Sexual behavior problems (SBPs) and interpersonal SBPs (ISBPs) among sexually abused children often occur alongside a variety of other clinical difficulties, such as externalizing problems, attentional difficulties, social concerns, and posttraumatic stress symptoms (PTSS). Yet, as few studies have examined these links in a multivariate manner, it is unclear which symptoms are most strongly related to SBPs and ISBPs. Research regarding children’s reports of their difficulties and SBPs and ISBPs is also very limited. The current study investigated the relations between both caregiver- and child-reported trauma-related symptoms and SBPs and ISBPs among 248 treatment-seeking sexually abused children (ages 6–12; M = 8.06, SD = 2.52; 64.5% female; 55.6% white). Children’s caregiver-reported trauma-related sexual concerns and anger were associated with SBPs. For ISBPs, only caregiver-reported sexual concerns were related to ISBPs. Surprisingly, none of the child-reported symptoms were associated with either SBPs or ISBPs. Trauma-related sexual concerns and anger may be tied to SBPs, whereas other clinical difficulties may be less strongly implicated. Trauma-related sexual concerns may be most important in understanding interpersonally focused SBPs. Children’s self-reported difficulties may be unrelated to caregiver-reported SBPs, or these results may be a function of a low degree of caregiver and child symptom concordance.

性虐待儿童的性行为问题 (SBPs) 和人际 SBPs (ISBPs) 经常与各种其他临床困难同时发生，例如外化问题、注意力困难、社会问题和创伤后应激症状 (PTSS)。然而，由于很少有研究以多变量方式检查这些联系，因此尚不清楚哪些症状与 SBP 和 ISBP 最密切相关。关于儿童关于他们的困难以及 SBP 和 ISBP 的报告的研究也非常有限。目前的研究调查了 248 名寻求治疗的性虐待儿童（6-12 岁；M = 8.06，SD= 2.52; 64.5% 女性；55.6% 白色）。儿童照料者报告的与创伤相关的性担忧和愤怒与收缩压有关。对于 ISBP，只有护理人员报告的性问题与 ISBP 有关。令人惊讶的是，儿童报告的症状均与 SBP 或 ISBP 无关。与创伤相关的性问题和愤怒可能与 SBP 相关，而其他临床困难可能没有那么强烈的牵连。与创伤相关的性问题对于理解以人际关系为中心的 SBP 可能是最重要的。儿童自我报告的困难可能与照顾者报告的 SBP 无关，或者这些结果可能是照顾者和儿童症状一致性程度低的函数。