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Childhood trauma experiences in Mersin University Faculty of Medicine students

Yıl 2021, , 364 - 376, 31.12.2021

Fatma Bozdağ , Elif Tuğçe Solmaz Seva Öner

https://doi.org/10.7197/cmj.990168

Öz

Objective: This study aimed to investigate whether the students studying at Mersin University Faculty of Medicine experienced neglect or abuse, and to examine the factors affecting this situation while investigating the relationship between the frequency of thoughts and attempts of suicide and the experience of abuse, and their knowledge level regarding the types of sexual abuse.
Method: The population of the cross-sectional research is 1458 students. A sample size of 616 participants was calculated with 50% prevalence, 95% confidence interval, and 3% margin of error. 650 students were targeted and reached. Childhood Trauma Questionnaire-Short Form was applied. Descriptive statistics, student's t-test, one-way ANOVA, Welch, Bonferroni post-hoc tests, Games Howell, and Pearson correlation tests were used. Statistical significance level was accepted as p≤0.05.
Results: Scale total scores were higher for males(p<0.01), for those living in an extended family(p<0.01), for those whose mother is not working(p=0.03), and for those who stated they have economic difficulties(p<0.01). Scale total score(p<0.01) and sexual abuse score(p<0.01) of those with suicidal thoughts were higher. Scale total scores of students who attempted suicide were higher than those who did not(p<0.01).
Conclusions: Considering that students with higher trauma and sexual abuse scores also have higher suicidal thoughts and attempts, it is important to carry out a qualified monitoring in child adolescent care as a primary health care service.

Anahtar Kelimeler

child abuse : Child maltreatment Sexual abuse Suicide Childhood Trauma Questionnaire

Destekleyen Kurum

-

Proje Numarası

-

Teşekkür

We thank Assoc. Dr. Semra Erdogan, Mersin University Biostatistics and Medical Informatics Department member for supporting the statistical analysis of the study.

