針對患有嚴重精神疾病、智力障礙和自閉症的年輕人的性健康教育：一項關於eITPoSA心理教育干預的初步研究

Sexual Health Education for Young Adults Diagnosed with Severe Mental Illness, Intellectual Disability, and Autism: A Pilot Study on the eITPoSA Psycho-Educational Intervention

——《性別》2025年第6卷第2期 ——

Volume 6, Issue 2, 2025

【摘要】被診斷患有嚴重精神疾病 (SMI)、智力障礙 (ID) 和自閉症譜系障礙 (ASD) 的年輕人往往在獲取性健康教育方面面臨着巨大障礙，導致性健康和關係幸福感不佳。性與情感教育干預與培訓項目 (eITPoSA) 旨在通過針對他們的認知和情感需求量身定製的結構化心理教育方法來解決這一差距。一項初步研究以12名被診斷患有SMI、ID和ASD的參與者為對象，他們參加了涵蓋身體知識、生殖器性行為、隱私和衛生等主題的培訓課程。使用結構化監測表格進行干預前後評估，並通過描述性統計、配對樣本t檢驗和Cohen's d分析數據來評估效應大小。結果顯示，所有領域均有顯著改善，尤其是在身體知識（從31.43%增至86.65%）、生殖器性行為（從15%增至90%）和衛生（從47.27%增至96.36%）方面。這些結果表明，eITPoSA項目有效提升了患有重度智力障礙、智力殘疾和自閉症譜系障礙的年輕人的性能力和人際關係能力。未來的研究應側重於擴大樣本量並探索教育成果的長期保留，以進一步驗證該項目的有效性。

【關鍵詞】性；年輕人；智力障礙；自閉症；嚴重精神疾病；性教育；情感；親密關係

[Abstract] Young adults diagnosed with severe mental illness (SMI), intellectual disability (ID), and autism spectrum disorder (ASD) often experience significant barriers in accessing sexual health education, contributing to poor sexual and relational well-being. The Educational Intervention and Training Program on Sexuality and Affectivity (eITPoSA) was developed to address this gap through a structured psycho-educational approach tailored to their cognitive and emotional needs. A pilot study was conducted with 12 participants diagnosed with SMI, ID, and ASD, who attended the training sessions covering topics such as body knowledge, genital sexuality, privacy, and hygiene. Pre- and post-intervention assessments were carried out using structured monitoring grids, with data analyzed through descriptive statistics, paired-samples t-tests, and Cohen’s d to evaluate effect sizes. Results demonstrated statistically significant improvements across all domains, particularly in body knowledge (31.43% to 86.65%), genital sexuality (15% to 90%), and hygiene (47.27% to 96.36%). These findings suggest that the eITPoSA program effectively enhances sexual and relational competencies in young adults diagnosed with SMI, ID, and ASD. Future research should focus on expanding the sample size and exploring long-term retention of educational outcomes to further validate the program’s efficacy.

[Key words] sexuality; young adults; intellectual disability; autism; severe mental illness; sexual education; affectivity; intimacy

論文原文：Miriam Belluzzo, Veronica Giaquinto, Camilla Esposito, Erica De Alfieri and Anna Lisa Amodeo (2025). Sexual Health Education for Young Adults Diagnosed with Severe Mental Illness, Intellectual Disability, and Autism: A Pilot Study on the eITPoSA Psycho-Educational Intervention. Sexes, Volume 6, Issue 2, Pages 21. April 30, 2025.

https://doi.org/10.3390/sexes6020021 

（需要英文原文的朋友，請聯繫微信：millerdeng95或iacmsp）