Abstract
Objective: Childhood masturbation is becoming increasingly common in clinical practice, though, studies to date on this subject have been quite limited in the literature. To address this, we aimed to contribute the literature by examining clinical and sociodemographic aspects associated with childhood masturbation and by identifying predisposing factors that lead to it.
Material and Methods: The files of 29 patients aged between 0-8 years who were admitted to the Department of Child and Adolescent Mental Health and Diseases of Sivas Cumhuriyet University between the dates 01.01.2019 and 01.01.2020 with the complaint of showing genital self-stimulation were examined retrospectively. Their sociodemographic and clinical data and the predisposing factors related with childhood masturbation were analyzed with SPSS Version 20 statistical package program.
Results: The percentage of females in the total study population was 72.4%; whereas the percentage of males was 27.6%. The median ages were 61.0 months and 60.0 months for females and for males, respectively. The median age at onset of masturbation was 24.0 months in females and it was 36.0 months in males. The vast majority of the children in the study were from a middle or high income family. At least one predisposing factor for masturbation was present in 72.9% of children, where the leading factor was genitourinary infections.
Conclusion: As a result of our study, we found that although the majority of the parents had high sociocultural background, they applied to a physician on average 24 months after the appearance of masturbation behavior in their children. This supports the view that masturbation is still considered as a taboo topic among parents.
Keywords
References
- Kaynaklar 1. Leung AK, Robson WL. Childhood masturbation. Clin Pediatr (Phila) 1993;32(4):238-41
- 2. Yang ML, Fullwood E, Goldstein J, Mink JW. Masturbation in infancy and early childhood presenting as a movement disorder: 12 cases and a review of the literature. Pediatrics 2005;116:1427-32
- 3. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5.Edition, Arlington, VA: Author, 2013.
- 4. World Health Organization. International Statistical Classifi cation of Diseases and Related Health Problems. World Health Organization, Geneva, 1992.
- 5. Friedrich WN, Fisher J, Broughton D, Houston M, Shafran CR. Normative sexual behavior in children: a contemporary sample. Pediatrics 1998;101:E9 doi:10.1542/peds.101.4.e9
- 6. De Alwis AC, Senaratne AM, De Silva SM, Rodrigo VS. Bladder calculus presenting as excessive masturbation. Ceylon Med J 2006; 51(3):121-122
- 7. Nechay A, Ross LM, Stephenson JB, O’Regan M. Gratification disorder ("infantile masturbation"): a review. Arch Dis Child 2004; 89(3):225-226
- 8. Rutter M. Normal psychosexual development. J Child Psychol Psychiatry 1971;11:259–283 doi:10.1111/j.1469-7610.1970. tb01044.x
- 9. Mallants C, Casteels K. Practical approach to childhood masturbation-a review. Eur J Pediatr 2008;167(10):1111-1117
- 10. Pandurangi AA, Pandurangi SA, Mangalwedhe SB, Mahadevaiah M. Gratification behavior in a young child: Course and management. Journal of the Scientific Society 2016;43, 48–50
- 11. Wolf DS, Singer HS. Pediatric movement disorders: an update. Curr Opin Neurol 2008; 21(4):491-496
- 12. Unal F. Predisposing factors in childhood masturbation in Turkey. Eur J Pediatr. 2000a;159:338-42. [CrossRef]
- 13. McCray GM. Excessive masturbation of childhood: a symptom of tactile deprivation? Pediatrics 1978;62: 277- 279.
- 14. Sauzier M. Disclosure of child sexual abuse. For better or for worse. Psychiatr Clin North Am. 1989;12(2):455-69.
- 15. Tural Hesapcioglu S, Aktepe E, Ozyay F, Kaytanli U, Ozmen S, Ademhan Tural D et al. The Relationship Between Children’s Masturbation Behavior and Their Mothers’ Temperament and Character Dimensions: A Case-Control Study. J of Mood Disorders 2017;7(1):20-7
- 16. Malone CA. Some observations of low socioeconomic children and autoeroticism. J Am Psychoanal Assoc 1968;16:95
- 17. Couper RT, Huynh H. Female masturbation masquerading as abdominal pain. J Paediatr Child Health 2002;38:199-200.
