Acceso usuarios
Chung-Ying Lin, Meng-Che Tsai, Mónika Koós, Léna Nagy, Shane W. Kraus, Zsolt Demetrovics, Marc N. Potenza, Rafael Ballester Arnal, Dominik Batthyány, Sophie Bergeron, Joël Billieux, Peer Briken, Georgina Cárdenas López, Joana Carvalho, Jesús Castro-Calvo, Lijun Chen, Giacomo Ciocca, Ornella Corazza, Rita I. Csako, David P. Fernandez, Elaine F. Fernandez, Hironobu Fujiwara, Johannes Fuss, Roman Gabrhelik, Ateret Gewirtz-Meydan, Biljana Gjoneska, Mateusz Gola, Joshua B. Grubbs, Hashim T. Hashim, Md. Saiful Islam, Mustafa Ismail, Martha Jiménez Martínez, Tanja Jurin, Ondrej Kalina, Verena Klein, András Költő, Sang Kyu Lee, Karol Lewczuk, Christine Lochner, Silvia Lucia López Alvarado, Kateřina Lukavská, Percy Mayta Tristán, Ion Milea, Dan J. Miller, Ol'ga Orosová, Gábor Orosz, Fernando P. Ponce, Gonzalo R Quintana Zunino, Gabriel Conrado Quintero Garzola, Jano Ramos Diaz, Kévin Rigaud, Ann Rousseau, Marco De Tubino Scanavino, Marion K. Schulmeyer, Pratap Sharan, Mami Shibata, Sheikh Shoib, Vera Sigre Leirós, Luke Sniewski, Ognen Spasovski, Vesta Steibliene, Dan Stein, Julian Strizek, Aleksandar Štulhofer, Berk C. Ünsal, Marie Pier Vaillancourt-Morel, Marie Claire Van Hout, Beáta Bothe
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.
