title: [Hebephilia as a sexual disorder].
abstract: BACKGROUND
  The term "hebephilia" describes the sexual preference for the body scheme of pubescent minors (Tanner stages 2 and 3). For most clinicians the definition of hebephilia as a sexual disorder is not obvious.
  
  
  METHODS
  In all assessed males included in the Prevention Project Dunkelfeld at the Institute for Sexual Medicine at the Charité between 2005 and 2011, who met the inclusion criteria and showed no evidence for exclusion criteria (n=222), the existence of a hebephilia was examined.
  
  
  RESULTS
  Approximately two thirds of the present sample (n=153) showed responsiveness for the body scheme of pubescent minors. Of these, only 15% were exclusively attracted by the pubescent body scheme and 85% were cases of mixed types. Concerning the clinical aspects of the sexual preference disorder, about 95% reported child sexual abuse and/or having used child abusive images at least once in their lifetime. Additionally, hebephiles reported a higher level of clinical/psychological stress and more distinct personality characteristics in relation to a comparative sample. In terms of risk factors, hebephiles showed more offense-supportive attitudes compared to a male comparative sample.
  
  
  CONCLUSIONS
  Hebephilia is a sexual disorder, but cannot be independently coded in the presently valid classification systems (DSM-IV-TR and ICD-10). Plans to separately include this in future in the DSM-5 represent an important step from a sexological point of view.
authors.affiliation: Institut Für Sexualwissenschaft und Sexualmedizin, Charité, Universitätsmedizin Berlin, Berlin. klaus.beier@charite.de
authors.forename: K M
authors.initials: KM
authors.lastname: Beier
authors.forename: T
authors.initials: T
authors.lastname: Amelung
authors.forename: L
authors.initials: L
authors.lastname: Kuhle
authors.forename: D
authors.initials: D
authors.lastname: Grundmann
authors.forename: G
authors.initials: G
authors.lastname: Scherner
authors.forename: J
authors.initials: J
authors.lastname: Neutze
mesh_terms: D000223:Adaptation, Psychological; D000293:Adolescent; D000328:Adult; D001828:Body Image; D002650:Child Abuse, Sexual / Q000517:prevention & control / Q000523:psychology*; D039721:Diagnostic and Statistical Manual of Mental Disorders; D005260:Female; D006801:Humans; D038801:International Classification of Diseases; D007406:Interview, Psychological; D008297:Male; D008875:Middle Aged; D009483:Neuropsychological Tests; D010378:Pedophilia / Q000523:psychology*; D010551:Personality; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012725:Sexual Behavior; D020018:Sexual Dysfunctions, Psychological / Q000523:psychology*; D013315:Stress, Psychological