{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T22:41:29Z","timestamp":1768344089128,"version":"3.49.0"},"reference-count":26,"publisher":"Georg Thieme Verlag KG","issue":"05","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Padiatr"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:title>ZUSAMMENFASSUNG<\/jats:title><jats:p>Hintergrund Sexueller Missbrauch ist bei Kindern schwierig zu diagnostizieren und stellt eine erhebliche Herausforderung f\u00fcr alle beteiligten Fachdisziplinen einer medizinischen Kinderschutzambulanz dar. Die vorliegende Arbeit zeigt Fallkonstellationen und die zu verwendende Diagnostik, um ein Verdachtsmoment zu erh\u00e4rten oder nachzuweisen.<\/jats:p><jats:p>Patienten und Methode Die Studie erfolgte retrospektiv anhand der Patientendokumentation von 210 Kindern und Jugendlichen im Alter zwischen 4 Monaten und 18 Jahren, die mit Verdacht auf sexuellen Missbrauch im Zeitraum von 2010 bis 2015 in der Kinderschutzambulanz Frankfurt am Main vorgestellt wurden. 173 F\u00e4lle wurden detaillierter analysiert. Mit Hilfe von standardisierten Erfassungsb\u00f6gen wurden die F\u00e4lle analysiert und die Verdachtsmomente bez\u00fcglich ihrer Signifikanz beurteilt.<\/jats:p><jats:p>Ergebnisse Insgesamt wurden 173 Kinder und Jugendliche mit Verdacht auf sexuellen Missbrauch detailliert analysiert. Der Gro\u00dfteil dieser Kinder und Jugendlichen war weiblich und unter 10 Jahre alt. H\u00e4ufig wurde der Vater des Kindes im Rahmen von Trennungssituationen oder Sorgerechtsstreits der Eltern des sexuellen Missbrauchs beschuldigt. Vor allem die eigenanamnestischen Angaben der Patientinnen und Patienten hatten in 60% f\u00fcr die Erh\u00e4rtung der Verdachtsmomente Bedeutung. Die Einsch\u00e4tzung gelang umso sicherer, wenn der mutma\u00dfliche T\u00e4ter nicht dem engen Familienkreis angeh\u00f6rte und wenn andere Formen k\u00f6rperlicher Gewalt assoziiert vorlagen.<\/jats:p><jats:p>Schlussfolgerung Die Studie zeigt, dass der gyn\u00e4kologische bzw. anogenitale Untersuchungsbefund relativ wenig Bedeutung f\u00fcr die Erh\u00e4rtung eines Verdachts auf sexuellen Missbrauch hat. Viel mehr unterstreichen die Ergebnisse den Stellenwert weiterer diagnostischer Ma\u00dfnahmen, insbesondere die anamnestische und psychologische Evaluation.<\/jats:p>","DOI":"10.1055\/a-1516-5913","type":"journal-article","created":{"date-parts":[[2021,8,10]],"date-time":"2021-08-10T00:10:10Z","timestamp":1628554210000},"page":"237-245","source":"Crossref","is-referenced-by-count":3,"title":["Diagnostik und Signifikanzbeurteilung bei Verdacht auf sexuelle Gewalt im Kindes- und Jugendalter"],"prefix":"10.1055","volume":"233","author":[{"given":"Patrizia","family":"Richter","sequence":"additional","affiliation":[{"name":"Department of Neuropediatrics, Children's Hospital, Goethe-Universitat Frankfurt am Main Fachbereich 16 Medizin, Frankfurt am Main, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco Baz","family":"Bartels","sequence":"additional","affiliation":[{"name":"Department of Neuropediatrics, Children's Hospital, Goethe-Universitat Frankfurt am Main Fachbereich 16 Medizin, Frankfurt am Main, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Kieslich","sequence":"additional","affiliation":[{"name":"Department of Neuropediatrics, Children's Hospital, Goethe-Universitat Frankfurt am Main Fachbereich 16 Medizin, Frankfurt am Main, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,8,9]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1542\/peds.94.3.310","article-title":"Examination findings in legally confirmed child sexual abuse: it\u2019s normal to be normal","volume":"94","author":"J A Adams","year":"1994","journal-title":"Pediatrics"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/j.jpag.2006.10.001","article-title":"Guidelines for Medical Care of Children Who May Have Been Sexually Abused","volume":"20","author":"J A Adams","year":"2007","journal-title":"Journal of Pediatric and Adolescent Gynecology"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.jpag.2015.01.007","article-title":"Updated Guidelines for the Medical Assessment and Care of Children Who May Have Been Sexually Abused","volume":"29","author":"J A Adams","year":"2016","journal-title":"Journal of Pediatric and Adolescent Gynecology"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1016\/j.chiabu.2017.01.022","article-title":"The structural linguistic complexity of lawyers\u2019 questions and children\u2019s responses in Scottish criminal courts","volume":"65","author":"S J Andrews","year":"2017","journal-title":"Child Abuse & Neglect"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"469","DOI":"10.1007\/s00038-012-0426-1","article-title":"The current prevalence of child sexual abuse worldwide: a systematic review and meta-analysis","volume":"58","author":"J Barth","year":"2013","journal-title":"International Journal of Public Health"},{"key":"ref6","first-page":"20","article-title":"Clinical forensic examination findings and legal outcome in cases of suspected sexual child abuse","volume":"228","author":"S Bode-J\u00e4nisch","year":"2021","journal-title":"Arch Kriminol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1016\/j.jflm.2012.06.005","article-title":"Risk factors in child sexual abuse","volume":"20","author":"E A Davies","year":"2013","journal-title":"Journal of Forensic and Legal Medicine"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"e000180","DOI":"10.1136\/bmjpo-2017-000180","article-title":"Who perpetrates violence against children? 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