Matson J L, Russell D
Department of Psychology, Louisiana State University, Baton Rouge 70803.
Res Dev Disabil. 1994 Sep-Oct;15(5):355-69. doi: 10.1016/0891-4222(94)90022-1.
Little research or attention has been focused on identifying sexual problems or difficulties that people with mental retardation commonly experience. Scale development represents an important area for study to help identify these problems and to evaluate treatment outcome. To address this need, the Psychopathology Instrument for Mentally Retarded Adults-Sexuality Scale (PIMRA-S) was designed to assess psychosexual disorders in mild and moderate mentally retarded persons. Eighty-six mild and moderately mentally retarded adults, ages 20 to 60, were studied using the PIMRA-S. Scale development of this type was considered important because little has been done to assess sexual problems among mentally retarded persons. Fifty-eight items were developed based on evaluations of the research literature and interviews of experienced professionals. A preliminary assessment of reliability was conducted. The psychometric characteristics of these preliminary analyses were favorable. In addition, information was reported on the rate of sexually aberrant behavior exhibited by people identified with mild and moderate mental retardation. Differences in the rate of sexually aberrant behavior were addressed as a function of living and work placement, positive history of sexual abuse, need for treatment of sexual problems, and psychiatric diagnosis. Implications of these results for further scale development are discussed.
很少有研究或关注聚焦于识别智力障碍者普遍经历的性问题或困难。量表开发是一个重要的研究领域，有助于识别这些问题并评估治疗效果。为满足这一需求，设计了《成人智力障碍者精神病理学量表-性量表》（PIMRA-S）来评估轻度和中度智力障碍者的性心理障碍。使用PIMRA-S对86名年龄在20至60岁之间的轻度和中度智力障碍成年人进行了研究。这种类型的量表开发被认为很重要，因为在评估智力障碍者的性问题方面几乎没有做什么工作。基于对研究文献的评估和对经验丰富的专业人员的访谈，开发了58个项目。进行了可靠性的初步评估。这些初步分析的心理测量特征是良好的。此外，还报告了被认定为轻度和中度智力障碍者表现出的性异常行为发生率。性异常行为发生率的差异作为生活和工作安置、性虐待阳性史、性问题治疗需求以及精神诊断的函数进行了探讨。讨论了这些结果对进一步量表开发的意义。