Kaynakça

  • Pinhero PS. World report on violence against children. United Nations Secretary-General’s Study on Violence against Children. 2006.
  • World Health Organization. Consultation on Child Abuse Prevention. Report of the Consultation on Child Abuse Prevention 29-31 March 1999, WHO, Geneva 1999:54.
  • Sadock BJ, Sadock VA, Ruiz P. Çocuğa Kötü Muamele. In Kaplan Sadock’s Comprehensive Textbook of Psychiatry. 8th ed. Güneş Kitapevi, 2014:3412–3413.
  • World Health Organization. Child Maltreatment 2020. https://www.who.int/news-room/fact-sheets/detail/child-maltreatment . Accessed May 2, 2021.
  • Gavin A, Corry J, Slade T, Issakidis C, Swanston H. Child Sexual Abuse. In: Comparative Quantification of Health Risks Global and Regional Burden of Disease Attributable to Selected Major Risk Factors. WHO, 2004:77–104.
  • Aboul-Hagag KES, Hamed AF. Prevalence and pattern of child sexual abuse reported by cross sectional study among the university students, Sohag university, Egypt. Egyptian Journal of Forensic Sciences. 2012;2(3):89–96.
  • Eskin M, Kaynak-Demir H, Demir S. Same-sex sexual orientation, childhood sexual abuse, and suicidal behavior in university students in Turkey. Archives of Sexual Behavior. 2005;34(2):185–195.
  • UNICEF. Study on Child Abuse and Domestic Violence in Turkey/Summary Report. 2010.
  • Alikasifoglu M, Erginoz E, Ercan O, Albayrak-Kaymak D, Uysal O, Ilter O. Sexual abuse among female high school students in Istanbul, Turkey. Child Abuse& Neglect. 2006;30:247–255, doi: 10.1016/j.chiabu.2005.10.012.
  • Koç F, Aksit S, Tomba A, Aydın C, Koturoğlu G, Çetin S, Aslan A, Halicioğlu O, Erşahin Y, Turhan T, Çelik A, Şenol E, Kara S, Solak U. Demographic and clinical features of child abuse and neglect cases: one-year experience of The Hospital-Based Child Protection Team of Ege University, Turkey. Turkish Archives of Pediatrics. 2012;47(2):119-124.
  • Devries KM, Mak JYT, Child JC, Falder G, Bacchus L, Astbury J, Watts C. Childhood sexual abuse and suicidal behavior: A meta-analysis. Pediatrics. 2014;133(5):e1331-e1344. doi: 10.1542/peds.2013-2166.
  • Bedi S, Nelson EC, Lynskey MT, Lynskey MT, Heath AC, Madden PAF, Martin NGM. Risk for Suicidal Thoughts and Behavior after Childhood Sexual Abuse in Women and Men. Suicide and Life-Threatening Behavior. 2012;41(4):406–415.
  • Bergen HA, Martin G, Richardson AS, Allison S, Roeger L. Sexual abuse and suicidal behavior: A model constructed from a large community sample of adolescents. Journal of the American Academy of Child&Adolescent Psychiatry. 2003;42(11):1301–1309.
  • Kaya S. The Adaptation of The Brief Screening Version of Childhoog Trauma Questionnaire into Turkish. Muğla Sıtkı Koçman University; 2014.
  • Güven Bağla A, Arıkan M, Kılıç RÖ, Orulluoğlu F, Kuyucu İ, Özğan M, Öngü B, Özdemir T, Gerger A, Baykan A, Tutar E, Korkmaz D, Ursavaş S, Sümbüloğlu V, Soran O. Evaluation the level of the knowledge about child abuse and neglect for health care workers, teachers and 1st year university student. Balikesir Health Sciences Journal. 2017;6:1–10. doi: : 10.5505/bsbd.2017.19970
  • Güldoğan E, Akçay T, Yılmazcan A, Karcı Ö. Üniversite Öğrencilerinin Çocuk Cinsel İstismarına Yönelik Farkındalığına İlişkin Alan Çalışması. Türk Pediatri Arşivi. 2011;46(11):8–10.
  • Li X Bin, Wang ZM, Hou YZ, Wang Y, Liu JT, Wang CY. Effects of childhood trauma on personality in a sample of Chinese adolescents. Child Abuse& Neglect. 2014;38(4):788–796.
  • Barak T. Research of The Relationship Between Childhood Traumatic Expreriences and Interpersonal Dependence Level of University Students (Example of a Foundation University). Mersin Çağ University, 2018.
  • İygün Mİ. Genç Yetişkin üniversite Öğrencilerinde Çocukluk Çağı Travmalarının Duygu Düzenleme Becerileri ve Kaygı Düzeyleri ile ilişkilerinin İncelenmesi. Maltepe University, 2018.
  • Güneri Yöyen E. Childhood trauma and self-respect. International Journal of Social Sciences and Education Research. 2017;3(1):267–282.
