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Master Thesis

Troubles post-traumatiques chez des sujets ayant été victimes de violences sexuelles avant l'âge de 15 ans : aspects cliniques, thérapeutiques et médico-économiques

Abstract : Post-traumatic disorders in patients who have experienced sexual violence before the age of 15: clinical, therapeutic and medico-economic aspects.
Before their majority, up to 10% of women and 5% of men are victims of sexual violence. The legal framework provided consensual definition of this acts. Epidemiological data and publications help us characterize risk factors, the psychopathology and comorbidities observed in victims. Like so, most are women, know their assaulter in three quarter of cases; them, mainly men, have for half, less than 20 years. Disorders reported, including post-traumatic stress disorder, depression, personality disorder and somatic troubles, must have taken specific care, following several axes: psychotherapy (in first line cognitive-behavioral therapy), medication, but also social and juridical. International studies have examined the broad cost of these assaults. At our level, we seek to assess the direct cost for health, in people who have suffered sexual violences before 15 years old. With 15 subjects followed in 2012 at Tenon Hospital in Paris, despite our small sample, the calculated annual total medical consumption is significantly ten times higher then the french national average. By their societal, financial, moral and mental cost, sexual abuse of minors, should be a public health concern. In these times of financial reflexion, funds could be deployed to medical, legal and social training, in order to improve the prevention, screening and care of victims but also their kinfolk.
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https://dumas.ccsd.cnrs.fr/dumas-01131521
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Submitted on : Friday, March 13, 2015 - 5:09:52 PM
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  • HAL Id : dumas-01131521, version 1

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Sophie Vacher-Boulogne. Troubles post-traumatiques chez des sujets ayant été victimes de violences sexuelles avant l'âge de 15 ans : aspects cliniques, thérapeutiques et médico-économiques. Médecine humaine et pathologie. 2013. ⟨dumas-01131521⟩

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