台灣男性樣本的性成癮衡鑑工具之修訂: 初步研究報告

Abstract

摘要 性成癮是指個人受到性慾的渴求所迷惑而難以自拔，或對性慾極度渴望而產生衝動或強迫的性行為，因而導致自己或他人在生理、心理、精神、社交關係、法律、經濟、工作、學業等各層面形成嚴重損害之現象。過去因性成癮問題而導致之嚴重後果已逐漸成為社會大眾與臨床人員所關注和討論的焦點。本研究目的是將「性成癮篩選量表」（SAST）與「性強迫量表」（SCS）等兩個常應用於評估性成癮的工具中文化，並嘗試以本土的男性樣本建立量表的信效度。本研究假設：性成癮的評估是可行的；SAST與SCS兩測量工具是可靠而有效的；可透過此兩評估性成癮的工具區分出有/無性成癮的群體。本研究的受試者分別來自北部某監獄涉及性犯罪案件之受刑人、某軍事訓練中心參訓學生，以及由網路平台邀請之自願參與者。本研究先根據性成癮的定義，透過訪談資料的分析，將性犯罪者區分出有/無性成癮特質，隨後邀請所有受試者填答SAST與SCS。研究結果顯示，研究假設獲致部分支持，亦即性成癮者的感覺、想法，以及性強迫行為是可以透過測量工具加以探索，且研究發現，具有性成癮特質的性犯罪者在SAST與SCS的測量上均顯著高於其他組受試者。SAST與SCS兩測量工具經由部分修正後可應用於臨床實務與研究上。本研究之限制在於蒐集資料的難度高，導致樣本量較小，且缺乏相關的中文量表以進一步確證研究工具之可用性。最後，研究者提出未來可行的發展方向及研究結果在臨床應用上的意涵。

Assessing Sexual Addiction in Taiwan’s Male Population: Developing Reliability and Validity of Sexual Addiction Assessment Tools Anne Ya Ju Hsu Abstract Sexual addiction (SA), a condition in which a person becomes destructively consumed by sexual cravings and or one who gives into the sexual cravings with impulsive or compulsive sexual behavior causing severe psycho, physical, interpersonal, filial, social, financial, legal, and occupational distress. SA had been subject to lay public and academic discussion due to the alarming consequences involved. The purpose of the present study was to apply two measures from past research, the Sexual Addiction Screening Test (SAST) and the Sexual Compulsivity Scale (SCS), self report questionnaires designed to assess sexual addiction and sexual compulsion respectively to the test in Taiwan male population. The present study hypothesized that: 1. Sexual addiction can be evaluated. 2. SAST and SCS hold basic reliability and validity. 3. Sexual addiction can be screened with these assessment tools. The participants were North Taiwan prison’s sexual offender, South Taiwan’s military school students and a web based convenient sample from acquaintances. The sexual offenders were interviewed and categorized into either the SA or the non SA groups. All of the subjects completed SAST and SCS and related measures. Results were statistically analyzed to find that the two measures were promising assessment tools for sexual addiction in the clinical and research field to be used with further verification. In sum, the results of the present study partially supported the proposed hypotheses. SA’s sexual addictive feelings and thoughts as well as sexually compulsive behaviors can be evaluated and are significantly stronger in sexual offenders who are sexual addicts over other sexual offenders and the general adult males as measured by SAST and SCS. The SAST and SCS were shown to have some basic reliability and validity. The limitations of the present study were its participants’ sample size and atypical traits as well as the lack of Mandarin preexisting established scales for further verification. Implications and future directions of SA research were discussed.