  • Mert DG, Kelleci M, Yildiz E, Mizrak A, Kugu N. Childhood trauma and general cognitive ability: Roles of minimization/denial and gender. Psychiatry Research. 2016;243:147—151.
  • Zeren C, Yengil E, Çelikel A, Arık A, Arslan M. Frequency of childhood abuse in university students. Dicle Med Journal. 2012;39(4):536–541.
  • Şahin Demirkapı E. Çocukluk çaği travmalarının duygu düzenleme ve kimlik G-geli̇şimine etki̇si ve bunların psikopatolojiler ile Iilişkisi. Adnan Menderes University, 2013.
  • Ulukol B, Kahiloğulları A. K, Sethi D. Adverse childhood experiences survey among university students in Turkey.2014.
  • Bozgün K, Pekdoğan S. Investigation of the Preservice Teachers’ Childhood Traumas in Terms of Some Variables. Electron Journal of Social Sciences. 2018;17(67):982–996.
  • Baydemir C, Açıkgöz A, Derince D, Kaya Y, Onugun E, Kok H. The Effect Of Childhood Trauma Life On Self-Esteem In School Of Health Students In A Province Of Western Turkey. Life Sciences Jurnal. 2014;11(11):749–757.
  • Bostanci N, Albayrak B, Bakoǧlu I, Çoban Ş. Üniversite Öǧrencilerinde Çocukluk Çaǧi Travmalarinin Depresif Belirtileri Üzerine Etkisi. New Symposium Journal. 2006;44(4):189–195.
  • Deveci SE, Açık Y. Çocuk İstismarı Nedenlerinin İncelenmesi. Arşiv Kaynak Tarama Dergisi. 2003;12(4):396–405.
  • Özen Ş, Antar S, Özkan M. Influence of childhood traumas on hopelessness, smoking and alcohol use: a study to evaluate last year university students. Düşünen Adam Psikiyatr ve Nörolojik Bilim Dergisi. 2007;20:79–87.
  • Dudeck M, Vasic N, Otte S, Streb J, Wingenfeld K, Grabe H, Freyberger H, Schröder T, Von Schönfeld C, Driessen M, Barnow S, Spitzer C. Factorial validity of the short form of the childhood trauma questionnaire (CTQ-SF) in German psychiatric patients, inmates, and university students. Psychological Reports. 2015;116(3):685–703.
  • Koç EM, Şahin Dağlı F, Aksakal FN, Aksoy H, Kahveci R, Ayhan Başer D, Meads C, Özkara A. Exploring Prevalence of Child Abuse: Use of ICAST-Retrospective Instrument with the First Year Medical Students in a University. Konuralp Medical Journal. 2018;10(1):7–12.
  • Paivio SC, Cramer KM. Factor structure and reliability of the Childhood Trauma Questionnaire in a Canadian undergraduate student sample. Child Abuse&Neglect. 2004;28(8):889–904.
  • Baban A, Cosma A, Balazsi R, Sethi D, Olsavzky V. Survey of adverse childhood experiences among Romanian university students. 2012.
  • Xiao Q, Dong MX, Yao J, Li WX, Ye DQ. Parental alcoholism, adverse childhood experiences, and later risk of personal alcohol abuse among Chinese medical students. Biomedical and Environmental Sciences. 2008;21(5):411–419.
  • Adjorlolo S, Adu-Poku S, Andoh-Arthur J, Botchway I, Mlyakado BP. Demographic factors, childhood maltreatment and psychological functioning among university students’ in Ghana: A retrospective study. International Journal of Psychology. 2017;52:9–17.
  • Simsek E, Guney SA, Baysal SU. A retrospective study with ICAST-R (ispcan child abuse screening tools-retrospective) questionnaire for determination of child abuse in first year medical students in Turkish population. Child Abuse & Neglect. 2017;69:125–133.
  • Tyssen R, Vaglum P, Grønvold NT, Ekeberg. Suicidal ideation among medical students and young physicians: A nationwide and prospective study of prevalence and predictors. Journal of Affectice Disorders. 2001;64(1):69–79.
  • Peltzer K, Yi S, Pengpid S. Suicidal behaviors and associated factors among university students in six countries in the Association of Southeast Asian Nations (ASEAN). Asian Journal of Psychiatry. 2017;26:32–38.
  • Güleç Öyekcin D, Sahin EM, Aldemir E. Mental health, suicidality and hopelessness among university students in Turkey. Asian Journal of Psychiatry. 2017;29:185–189.
  • Gürhan N, Meriç M, Kaya B, Turan ND, Esra K. Tıp Fakültesi ve Hemşirelik Öğrencilerinin İntihar Olasılığı ve Problem Çözme Düzeylerinin Sosyodemografik Değişkenler Açısından Karşılaştırılması. Gümüşhane Üniversitesi Sağlık Bilim Dergisi. 2018;7(1):149–155.

