title: [Sexual traumatic events and neurotic disorders picture--sexuality-related and sexuality-unrelated symptoms].
abstract: BACKGROUND
  There is an ample evidence of the impact of severe traumatic events, such as sexual abuse in childhood, on the formation of disorders--especially the non-psychotic ones: sexual, neurotic and personality. So far, an increase of the risk with the accumulation of traumatic factors has been indicated, but less attention has been paid to adverse events such as lack of sexual education, negative attitudes of the caregivers towards sexuality, etc.
  
  
  OBJECTIVE
  Assessment of the risk of such adverse events in childhood and adolescence, concerning the symptoms from the area of sexuality as well as other neurotic disorders areas.
  
  
  METHODS
  The coexistence of the earlier life circumstances and currently present symptoms was examined on the basis of KO "0" Symptom Checklist and Life Inventory, completed prior to treatment in a day hospital for neurotic disorders.
  
  
  RESULTS
  In the group of 2582 females and 1347 males, there was a significant prevalence of symptoms related to sexuality, as well as of other neurotic symptoms. Patients reported traumatic events of varying frequency (from a relatively rare incest, to much more frequent sense of lack of sex education). Regression analyses showed a significant relationship between the analyzed events and symptoms, for instance, lack of sexual satisfaction in adulthood co-occurred in women with punishing for childhood sexual plays or masturbation. The other analyzed symptoms--'non-sexual', such as panic attacks, were not so clearly related to the burdensome circumstances.
  
  
  CONCLUSIONS
  The presence of adverse life events concerning sexuality, not necessarily the most serious ones e.g. abuses, but such as inadequate sex education, child punishing for masturbation or sexual plays, unwanted sexual initiation, are associated with a higher occurrence of most of the analyzed symptoms in the sphere of sexuality. Weaker connection for other than sexual neurotic symptoms suggests that the impact of childhood sexual trauma is mainly focused on the area of sexual dysfunctions.
authors.affiliation: Katedra Psychoterapii UJ CM, Kraków.
authors.forename: Jerzy A
authors.initials: JA
authors.lastname: Sobański
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Klasa
authors.forename: Łukasz
authors.initials: Ł
authors.lastname: Müldner-Nieckowski
authors.forename: Edyta
authors.initials: E
authors.lastname: Dembińska
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Rutkowski
authors.forename: Katarzyna
authors.initials: K
authors.lastname: Cyranka
mesh_terms: D000328:Adult; D015897:Comorbidity; D005260:Female; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008875:Middle Aged; D009497:Neurotic Disorders / Q000453:epidemiology* / Q000523:psychology; D011044:Poland / Q000453:epidemiology; D012649:Self Concept; D012647:Self-Assessment; D017678:Sex Distribution; D012742:Sex Offenses / Q000523:psychology / Q000706:statistics & numerical data*; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology* / Q000523:psychology; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology* / Q000523:psychology; D012747:Sexual Partners / Q000523:psychology; D055815:Young Adult