针对患有严重精神疾病、智力障碍和自闭症的年轻人的性健康教育
针对患有严重精神疾病、智力障碍和自闭症的年轻人的性健康教育：一项关于eITPoSA心理教育干预的初步研究
Sexual Health Education for Young Adults Diagnosed with Severe Mental Illness, Intellectual Disability, and Autism: A Pilot Study on the eITPoSA Psycho-Educational Intervention
——《性别》2025年第6卷第2期 ——
【摘要】被诊断患有严重精神疾病 (SMI)、智力障碍 (ID) 和自闭症谱系障碍 (ASD) 的年轻人往往在获取性健康教育方面面临着巨大障碍，导致性健康和关系幸福感不佳。性与情感教育干预与培训项目 (eITPoSA) 旨在通过针对他们的认知和情感需求量身定制的结构化心理教育方法来解决这一差距。一项初步研究以12名被诊断患有SMI、ID和ASD的参与者为对象，他们参加了涵盖身体知识、生殖器性行为、隐私和卫生等主题的培训课程。使用结构化监测表格进行干预前后评估，并通过描述性统计、配对样本t检验和Cohen's d分析数据来评估效应大小。结果显示，所有领域均有显著改善，尤其是在身体知识（从31.43%增至86.65%）、生殖器性行为（从15%增至90%）和卫生（从47.27%增至96.36%）方面。这些结果表明，eITPoSA项目有效提升了患有重度智力障碍、智力残疾和自闭症谱系障碍的年轻人的性能力和人际关系能力。未来的研究应侧重于扩大样本量并探索教育成果的长期保留，以进一步验证该项目的有效性。
【关键词】性；年轻人；智力障碍；自闭症；严重精神疾病；性教育；情感；亲密关系
[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
论文原文：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
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