创伤后性问题问卷（SPTQ）：开发和心理测量特性
创伤后性问题问卷（SPTQ）：开发和心理测量特性
The Sexual Problems Following Trauma Questionnaire (SPTQ): Development and Psychometric Properties
——《性研究杂志》第62卷，在线发表日期：2025年11月3日——
【摘要】本研究描述了一种用于评估创伤相关性问题的新型诊断工具——创伤后性问题问卷（SPTQ）的开发和心理测量学评价。该问卷包含55个条目，基于全面的文献回顾以及专家和患者的咨询而编制。研究人员在一个由849名经历过创伤的成年人和46名健康对照组组成的德国样本中测试了这些条目。首先，研究人员在一个随机抽取的经历过创伤的成年人子样本（N=439）中对初始条目进行了探索性因素分析（EFA）。随后，研究人员在另一个子样本（N=410）中对最终的27个条目进行了验证性因素分析（CFA），以交叉验证其因素结构。EFA结果揭示了六个维度：负面情绪和认知、缺乏界限感、闯入和回避、分离、过度唤醒以及工具性性行为。验证性因素分析（CFA）显示模型拟合度良好至优秀（CFI= .91；TLI= .90；RMSEA= .08；SRMR= .07），且SPTQ总分具有极佳的内部一致性（α= .95）。聚合效度通过与性功能指标的显著相关性得到支持，而效标效度则显示与上次性接触时间及性满意度存在相关性。总之，结果表明SPTQ是创伤后性问题的可靠有效测量工具。
[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.
论文原文：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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