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The short version of the Sexual Distress Scale (SDS-3): Measurement invariance across countries, gender identities, and sexual orientations.
Lin, Chung-Ying; Tsai, Meng-Che; Koós, Mónika; Nagy, Léna; Kraus, Shane W; Demetrovics, Zsolt; Potenza, Marc N; Ballester-Arnal, Rafael; Batthyány, Dominik; Bergeron, Sophie; Billieux, Joël; Briken, Peer; Cárdenas-López, Georgina; Carvalho, Joana; Castro-Calvo, Jesús; Chen, Lijun; Ciocca, Giacomo; Corazza, Ornella; Csako, Rita I; Fernandez, David P; Fernandez, Elaine F; Fujiwara, Hironobu; Fuss, Johannes; Gabrhelík, Roman; Gewirtz-Meydan, Ateret; Gjoneska, Biljana; Gola, Mateusz; Grubbs, Joshua B; Hashim, Hashim T; Islam, Md Saiful; Ismail, Mustafa; Jiménez-Martínez, Martha; Jurin, Tanja; Kalina, Ondrej; Klein, Verena; Költo, András; Lee, Sang-Kyu; Lewczuk, Karol; Lochner, Christine; López-Alvarado, Silvia; Lukavská, Katerina; Mayta-Tristán, Percy; Milea, Ion; Miller, Dan J; Orosová, Olga; Orosz, Gábor; Ponce, Fernando P; Quintana, Gonzalo R; Garzola, Gabriel C Quintero; Ramos-Diaz, Jano.
Affiliation
  • Lin CY; Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
  • Tsai MC; Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
  • Koós M; Department of Pediatrics, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
  • Nagy L; Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
  • Kraus SW; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
  • Demetrovics Z; Doctoral School of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
  • Potenza MN; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
  • Ballester-Arnal R; Department of Psychology, University of Nevada, Las Vegas, NV, USA.
  • Batthyány D; Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary.
  • Bergeron S; Centre of Excellence in Responsible Gaming, University of Gibraltar, Gibraltar, United Kingdom.
  • Billieux J; College of Education, Psychology and Social Work, Flinders University, Adelaide, Australia.
  • Briken P; Yale University School of Medicine, New Haven, CT, USA.
  • Cárdenas-López G; Connecticut Council on Problem Gambling, Wethersfield, CT, USA.
  • Carvalho J; Departamento de Psicología Básica, Clínica y Psicobiología, University Jaume I, Castelló, Spain.
  • Castro-Calvo J; Institute for Behavioural Addictions, Sigmund Freud University, Vienna, Austria.
  • Chen L; Département de Psychologie, Université de Montréal, Montréal, Canada.
  • Ciocca G; Centre de recherche interdisciplinaire sur les problèmes conjugaux et les agressions sexuelles, Montréal, Canada.
  • Corazza O; Institute of Psychology, University of Lausanne, Lausanne, Switzerland.
  • Csako RI; Center for Excessive Gambling, Addiction Medicine, Lausanne University Hospitals (CHUV), Lausanne, Switzerland.
  • Fernandez DP; Institute for Sex Research, Sexual Medicine & Forensic Psychiatry, University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.
  • Fernandez EF; Virtual Teaching and Cyberpsychology Laboratory, School of Psychology, National Autonomous University of Mexico, Mexico, Mexico.
  • Fujiwara H; William James Center for Research, Department of Education and Psychology, University of Aveiro, Aveiro, Portugal.
  • Fuss J; Department of Personality, Assessment, and Psychological Treatments, University of Valencia, Valencia, Spain.
  • Gabrhelík R; Department of Psychology, College of Humanity and Social Science, Fuzhou University, Fuzhou, Fujian province, China.
  • Gewirtz-Meydan A; Section of Sexual Psychopathology, Department of Dynamic and Clinical Psychology, and Health Studies, Sapienza University of Rome, Rome, Italy.
  • Gjoneska B; Department of Clinical, Pharmaceutical and Biological Sciences, University of Hertfordshire, Hertfordshire, United Kingdom.
  • Gola M; Department of Psychology and Cognitive Science, University of Trento, Trento, Italy.
  • Grubbs JB; Department of Psychology and Neuroscience, Auckland University of Technology, Auckland, New Zealand.
  • Hashim HT; Department of Psychology, Nottingham Trent University, Nottingham, United Kingdom.
  • Islam MS; HELP University, Kuala Lumpur, Malaysia.
  • Ismail M; Department of Neuropsychiatry, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
  • Jiménez-Martínez M; Decentralized Big Data Team, RIKEN Center for Advanced Intelligence Project, Tokyo, Japan.
  • Jurin T; Institute of Forensic Psychiatry and Sex Research, Center for Translational Neuro- and Behavioral Sciences, University of Duisburg-Essen, Essen, Germany.
  • Kalina O; Department of Addictology, First Faculty of Medicine, Charles University, Prague, Czech Republic.
  • Klein V; Department of Addictology, General University Hospital in Prague, Prague, Czech Republic.
  • Költo A; School of Social Work, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.
  • Lee SK; Macedonian Academy of Sciences and Arts, Skopje, Republic of North Macedonia.
  • Lewczuk K; Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland.
  • Lochner C; Institute for Neural Computations, University of California San Diego, CA, USA.
  • López-Alvarado S; Center on Alcohol, Substance use, and Addictions, University of New Mexico, Albuquerque, New Mexico, United States.
  • Lukavská K; University of Baghdad, College of Medicine, Baghdad, Iraq.
  • Mayta-Tristán P; Department of Public Health and Informatics, Jahangirnagar University, Savar, Dhaka, Bangladesh.
  • Milea I; Centre for Advanced Research Excellence in Public Health, Savar, Dhaka, Bangladesh.
  • Miller DJ; University of Baghdad, College of Medicine, Baghdad, Iraq.
  • Orosová O; Universidad Pedagógica y Tecnológica de Colombia, Colombia.
  • Orosz G; Department of Psychology, Faculty of Humanities and Social Sciences, University of Zagreb, Zagreb, Croatia.
  • Ponce FP; School of Psychology, University of Southampton, Southampton, United Kingdom.
  • Quintana GR; Health Promotion Research Centre, University of Galway, Galway, Ireland.
  • Garzola GCQ; Department of Psychiatry, College of Medicine, Hallym University, Chuncheon, Republic of Korea.
  • Ramos-Diaz J; Chuncheon Addiction Management Center, Republic of Korea.
Int J Clin Health Psychol ; 24(2): 100461, 2024.
Article in En | MEDLINE | ID: mdl-38706570
ABSTRACT