Yıl 2021, , 364 - 376, 31.12.2021

Fatma Bozdağ , Elif Tuğçe Solmaz Seva Öner

https://doi.org/10.7197/cmj.990168

Öz

Proje Numarası

-

Kaynakça

  • Pinhero PS. World report on violence against children. United Nations Secretary-General’s Study on Violence against Children. 2006.
  • World Health Organization. Consultation on Child Abuse Prevention. Report of the Consultation on Child Abuse Prevention 29-31 March 1999, WHO, Geneva 1999:54.
  • Sadock BJ, Sadock VA, Ruiz P. Çocuğa Kötü Muamele. In Kaplan Sadock’s Comprehensive Textbook of Psychiatry. 8th ed. Güneş Kitapevi, 2014:3412–3413.
  • World Health Organization. Child Maltreatment 2020. https://www.who.int/news-room/fact-sheets/detail/child-maltreatment . Accessed May 2, 2021.
  • Gavin A, Corry J, Slade T, Issakidis C, Swanston H. Child Sexual Abuse. In: Comparative Quantification of Health Risks Global and Regional Burden of Disease Attributable to Selected Major Risk Factors. WHO, 2004:77–104.
  • Aboul-Hagag KES, Hamed AF. Prevalence and pattern of child sexual abuse reported by cross sectional study among the university students, Sohag university, Egypt. Egyptian Journal of Forensic Sciences. 2012;2(3):89–96.
  • Eskin M, Kaynak-Demir H, Demir S. Same-sex sexual orientation, childhood sexual abuse, and suicidal behavior in university students in Turkey. Archives of Sexual Behavior. 2005;34(2):185–195.
  • UNICEF. Study on Child Abuse and Domestic Violence in Turkey/Summary Report. 2010.
  • Alikasifoglu M, Erginoz E, Ercan O, Albayrak-Kaymak D, Uysal O, Ilter O. Sexual abuse among female high school students in Istanbul, Turkey. Child Abuse& Neglect. 2006;30:247–255, doi: 10.1016/j.chiabu.2005.10.012.
  • Koç F, Aksit S, Tomba A, Aydın C, Koturoğlu G, Çetin S, Aslan A, Halicioğlu O, Erşahin Y, Turhan T, Çelik A, Şenol E, Kara S, Solak U. Demographic and clinical features of child abuse and neglect cases: one-year experience of The Hospital-Based Child Protection Team of Ege University, Turkey. Turkish Archives of Pediatrics. 2012;47(2):119-124.
  • Devries KM, Mak JYT, Child JC, Falder G, Bacchus L, Astbury J, Watts C. Childhood sexual abuse and suicidal behavior: A meta-analysis. Pediatrics. 2014;133(5):e1331-e1344. doi: 10.1542/peds.2013-2166.
  • Bedi S, Nelson EC, Lynskey MT, Lynskey MT, Heath AC, Madden PAF, Martin NGM. Risk for Suicidal Thoughts and Behavior after Childhood Sexual Abuse in Women and Men. Suicide and Life-Threatening Behavior. 2012;41(4):406–415.
  • Bergen HA, Martin G, Richardson AS, Allison S, Roeger L. Sexual abuse and suicidal behavior: A model constructed from a large community sample of adolescents. Journal of the American Academy of Child&Adolescent Psychiatry. 2003;42(11):1301–1309.
  • Kaya S. The Adaptation of The Brief Screening Version of Childhoog Trauma Questionnaire into Turkish. Muğla Sıtkı Koçman University; 2014.
  • Güven Bağla A, Arıkan M, Kılıç RÖ, Orulluoğlu F, Kuyucu İ, Özğan M, Öngü B, Özdemir T, Gerger A, Baykan A, Tutar E, Korkmaz D, Ursavaş S, Sümbüloğlu V, Soran O. Evaluation the level of the knowledge about child abuse and neglect for health care workers, teachers and 1st year university student. Balikesir Health Sciences Journal. 2017;6:1–10. doi: : 10.5505/bsbd.2017.19970
  • Güldoğan E, Akçay T, Yılmazcan A, Karcı Ö. Üniversite Öğrencilerinin Çocuk Cinsel İstismarına Yönelik Farkındalığına İlişkin Alan Çalışması. Türk Pediatri Arşivi. 2011;46(11):8–10.
  • Li X Bin, Wang ZM, Hou YZ, Wang Y, Liu JT, Wang CY. Effects of childhood trauma on personality in a sample of Chinese adolescents. Child Abuse& Neglect. 2014;38(4):788–796.
  • Barak T. Research of The Relationship Between Childhood Traumatic Expreriences and Interpersonal Dependence Level of University Students (Example of a Foundation University). Mersin Çağ University, 2018.
  • İygün Mİ. Genç Yetişkin üniversite Öğrencilerinde Çocukluk Çağı Travmalarının Duygu Düzenleme Becerileri ve Kaygı Düzeyleri ile ilişkilerinin İncelenmesi. Maltepe University, 2018.
  • Güneri Yöyen E. Childhood trauma and self-respect. International Journal of Social Sciences and Education Research. 2017;3(1):267–282.
  • Mert DG, Kelleci M, Yildiz E, Mizrak A, Kugu N. Childhood trauma and general cognitive ability: Roles of minimization/denial and gender. Psychiatry Research. 2016;243:147—151.
