Possible symptoms and sequelae of date or acquaintance rape

Disturbances in sleep (eg, taking more than 20 minutes to fall asleep, nightmares)

Decrease in appetite; less interest in eating

Somatic reactions (eg, chronic pelvic pain, recurrent abdominal pain, chronic headache, multiple physical complaints)

Depressive symptoms

Suicidality

Anxiety

Signs of posttraumatic stress disorder (emotional numbing, diminished interest in everyday activities, detachment from others)

Psychiatric or behavior problems that usually are found in the other gender (eg, eating disorders in boys or fighting in girls)

School failure

Decreased self-esteem, self-worth, and/or confidence in their sense of judgment

Difficulty maintaining relationships

Sexual dysfunction

Alcohol or substance use

Decreased sexual negotiation skills (may lead to pregnancy or sexually transmitted infections)

For male victims: Fragility of sense of masculinity and confusion about sexual orientation

Graphic 56678 Version 5.0