數字化接觸干預對未來德國心理治療師針對戀童/戀少年症者的污名化態度及治療意願的影響

Effects of a Digital Contact Intervention on Stigmatizing Attitudes and Willingness to Treat Towards People with Pedohebephilia in Future German Psychotherapists

——《國際性健康雜誌》第38卷第1期，2026年3月——

<International Journal of Sexual Health>, Volume 38, Issue 1, March 2026

【摘要】目的：心理治療師對戀童/戀少年症者（PWP）持有的污名化態度，可能會阻礙PWP尋求心理治療。這導致了針對性犯罪者開展兒童性侵犯預防工作的機會流失。本研究通過三個子研究，開發並評估了一項專門針對未來心理治療師的“想象接觸”式污名消除干預措施。我們檢驗了該干預措施是否能在實施後即刻以及在六個月的隨訪期後，有效降低污名化態度並提升治療PWP的意願。此外，我們還探討了補充關於PWP心理治療的專業知識，是否能增強幹預措施的成效。方法：本研究開發了一項數字化“想象接觸”干預措施，並通過一項隨機對照試驗對其進行了測試。受試者包括266名德國心理學專業學生，他們均立志成為心理治療師或正處於相關的專業培訓階段。其中一個干預組接受了關於PWP心理治療的額外專業知識補充。研究分別在干預措施實施後即刻及六個月的隨訪期末，對受試者對PWP的污名化態度及治療意願進行了評估。結果：干預措施實施後，受試者對PWP的污名化態度顯著降低，且其降低幅度較對照組更為顯著。在六個月的隨訪期末，這種顯著的差異效應在構成污名化態度的四個分量表中，仍有兩個分量表保持顯著。在消除污名方面，補充了PWP心理治療專業知識的增強版干預措施，並未顯示出優於基礎版干預措施的成效。在干預措施實施後，干預組與對照組受試者治療PWP的意願均顯著提升；但在提升治療意願方面，干預組並未表現出優於對照組的優勢。在六個月的隨訪期末，受試者在治療意願方面已不再顯示出相對於基線水平的提升。結論：通過對“想象接觸”干預措施的開發與評估，本研究證實了該干預措施能夠有效降低未來心理治療師對PWP的污名化態度，且這種成效不僅體現在短期內，更首次證實了其在干預措施實施六個月後的長期維持效應。與此同時，研究結果也突顯了在改變諸如“治療意願”這類行為層面的指標時所面臨的挑戰。

【關鍵詞】戀童症，戀少年症，污名，預防

[Abstract] Objectives: Stigmatizing attitudes toward people with pedohebephilia (PWP) among psychotherapists can hinder PWP’s access to psychotherapy. This results in lost opportunities for offender-related prevention of child sexual offending. This study developed and evaluated an imagined contact stigma reduction intervention tailored to future psychotherapists through three sub-studies. We tested whether stigmatizing attitudes could be reduced and whether willingness to treat PWP could be increased immediately after the intervention and after a six-month follow-up. We also explored whether additional knowledge about PWP psychotherapy increased the effects of the intervention. Methods: A digital imagined contact intervention was developed and tested in a randomized controlled trial including N = 266 German psychology students aiming to become psychotherapists or were training as such. An additional intervention group received additional knowledge about psychotherapy for PWP. Stigmatizing attitudes and willingness to treat PWP were assessed directly after the intervention and at the 6-month follow-up. Results: Stigmatizing attitudes toward PWP were significantly reduced after the intervention, with greater reductions than in the control group. After six months, this interaction remained significant on two of the four subscales for stigmatizing attitudes. No superiority of the intervention supplemented with knowledge about PWP psychotherapy over the basic intervention was found in terms of stigma reduction. Willingness to treat PWP was significantly increased in both the intervention groups and the control group at post. The intervention groups were not superior to the control group. After six months, no improvement in willingness to treat compared to was found anymore. Conclusions: With the development and evaluation of an imagined contact intervention, we demonstrated the short-term and, for the first time, the long-term reduction of future psychotherapists’ stigmatizing attitudes toward PWP six months after the intervention. At the same time, the challenges of influencing behavioral measures such as willingness to treat PWP were highlighted.

[Key words] Pedophilia, hebephilia, stigma, prevention

論文原文：Sophie H. Lux, Christoph P. Schwarzbach, Tom Dippmann, Julia Singer & Stephan Mühlig (2026). Effects of a Digital Contact Intervention on Stigmatizing Attitudes and Willingness to Treat Towards People with Pedohebephilia in Future German Psychotherapists. International Journal of Sexual Health, Volume 38, Issue 1, Pages 221-238. March 2026.

https://doi.org/10.1080/19317611.2025.2573688

（翻譯兼責任編輯：MARY）

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