Aim The child's self-stimulating pleasure behavior is defined as childhood masturbation (CM). Diagnosis of CM is mainly based on behavior and analysis of video recordings. This study aims to investigate etiological factors, movement patterns, and treatment options.Medical records and video recordings of CM in our clinic between 2015 and 2020 were retrospectively reviewed. Results Ninety patients aged 8 months to 9 years were included in our study. The male-to-female ratio was 23/67. The mean age at onset of masturbation (mean ± standard deviation) was 21.42 ± 18.44 (6–107) months. Note that 27.7% (32) of the patients were taking antiepileptic drugs before admission.Eight of the 90 patients had abnormal electroencephalograms. The time of onset of CM was related to cessation of breast milk in 24.4%, separation from the mother in 43.3%, new siblings in 16.6%, initiation of toilet training in 7.7%, and parental divorce in 6.6%. Behavioral therapy was sufficient in 71.1%. Hydroxyzine hydrochloride in 19 (21.1%) and risperidone in 9 (10%) were given in the remaining cases. Overall, 23/28 of the cases receiving medication improved during follow-up. Conclusion Physicians may have difficulty identifying repetitive movements in CM. Misdiagnosis or delayed diagnosis may lead to unnecessary use of antiepileptic drugs, delayed initiation of treatment, and prolonged treatment duration. Video recordings are important in the differential diagnosis of CM. CM may have psychosocial causes and can often be effectively treated with behavioral therapy. Pharmacological treatment (hydroxyzine hydrochloride and risperidone) may be considered in cases that do not respond to behavioral treatment.

中文翻译：

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儿童手淫的评估与处理：90例分析

目的 儿童的自我刺激快感行为被定义为儿童自慰（CM）。CM 的诊断主要基于行为和录像分析。本研究旨在探讨病因、运动模式和治疗方案。回顾性分析了我院2015年至2020年期间的CM医疗记录和视频记录。结果我们的研究纳入了 90 名年龄 8 个月至 9 岁的患者。男女比例为23/67。开始手淫的平均年龄（平均值±标准差）为21.42±18.44（6-107）个月。值得注意的是，27.7%（32）的患者入院前正在服用抗癫痫药物。90名患者中有8人出现脑电图异常。CM的发病时间与停止母乳有关（24.4%）、与母亲分离（43.3%）、新生儿兄弟姐妹（16.6%）、开始如厕训练（7.7%）和父母离婚（6.6%）有关。对于 71.1% 的患者来说，行为疗法就足够了。其余病例给予 19 例（21.1%）盐酸羟嗪，9 例（10%）给予利培酮。总体而言，23/28 接受药物治疗的病例在随访期间有所改善。结论 医生可能难以识别 CM 中的重复运动。误诊或延误诊断可能导致不必要地使用抗癫痫药物、延迟开始治疗和延长治疗时间。视频记录对于 CM 的鉴别诊断很重要。CM 可能有心理社会原因，通常可以通过行为疗法有效治疗。如果行为治疗没有反应，可以考虑药物治疗（盐酸羟嗪和利培酮）。