- 18. Aydın M, Yılmaz H, Kabakuş N, Açık Y, Ertuğrul S. Erken Çocukluk Dönemi Masturbasyonu Tanısı Alan Olgularımızın Sosyo-Demografik ve Klinik Özellikleri. Turkiye Klinikleri J Pediatr 2007;16:13-18
- 19. Yurtbay T, Görker I. Çocukluk Masturbasyonu Olgularının Duygusal Ve Davranış Sorunları ile Annelerinin Tutum Ve Ruhsal Belirtileri Arasındaki İlişki. Çocuk ve Gençlik Ruh Sağlığı Dergisi 2004;11 (2)
- 20. Yates A. Childhood sexuality. In: Lewis M, ed. Child and Adolescent Psychiatry. Philadelphia: Lippincott Williams & Wilkinks; 2002:274-86.
- 21. Strachan E, Staples B. Masturbation. Pediatrics in Review 2012;33;190. DOI: 10.1542/pir.33-4-190
- 22. Realmuto GM, Ruble LA. Sexual behaviors in autism: problems of definition and management. J Autism Dev Disord 1999; 29(2):121-127
- 23. Türkbay T, Doruk A, Erman H, Söhmen T. Obsesif kompulsif bozukluğun belirti dağılımının ve komorbiditesinin çocuk ve ergenler ile erişkinler arasında karşılaştırılması. Klinik Psikiyatri 2000;3:86-91.
Abstract
Amaç: Çocukluk çağı mastürbasyonu klinik uygulamada giderek yaygınlaşmakla birlikte, bugüne kadar literatürde bu konuda yapılan çalışmalar oldukça sınırlı sayıdadır. Bu nedenle bu çalışmada çocukluk çağı mastürbasyonuyla ilişkili klinik ve sosyodemografik özellikleri ve buna yol açan tetikleyici faktörleri belirleyerek literatüre katkıda bulunmayı amaçladık.
Gereç ve Yöntemler: Sivas Cumhuriyet Üniversitesi Tıp Fakültesi Çocuk ve Ergen Ruh Sağlığı ve Hastalıkları Polikliniği’ne 01.01.2019-01.01.2020 tarihleri arasında genital yolla kendi kendini uyarma şikâyeti ile getirilen 0-8 yaş arası 29 olgunun dosyası geriye dönük olarak incelendi. Olguların sosyodemografik ve klinik verileri ile çocukluk çağı mastürbasyonuyla ilgili tetikleyici faktörler SPSS Versiyon 20 istatistik paket programı kullanılarak analiz edildi.
Bulgular: Olguların %72.4’ü kız, %27.6’sı erkekti. Ortanca yaş kızlar ve erkekler için sırasıyla 61.0 ay ve 60.0 aydı. Mastürbasyon başlangıcı için ortanca yaş kızlarda 24.0 ay, erkeklerde ise 36.0 aydı. Çalışmadaki çocukların büyük çoğunluğu orta veya yüksek gelirli ailelerden geliyordu. En sık genitoüriner enfeksiyonlar olmak üzere, olguların %72.9’unda mastürbasyona yol açan en az bir tetikleyici faktör saptandı.
Sonuç: Çalışmamız sonucunda olguların ebeveynlerinin büyük çoğunluğunun sosyokültürel açıdan iyi düzeyde olmasına rağmen, çocuklarını mastürbasyon davranışının ortaya çıkmasından ortalama 24 ay sonra hekime götürdüklerini saptadık. Bu durum mastürbasyonun halen ebeveynler için tabu olarak görüldüğünü destekler nitelikteydi.
Keywords
References
- Kaynaklar 1. Leung AK, Robson WL. Childhood masturbation. Clin Pediatr (Phila) 1993;32(4):238-41
- 2. Yang ML, Fullwood E, Goldstein J, Mink JW. Masturbation in infancy and early childhood presenting as a movement disorder: 12 cases and a review of the literature. Pediatrics 2005;116:1427-32
- 3. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5.Edition, Arlington, VA: Author, 2013.