  • Zeren C, Yengil E, Çelikel A, Arık A, Arslan M. Frequency of childhood abuse in university students. Dicle Med Journal. 2012;39(4):536–541.
  • Şahin Demirkapı E. Çocukluk çaği travmalarının duygu düzenleme ve kimlik G-geli̇şimine etki̇si ve bunların psikopatolojiler ile Iilişkisi. Adnan Menderes University, 2013.
  • Ulukol B, Kahiloğulları A. K, Sethi D. Adverse childhood experiences survey among university students in Turkey.2014.
  • Bozgün K, Pekdoğan S. Investigation of the Preservice Teachers’ Childhood Traumas in Terms of Some Variables. Electron Journal of Social Sciences. 2018;17(67):982–996.
  • Baydemir C, Açıkgöz A, Derince D, Kaya Y, Onugun E, Kok H. The Effect Of Childhood Trauma Life On Self-Esteem In School Of Health Students In A Province Of Western Turkey. Life Sciences Jurnal. 2014;11(11):749–757.
  • Bostanci N, Albayrak B, Bakoǧlu I, Çoban Ş. Üniversite Öǧrencilerinde Çocukluk Çaǧi Travmalarinin Depresif Belirtileri Üzerine Etkisi. New Symposium Journal. 2006;44(4):189–195.
  • Deveci SE, Açık Y. Çocuk İstismarı Nedenlerinin İncelenmesi. Arşiv Kaynak Tarama Dergisi. 2003;12(4):396–405.
  • Özen Ş, Antar S, Özkan M. Influence of childhood traumas on hopelessness, smoking and alcohol use: a study to evaluate last year university students. Düşünen Adam Psikiyatr ve Nörolojik Bilim Dergisi. 2007;20:79–87.
  • Dudeck M, Vasic N, Otte S, Streb J, Wingenfeld K, Grabe H, Freyberger H, Schröder T, Von Schönfeld C, Driessen M, Barnow S, Spitzer C. Factorial validity of the short form of the childhood trauma questionnaire (CTQ-SF) in German psychiatric patients, inmates, and university students. Psychological Reports. 2015;116(3):685–703.
  • Koç EM, Şahin Dağlı F, Aksakal FN, Aksoy H, Kahveci R, Ayhan Başer D, Meads C, Özkara A. Exploring Prevalence of Child Abuse: Use of ICAST-Retrospective Instrument with the First Year Medical Students in a University. Konuralp Medical Journal. 2018;10(1):7–12.
  • Paivio SC, Cramer KM. Factor structure and reliability of the Childhood Trauma Questionnaire in a Canadian undergraduate student sample. Child Abuse&Neglect. 2004;28(8):889–904.
  • Baban A, Cosma A, Balazsi R, Sethi D, Olsavzky V. Survey of adverse childhood experiences among Romanian university students. 2012.
  • Xiao Q, Dong MX, Yao J, Li WX, Ye DQ. Parental alcoholism, adverse childhood experiences, and later risk of personal alcohol abuse among Chinese medical students. Biomedical and Environmental Sciences. 2008;21(5):411–419.
  • Adjorlolo S, Adu-Poku S, Andoh-Arthur J, Botchway I, Mlyakado BP. Demographic factors, childhood maltreatment and psychological functioning among university students’ in Ghana: A retrospective study. International Journal of Psychology. 2017;52:9–17.
  • Simsek E, Guney SA, Baysal SU. A retrospective study with ICAST-R (ispcan child abuse screening tools-retrospective) questionnaire for determination of child abuse in first year medical students in Turkish population. Child Abuse & Neglect. 2017;69:125–133.
  • Tyssen R, Vaglum P, Grønvold NT, Ekeberg. Suicidal ideation among medical students and young physicians: A nationwide and prospective study of prevalence and predictors. Journal of Affectice Disorders. 2001;64(1):69–79.
  • Peltzer K, Yi S, Pengpid S. Suicidal behaviors and associated factors among university students in six countries in the Association of Southeast Asian Nations (ASEAN). Asian Journal of Psychiatry. 2017;26:32–38.
  • Güleç Öyekcin D, Sahin EM, Aldemir E. Mental health, suicidality and hopelessness among university students in Turkey. Asian Journal of Psychiatry. 2017;29:185–189.
  • Gürhan N, Meriç M, Kaya B, Turan ND, Esra K. Tıp Fakültesi ve Hemşirelik Öğrencilerinin İntihar Olasılığı ve Problem Çözme Düzeylerinin Sosyodemografik Değişkenler Açısından Karşılaştırılması. Gümüşhane Üniversitesi Sağlık Bilim Dergisi. 2018;7(1):149–155.
Toplam 40 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Medical Science Research Makaleler
Yazarlar

Fatma Bozdağ 0000-0003-2709-4281

Elif Tuğçe Solmaz 0000-0003-3257-5039

Seva Öner 0000-0003-0295-6551

Proje Numarası -
Yayımlanma Tarihi 31 Aralık 2021
Kabul Tarihi 15 Aralık 2021
Yayımlandığı Sayı Yıl 2021

Kaynak Göster

AMA Bozdağ F, Solmaz ET, Öner S. Childhood trauma experiences in Mersin University Faculty of Medicine students. CMJ. Aralık 2021;43(4):364-376. doi:10.7197/cmj.990168