnancies were more frequent. It was also determined that the abuser was a familiar person and a family member at lower rates and more than one abuser was encountered more frequently, compared to the group without ID. While no difference was determined between the two groups in terms of the frequency of post-abuse post-traumatic stress disorder (PTSD) and major depressive disorder (MDD), conduct disorder (CD) was observed more frequently in the group with ID. This study emphasizes that sexual abuse, which is an important problem in individuals with ID, has different features and effects.
authors.affiliation: Inonu University Faculty of Medicine, Department of Child and Adolescent Psychiatry, Malatya, Turkey. Electronic address: soylunusret@hotmail.com.
authors.forename: Nusret
authors.initials: N
authors.lastname: Soylu
authors.forename: Ahmet Hamdi
authors.initials: AH
authors.lastname: Alpaslan
authors.forename: Muhammed
authors.initials: M
authors.lastname: Ayaz
authors.forename: Selcen
authors.initials: S
authors.lastname: Esenyel
authors.forename: Mücahit
authors.initials: M
authors.lastname: Oruç
mesh_terms: D000293:Adolescent; D016022:Case-Control Studies; D002648:Child; D002650:Child Abuse, Sexual / Q000523:psychology* / Q000706:statistics & numerical data; D057237:Criminals / Q000706:statistics & numerical data; D003865:Major Depressive Disorder / Q000453:epidemiology / Q000523:psychology*; D005190:Family; D005260:Female; D006801:Humans; D008607:Intellectual Disability / Q000453:epidemiology / Q000523:psychology*; D008297:Male; D011902:Rape / Q000523:psychology* / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D013313:Stress Disorders, Post-Traumatic / Q000453:epidemiology / Q000523:psychology*
keywords: Child and adolescent; Intellectual disability; Psychiatric disorder; Sexual abuse