- 4. World Health Organization. International Statistical Classifi cation of Diseases and Related Health Problems. World Health Organization, Geneva, 1992.
- 5. Friedrich WN, Fisher J, Broughton D, Houston M, Shafran CR. Normative sexual behavior in children: a contemporary sample. Pediatrics 1998;101:E9 doi:10.1542/peds.101.4.e9
- 6. De Alwis AC, Senaratne AM, De Silva SM, Rodrigo VS. Bladder calculus presenting as excessive masturbation. Ceylon Med J 2006; 51(3):121-122
- 7. Nechay A, Ross LM, Stephenson JB, O’Regan M. Gratification disorder ("infantile masturbation"): a review. Arch Dis Child 2004; 89(3):225-226
- 8. Rutter M. Normal psychosexual development. J Child Psychol Psychiatry 1971;11:259–283 doi:10.1111/j.1469-7610.1970. tb01044.x
- 9. Mallants C, Casteels K. Practical approach to childhood masturbation-a review. Eur J Pediatr 2008;167(10):1111-1117
- 10. Pandurangi AA, Pandurangi SA, Mangalwedhe SB, Mahadevaiah M. Gratification behavior in a young child: Course and management. Journal of the Scientific Society 2016;43, 48–50
- 11. Wolf DS, Singer HS. Pediatric movement disorders: an update. Curr Opin Neurol 2008; 21(4):491-496
- 12. Unal F. Predisposing factors in childhood masturbation in Turkey. Eur J Pediatr. 2000a;159:338-42. [CrossRef]
- 13. McCray GM. Excessive masturbation of childhood: a symptom of tactile deprivation? Pediatrics 1978;62: 277- 279.
- 14. Sauzier M. Disclosure of child sexual abuse. For better or for worse. Psychiatr Clin North Am. 1989;12(2):455-69.
- 15. Tural Hesapcioglu S, Aktepe E, Ozyay F, Kaytanli U, Ozmen S, Ademhan Tural D et al. The Relationship Between Children’s Masturbation Behavior and Their Mothers’ Temperament and Character Dimensions: A Case-Control Study. J of Mood Disorders 2017;7(1):20-7
- 16. Malone CA. Some observations of low socioeconomic children and autoeroticism. J Am Psychoanal Assoc 1968;16:95
- 17. Couper RT, Huynh H. Female masturbation masquerading as abdominal pain. J Paediatr Child Health 2002;38:199-200.
- 18. Aydın M, Yılmaz H, Kabakuş N, Açık Y, Ertuğrul S. Erken Çocukluk Dönemi Masturbasyonu Tanısı Alan Olgularımızın Sosyo-Demografik ve Klinik Özellikleri. Turkiye Klinikleri J Pediatr 2007;16:13-18
- 19. Yurtbay T, Görker I. Çocukluk Masturbasyonu Olgularının Duygusal Ve Davranış Sorunları ile Annelerinin Tutum Ve Ruhsal Belirtileri Arasındaki İlişki. Çocuk ve Gençlik Ruh Sağlığı Dergisi 2004;11 (2)
- 20. Yates A. Childhood sexuality. In: Lewis M, ed. Child and Adolescent Psychiatry. Philadelphia: Lippincott Williams & Wilkinks; 2002:274-86.
- 21. Strachan E, Staples B. Masturbation. Pediatrics in Review 2012;33;190. DOI: 10.1542/pir.33-4-190
- 22. Realmuto GM, Ruble LA. Sexual behaviors in autism: problems of definition and management. J Autism Dev Disord 1999; 29(2):121-127
- 23. Türkbay T, Doruk A, Erman H, Söhmen T. Obsesif kompulsif bozukluğun belirti dağılımının ve komorbiditesinin çocuk ve ergenler ile erişkinler arasında karşılaştırılması. Klinik Psikiyatri 2000;3:86-91.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Internal Diseases |
| Journal Section | ORIGINAL ARTICLES |
| Authors | |
| Publication Date | November 30, 2020 |
| Submission Date | March 25, 2020 |
| Published in Issue | Year 2020 Volume: 14 Issue: 6 |
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