Background:

The three-item Sexual Distress Scale (SDS-3) has been frequently used to assess distress related to sexuality in public health surveys and research on sexual wellbeing. However, its psychometric properties and measurement invariance across cultural, gender and sexual subgroups have not yet been examined. This multinational study aimed to validate the SDS-3 and test its psychometric properties, including measurement invariance across language, country, gender identity, and sexual orientation groups.

Methods:

We used global survey data from 82,243 individuals (Mean age=32.39 years; 40.3 % men, 57.0 % women, 2.8 % non-binary, and 0.6 % other genders) participating in the International Sexual Survey (ISS; https//internationalsexsurvey.org/) across 42 countries and 26 languages. Participants completed the SDS-3, as well as questions regarding sociodemographic characteristics, including gender identity and sexual orientation.

Results:

Confirmatory factor analysis (CFA) supported a unidimensional factor structure for the SDS-3, and multi-group CFA (MGCFA) suggested that this factor structure was invariant across countries, languages, gender identities, and sexual orientations. Cronbach's α for the unidimensional score was 0.83 (range between 0.76 and 0.89), and McDonald's ω was 0.84 (range between 0.76 and 0.90). Participants who did not experience sexual problems had significantly lower SDS-3 total scores (M = 2.99; SD=2.54) compared to those who reported sexual problems (M = 5.60; SD=3.00), with a large effect size (Cohen's d = 1.01 [95 % CI=-1.03, -0.98]; p < 0.001).

Conclusion:

The SDS-3 has a unidimensional factor structure and appears to be valid and reliable for measuring sexual distress among individuals from different countries, gender identities, and sexual orientations.
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Int J Clin Health Psychol Year: 2024 Document type: Article Affiliation country: Country of publication:

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: Int J Clin Health Psychol Year: 2024 Document type: Article Affiliation country: Country of publication: