The Sexual Addiction Screening Test (SAST)
Author, Patrick Carnes, 1989. First published in Contrary to Love, 1989
Answer yes or no to the following questions.
- Were you sexually abused as a child or adolescent?
- Have you subscribed or regularly purchased sexually explicit magazines like Playboy or Penthouse?
- Did you parents have trouble with sexual behavior?
- Do you often find yourself preoccupied with sexual thoughts?
- Do you feel that your sexual behavior is not normal?
- Does your spouse or significant others ever worry or complain about your sexual behavior?
- Do you have trouble stopping your sexual behavior when you know it is inappropriate?
- Do you ever feel bad about your sexual behavior?
- Has your sexual behavior ever created problems for you or your family?
- Have you ever sought help for sexual behavior you did you like?
- Have you ever worried about people finding out about your sexual activities?
- Has anyone been hurt emotionally because of your sexual behavior?
- Are any of your sexual activities against the law?
- Have you made promises to yourself to quit some aspect of your sexual behavior?
- Have you made efforts to quit a type of sexual activity and failed?
- Do you have to hide some of your sexual behavior from others?
- Have you attempted to stop some parts of your sexual activity?
- Have you ever felt degraded by your sexual behavior?
- Has sex been a way for you to escape your problems?
- When you have sex, do you feel depressed afterwards?
- Have you felt the need to discontinue a certain form of sexual activity?
- Has your sexual activity interfered with your family life?
- Have you been sexual with minors?
- Do you feel controlled by your sexual desire?
- Do you ever think your sexual desire is stronger than you are?
|SAST Score Range||Nonaddict||Addict|
Some caveats are noted by the author. They are:
- No relationship exists between the SAST and specific types of behavior. The focus of the instrument is the addictive system and not specific levels of behavior (and instrument does not measure“dangerous-ness” of behavior.
- Great care should be taken with homosexual clients- or any client whose behavior would have heavy cultural sanctions–because these people may have experienced feelings of secrecy and shame, but not be addicts.
- The SAST does not address the need of women. Female addicts did take the SAST, but with very poor reliability results.