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The Assessment and Management of Childhood Masturbation: An Analysis of 90 Cases

Ayten Güleç1, Selcan Öztürk1, Hamit Acer1

  • 1Division of Pediatric Neurology, Department of Pediatrics, Faculty of Medicine, Erciyes University, Kayseri, Turkey.

Neuropediatrics
|October 12, 2023
PubMed

Insights

Childhood masturbation (CM) often stems from psychosocial factors and is best diagnosed via video analysis. Behavioral therapy is effective for most cases, with medication as a secondary option.

Area of Science:

  • Pediatric Behavioral Health
  • Child Psychology
  • Developmental Pediatrics

Background:

  • Childhood masturbation (CM) is a self-stimulating behavior requiring accurate diagnosis.
  • Diagnosis often relies on behavioral observation and video analysis.
  • Potential misdiagnosis can lead to inappropriate antiepileptic drug use.

Purpose of the Study:

  • To investigate etiological factors of childhood masturbation.
  • To analyze movement patterns associated with childhood masturbation.
  • To evaluate treatment options for childhood masturbation.

Main Methods:

  • Retrospective review of medical records and video recordings of 90 patients diagnosed with CM.
  • Analysis of patient demographics, age of onset, and potential triggers.
  • Assessment of treatment outcomes for behavioral therapy and pharmacological interventions.

Main Results:

  • The study included 90 patients (8 months to 9 years), with a 23/67 male-to-female ratio.
  • Onset of CM was linked to psychosocial factors like maternal separation (43.3%) and cessation of breastfeeding (24.4%).
  • Behavioral therapy achieved success in 71.1% of cases; medication (hydroxyzine hydrochloride, risperidone) showed improvement in 23/28 patients.

Conclusions:

  • Accurate diagnosis of CM, aided by video recordings, is crucial to avoid misdiagnosis and inappropriate treatment.
  • Psychosocial factors are significant contributors to childhood masturbation.
  • Behavioral therapy is the primary treatment, with medication as an option for refractory cases.
Abstract

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