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Reactions of non-abused children aged 3-9 years to the Sexual Knowledge Picture Instrument: an interview-based study.


ABSTRACT:

Background

The Sexual Knowledge Picture Instrument (SKPI) is a child-friendly picture book that was developed as a diagnostic tool for sexual abuse in young children and is currently being validated. The aim of the current study was to explore the verbal and non-verbal reactions of non-abused Dutch children, aged 3-9 years, to the SKPI and to assess differences in reactions between genders and age groups.

Methods and analysis

Subject recruitment took place at preschools and primary schools. All children underwent a recorded video semi-structured interview with the SKPI. Interview recordings were scored by an independent rater who used scoring lists for verbal and non-verbal reactions. Non-parametric tests were used in statistical analyses.

Results

Of the 90 children (median age 5 years) participating in the study, most correctly named the genitals and their non-sexual functions. Only 34 showed an understanding of the picture depicting adult sexuality, with just one child describing a sexual function. Girls (n=45) gave more correct answers (median 87%) than boys (n=45, median 78%; p=0.006). Giggling was the most frequently observed non-verbal reaction, with a total of 186 instances in 54 children.

Conclusion

Non-abused children up to 9 years of age showed only limited knowledge of the sexual function of the genitals and hardly any insight into adult sexuality.

SUBMITTER: van Ham K 

PROVIDER: S-EPMC8424862 | biostudies-literature | 2021

REPOSITORIES: biostudies-literature

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Publications

Reactions of non-abused children aged 3-9 years to the Sexual Knowledge Picture Instrument: an interview-based study.

van Ham Kirsten K   van Delft Sanne S   Brilleslijper-Kater Sonja N SN   van Rijn Rick R RR   van Goudoever Johannes B JB   van der Lee Johanna H JH   Teeuw Arianne H AH  

BMJ paediatrics open 20210907 1


<h4>Background</h4>The Sexual Knowledge Picture Instrument (SKPI) is a child-friendly picture book that was developed as a diagnostic tool for sexual abuse in young children and is currently being validated. The aim of the current study was to explore the verbal and non-verbal reactions of non-abused Dutch children, aged 3-9 years, to the SKPI and to assess differences in reactions between genders and age groups.<h4>Methods and analysis</h4>Subject recruitment took place at preschools and primar  ...[more]

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