如何测自己的性欲强弱？

Photo credit: Dainis Graveris on SexualAlpha

自从我们一三心理诊所的性科普频道【一三蜜桃说】开播以来，收到很多后台问题，关于自己的性欲是否过高，是否有性瘾，该怎么办。

这里，有一个性学界常用的性欲自测量表简版，仅供大家参考。

问卷介绍：

In this questionnaire you will find statements about how you might react to various sexual situations, activities, or behaviors. Obviously, how you react will often depend on the circumstances, but we are interested in what would be the most likely reaction for you. Please read each statement carefully and decide how you would be most likely to react. Then circle the number that corresponds with your answer. Please try to respond to every statement. Sometimes you may feel that none of the responses seems completely accurate. Sometimes you may read a statement that you feel is ‘not applicable’. In these cases, please circle the response you would choose if it were applicable to you. In many statements you will find words describing reactions such as ‘sexually aroused’, or sometimes just ‘aroused’. With these words we mean to describe ‘feelings of sexual excitement’, feeling ‘sexually stimulated’, ‘horny’, ‘hot’, or ‘turned on’. Don’t think too long before answering. Please give your first reaction. Try to not skip any questions. Try to be as honest as possible.

每道题目，从1-4分中选出一个合适自己的分数：

1 = strongly disagree

2 = disagree

3 = agree

4 = strongly agree

1. When a sexually attractive stranger accidentally touches me, I easily become aroused.

2. If I am having sex in a secluded, outdoor place and I think that someone is nearby, I am not likely to get very aroused.

3. When I talk to someone on the telephone who has a sexy voice, I become sexually aroused.

4. I cannot get aroused unless I focus exclusively on sexual stimulation.

5. If I am masturbating on my own and I realize that someone is likely to come into the room at any moment, I will lose my erection/my sexual arousal .

6. If I realize there is a risk of catching a sexually transmitted disease, I am unlikely to stay sexually aroused.

7. If I can be seen by others while having sex, I am unlikely to stay sexually aroused.

8. When I think of a very attractive person, I easily become sexually aroused.

9. Once I have an erection, I want to start intercourse right away before I lose my erection/Once I am sexually aroused, I want to start intercourse right away before I lose my arousal.

10. When I start fantasizing about sex, I quickly become sexually aroused.

11. When I see others engaged in sexual activities, I feel like having sex myself.

12. When I have a distracting thought, I easily lose my erection/my arousal.

13. If I am distracted by hearing music, television, or a conversation, I am unlikely to stay aroused.

14. When an attractive person flirts with me, I easily become sexually aroused.

这个问卷的计分有两个维度：

SES = 性的兴奋度（“油门”），把第1，3，8，10，11，14题分数相加

SIS 1 = 性的抑制度（“刹车”），尤其是对于是否能在性方面取悦伴侣的担忧度，把第4，9，12，13题分数相加

SIS 2= 性的抑制度（“刹车”），尤其是对于得性病或者被别人看到等的担忧度，把第2，5，6，7题分数相加

分数没有统一解释，可以参考2000多名美国大学生2019年的研究数据平均分：

男生的SES：17.1

男生的SIS 1: 8.2

男生的SIS 2: 10.5

女生的SES：15

女生的SIS 1: 8.7

女生的SIS 2: 12

问卷数据来自这篇研究文献：

Janssen, E., Carpenter, D., Graham, C., Vorst, H., & Wicherts, J. (2019). The Sexual Inhibition/Sexual Excitation Scales—Short Form. Handbook of Sexuality-Related Measures, 77.

关于性瘾的临床诊断标准，DSM5临床诊断手册没有将这个纳入诊断范畴。医学的ICD11标准里有相关的内容：

Compulsive Sexual Behavior Disorder – ICD-11

characterized by a persistent pattern of failure to control intense, repetitive sexual impulses or urges resulting in repetitive sexual behaviour. Symptoms may include repetitive sexual activities becoming a central focus of the person’s life to the point of neglecting health and personal care or other interests, activities and responsibilities; numerous unsuccessful efforts to significantly reduce repetitive sexual behaviour; and continued repetitive sexual behaviour despite adverse consequences or deriving little or no satisfaction from it. The pattern of failure to control intense, sexual impulses or urges and resulting repetitive sexual behaviour is manifested over an extended period of time (e.g., 6 months or more), and causes marked distress or significant impairment in personal, family, social, educational, occupational, or other important areas of functioning. Distress that is entirely related to moral judgments and disapproval about sexual impulses, urges, or behaviours is not sufficient to meet this requirement.
Exclusion: Paraphilic disorders (6D30-6D3Z)

如果担心性瘾问题，请找到有执照的Sex Therapist进行诊断和治疗。我参加性学习研讨会的时候，这是主讲人推荐的两本书: