van Ham Kirsten, Brilleslijper-Kater Sonja, van der Lee Hanneke, van Rijn Rick, van Goudoever Hans, Teeuw Rian
Paediatrics, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands.
Epidemiology, Kennisinstituut van Medisch Specialisten, Utrecht, The Netherlands.
BMJ Paediatr Open. 2020 Sep 29;4(1):e000799. doi: 10.1136/bmjpo-2020-000799. eCollection 2020.
The consequences of child sexual abuse (CSA) can be significant and can affect short-term and long-term mental, sexual and physical health. In order to offer timely and appropriate care for the child, early recognition of CSA is necessary. The lack of specific physical and psychological signs and barriers to abuse disclosure that these young victims face makes it difficult for medical and psychological professionals to recognise and confirm CSA signs. We aimed to validate the Sexual Knowledge Picture Instrument (SKPI) as a diagnostic instrument for CSA.
An observational study to quantify the intraobserver and interobserver reliability and diagnostic accuracy of the SKPI will be performed. A total of 250 subjects from three groups will be included in the study: (1) a group of suspected CSA victims, recruited from three academic paediatric hospitals; (2) a case group of (proven) victims of CSA, recruited in cooperation with the Dutch Police Vice Squad; and (3) a control group of children, recruited from preschools and primary schools. All children will be interviewed using the SKPI, and to investigate reliability, video recordings will be assessed and reassessed by the same and a different blinded rater, respectively. Within 1 year, the results of the SKPI will be compared with the conclusions from the independent child protective services or police reports. If necessary, the SKPI will be modified to improve its reliability and accuracy.
This validation study of the SKPI is necessary for obtaining a reliable diagnostic tool, which will enable medical and psychological professionals to detect CSA in young victims at an early age and start intervention/treatment.
NL 50903.018.15.
儿童性虐待（CSA）的后果可能很严重，会影响短期和长期的心理、性健康及身体健康。为了及时为儿童提供适当的护理，早期识别CSA很有必要。这些年轻受害者缺乏特定的身体和心理迹象，且存在披露虐待行为的障碍，这使得医学和心理学专业人员难以识别和确认CSA迹象。我们旨在验证性知识图片工具（SKPI）作为CSA的诊断工具。
将进行一项观察性研究，以量化SKPI的观察者内和观察者间的可靠性以及诊断准确性。研究将纳入来自三组的250名受试者：（1）一组疑似CSA受害者，从三家学术儿科医院招募；（2）一组（经证实的）CSA受害者，与荷兰警察缉毒组合作招募；（3）一组儿童对照组，从幼儿园和小学招募。所有儿童都将使用SKPI进行访谈，为了调查可靠性，视频记录将分别由同一名和另一名不知情的评分者进行评估和重新评估。在1年内，将SKPI的结果与独立儿童保护服务机构或警方报告的结论进行比较。如有必要，将对SKPI进行修改以提高其可靠性和准确性。
对SKPI进行这项验证研究对于获得一种可靠的诊断工具是必要的，这将使医学和心理学专业人员能够在年轻受害者中早期发现CSA并开始干预/治疗。
NL 50903.018.15
