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This might be due to a lack of understanding of sexual symptoms' specific role in the often complex and comorbid psychopathology of post-traumatic stress disorder following childhood abuse.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291720001750_sec_a2\" sec-type=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Post-traumatic, dissociative, depressive, and sexual symptoms were assessed in 445 inpatients with post-traumatic stress disorder following childhood sexual abuse. Comorbidity structure was analyzed using a partial correlation network with regularization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291720001750_sec_a3\" sec-type=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 360 patients (81%) reported difficulties engaging in sexual activities and 102 patients (23%) reported to suffer from their sexual preferences. Difficulties engaging in sexual activities were linked to depressive and hyperarousal symptoms, whereas sexual preferences causing distress were linked to anger and dissociation. Dissociative amnesia, visual intrusions, and physical reactions to trauma reminders were of central importance for the network. Dissociative amnesia, depressed mood, lack of energy, and difficulties engaging in sexual activities were identified as bridge symptoms. Local clustering analysis indicated the non-redundancy of sexual symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S0033291720001750_sec_a4\" sec-type=\"conclusions\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Sexual symptoms are highly prevalent in survivors of childhood sexual abuse with post-traumatic stress disorder. Further research is needed regarding the link of difficulties engaging in sexual activities, depression, and post-traumatic stress disorder, as well as regarding the association of dissociation and sexual preferences causing distress. Sexual symptoms require consideration in the treatment of post-traumatic stress disorder following childhood sexual abuse.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s0033291720001750","type":"journal-article","created":{"date-parts":[[2020,6,10]],"date-time":"2020-06-10T04:47:32Z","timestamp":1591764452000},"page":"90-101","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":43,"title":["Sexual symptoms in post-traumatic stress disorder following childhood sexual abuse: a network analysis"],"prefix":"10.1017","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0174-8497","authenticated-orcid":false,"given":"Leonhard","family":"Kratzer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Heinz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Schennach","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Knefel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G\u00fcnter","family":"Schiepek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah V.","family":"Biedermann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melanie","family":"B\u00fcttner","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2020,6,10]]},"reference":[{"key":"S0033291720001750_ref85","doi-asserted-by":"publisher","DOI":"10.1002\/jts.22379"},{"key":"S0033291720001750_ref84","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12077"},{"key":"S0033291720001750_ref89","volume-title":"R: A language and environment for statistical computing","year":"2019"},{"key":"S0033291720001750_ref88","doi-asserted-by":"publisher","DOI":"10.1016\/j.sxmr.2017.12.002"},{"key":"S0033291720001750_ref110","doi-asserted-by":"publisher","DOI":"10.1037\/0021-843X.106.4.499"},{"key":"S0033291720001750_ref14","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20375"},{"key":"S0033291720001750_ref97","unstructured":"Stanley, D. 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