title: [Less severe sexual child abuse and its sequelae: are there different psychic and psychosomatic symptoms in relation to various forms of sexual interaction?].
abstract: A typology of less severe sexual encounters was used to analyze short and long term sequelae of sexual abuse via intimate skin contact. Well known theoretical approaches on the harmful effects of sexual abuse were tested. Do we find different peri- and posttraumatic reactions dependent upon varied forms of sexual interactions with children? A cluster analysis was calculated with symptom variables that were described in 141 child statements taken out of written expert opinions. Afterwards variance analyses of these symptom clusters were conducted in reference to six different abuse constellations. Different symptom profiles were found for these six abuse constellations. Panic symptoms, shame related feelings, avoidant behavior and physical reactions showed significant results. The sequelae to different forms of less severe sexual child abuse differ and depend more upon the situational dynamic than upon the kind of relationship between adult and child.
authors.affiliation: Klinik und Poliklinik für Psychiatrie und Psychotherapie des Kindes- und Jugendalters der Universität zu Köln. mayakrischer@aol.com
authors.forename: Maya K
authors.initials: MK
authors.lastname: Krischer
authors.forename: Kathrin
authors.initials: K
authors.lastname: Sevecke
authors.forename: Gerd
authors.initials: G
authors.lastname: Lehmkuhl
authors.forename: Eckhard M
authors.initials: EM
authors.lastname: Steinmeyer
mesh_terms: D001008:Anxiety Disorders / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D002648:Child; D002650:Child Abuse, Sexual / Q000145:classification / Q000175:diagnosis / Q000331:legislation & jurisprudence / Q000523:psychology*; D005104:Expert Testimony / Q000331:legislation & jurisprudence; D005260:Female; D006801:Humans; D010554:Personality Disorders / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D011602:Psychophysiologic Disorders / Q000145:classification / Q000175:diagnosis / Q000523:psychology*; D012008:Recurrence; D012725:Sexual Behavior; D012752:Shame; D012931:Social Environment; D013313:Stress Disorders, Post-Traumatic / Q000145:classification / Q000175:diagnosis* / Q000523:psychology; D014342:Truth Disclosure