創傷後性問題問卷（SPTQ）：開發和心理測量特性

The Sexual Problems Following Trauma Questionnaire (SPTQ): Development and Psychometric Properties

——《性研究雜誌》第62卷，在線發表日期：2025年11月3日——

Volume 62, Published online: November 3, 2025

【摘要】本研究描述了一種用於評估創傷相關性問題的新型診斷工具——創傷後性問題問卷（SPTQ）的開發和心理測量學評價。該問卷包含55個條目，基於全面的文獻回顧以及專家和患者的諮詢而編制。研究人員在一個由849名經歷過創傷的成年人和46名健康對照組組成的德國樣本中測試了這些條目。首先，研究人員在一個隨機抽取的經歷過創傷的成年人子樣本（N=439）中對初始條目進行了探索性因素分析（EFA）。隨後，研究人員在另一個子樣本（N=410）中對最終的27個條目進行了驗證性因素分析（CFA），以交叉驗證其因素結構。EFA結果揭示了六個維度：負面情緒和認知、缺乏界限感、闖入和迴避、分離、過度喚醒以及工具性性行為。驗證性因素分析（CFA）顯示模型擬合度良好至優秀（CFI= .91；TLI= .90；RMSEA= .08；SRMR= .07），且SPTQ總分具有極佳的內部一致性（α= .95）。聚合效度通過與性功能指標的顯著相關性得到支持，而效標效度則顯示與上次性接觸時間及性滿意度存在相關性。總之，結果表明SPTQ是創傷後性問題的可靠有效測量工具。

[Abstract] The present study describes the development and psychometric evaluation of a new diagnostic instrument for the assessment of trauma-related sexual problems: The Sexual Problems following Trauma Questionnaire (SPTQ). A set of 55 items, developed from a comprehensive literature review and expert and patient queries, was tested on a German sample of 849 trauma-exposed adults and 46 healthy controls. The initial items were subjected to an exploratory factor analysis (EFA) in a randomly selected subsample (N = 439) of trauma-exposed adults. A final set of 27 items was subjected to a confirmatory factor analysis (CFA) to cross-validate the factor structure in a separate subsample (N = 410). The EFA revealed six dimensions: Negative Emotions and Cognitions, Lack of Boundaries, Intrusion and Avoidance, Dissociation, Hyperarousal, and Instrumental Sexual Behavior. The CFA demonstrated good to excellent model fit (CFI = .91; TLI = .90; RMSEA = .08; SRMR = .07), and the SPTQ total scale showed excellent internal consistency (α = .95). Convergent validity was supported by significant correlations with sexual function measures, while criterion validity showed correlations with time since last sexual contact and satisfaction. In sum, results indicate that the SPTQ is a reliable and valid measure of sexual problems following trauma.

論文原文：Natalja Vulto, Sarah Biedermann, Melanie Büttner, et al (2025). The Sexual Problems Following Trauma Questionnaire (SPTQ): Development and Psychometric Properties. The Journal of Sex Research, Volume 62, Published online: November 3, 2025.

https://doi.org/10.1080/00224499.2025.2572013

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