@article{ref1,
title="Reactions of non-abused children aged 3-9 years to the Sexual Knowledge Picture Instrument: an interview-based study",
journal="BMJ paediatrics open",
year="2021",
author="van Ham, Kirsten and van Delft, Sanne and Brilleslijper-Kater, Sonja N. and van Rijn, Rick R. and van Goudoever, Johannes B. and van der Lee, Johanna H. and Teeuw, Arianne H.",
volume="5",
number="1",
pages="e001128-e001128",
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. <br><br>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. <br><br>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. <br><br>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.<p /> <p>Language: en</p>",
language="en",
issn="2399-9772",
doi="10.1136/bmjpo-2021-001128",
url="http://dx.doi.org/10.1136/bmjpo-2021-001128"
}