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The short version of the Sexual Distress Scale (SDS-3): measurement invariance across countries, gender identities, and sexual orientations

  • Chung-Ying Lin [1] ; Meng-Che Tsai [1] ; Mónika Koós [2] ; Léna Nagy [2] ; Shane W. Kraus [44] ; Zsolt Demetrovics [2] ; Marc N. Potenza [3] ; Rafael Ballester-Arnal [4] ; Dominik Batthyány [45] ; Sophie Bergeron [5] ; Joël Billieux [6] ; Peer Briken [46] ; Georgina Cárdenas-López [7] ; Joana Carvalho [8] ; Jesús Castro-Calvo [9] ; Lijun Chen [10] ; Giacomo Ciocca [11] ; Ornella Corazza [12] ; Rita I. Csako [13] ; David P. Fernandez [14] ; Elaine F. Fernandez [15] ; Hironobu Fujiwara [16] ; Johannes Fuss [17] ; Roman Gabrhelík [18] ; Ateret Gewirtz-Meydan [19] ; Biljana Gjoneska [20] ; Mateusz Gola [47] ; Joshua B. Grubbs [21] ; Hashim T. Hashim [22] ; Md. Saiful Islam [23] ; Mustafa Ismail [22] ; Martha Jiménez-Martínez [24] ; Tanja Jurin [25] ; Ondrej Kalina [48] ; Verena Klein [26] ; András Költő [49] ; Sang-Kyu Lee [27] ; Karol Lewczuk [50] ; Christine Lochner [28] ; Silvia López-Alvarado [29] ; Kateřina Lukavská [18] ; Percy Mayta-Tristán [30] ; Ion Milea [31] ; Dan J. Miller [32] ; Oľga Orosová [48] ; Gábor Orosz [51] ; Fernando P. Ponce [33] ; Gonzalo R. Quintana [34] ; Gabriel C. Quintero Garzola [52] ; Jano Ramos-Diaz [35] ; Kévin Rigaud [51] ; Ann Rousseau [36] ; Marco De Tubino Scanavino [37] ; Marion K. Schulmeyer [38] ; Pratap Sharan [53] ; Mami Shibata [16] ; Sheikh Shoib [39] ; Vera Sigre-Leirós [6] ; Luke Sniewski [13] ; Ognen Spasovski [54] ; Vesta Steibliene [40] ; Dan J. Stein [41] ; Julian Strizek [55] ; Aleksandar Štulhofer [25] ; Berk C. Ünsal [2] ; Marie-Pier Vaillancourt-Morel [42] ; Marie Claire Van Hout [43] ; Beáta Bőthe [5]
    1. [1] National Cheng Kung University

      National Cheng Kung University

      Taiwán

    2. [2] Eötvös Loránd University

      Eötvös Loránd University

      Hungría

    3. [3] Yale University

      Yale University

      Town of New Haven, Estados Unidos

    4. [4] Universitat Jaume I

      Universitat Jaume I

      Castellón, España

    5. [5] University of Montreal

      University of Montreal

      Canadá

    6. [6] University of Lausanne

      University of Lausanne

      Lausana, Suiza

    7. [7] Universidad Nacional Autónoma de México

      Universidad Nacional Autónoma de México

      México

    8. [8] Universidade de Aveiro

      Universidade de Aveiro

      Vera Cruz, Portugal

    9. [9] Universitat de València

      Universitat de València

      Valencia, España

    10. [10] Fuzhou University

      Fuzhou University

      China

    11. [11] Università de Roma La Sapienza

      Università de Roma La Sapienza

      Roma Capitale, Italia

    12. [12] University of Hertfordshire

      University of Hertfordshire

      Welwyn Hatfield, Reino Unido

    13. [13] Auckland University of Technology

      Auckland University of Technology

      Nueva Zelanda

    14. [14] Nottingham Trent University

      Nottingham Trent University

      Reino Unido

    15. [15] HELP University

      HELP University

      Malasia

    16. [16] Kyoto University

      Kyoto University

      Kamigyō-ku, Japón

    17. [17] University of Duisburg-Essen

      University of Duisburg-Essen

      Kreisfreie Stadt Essen, Alemania

    18. [18] Charles University in Prague

      Charles University in Prague

      Chequia

    19. [19] University of Haifa

      University of Haifa

      Israel

    20. [20] Macedonian Academy of Sciences and Arts

      Macedonian Academy of Sciences and Arts

      Macedonia

    21. [21] University of New Mexico

      University of New Mexico

      Estados Unidos

    22. [22] University of Baghdad

      University of Baghdad

      Irak

    23. [23] Jahangirnagar University

      Jahangirnagar University

      DCC (Kotwali), Bangladés

    24. [24] Universidad Pedagógica y Tecnológica de Colombia

      Universidad Pedagógica y Tecnológica de Colombia

      Colombia

    25. [25] University of Zagreb

      University of Zagreb

      Croacia

    26. [26] University of Southampton

      University of Southampton

      GB.ENG.M4.24UJ, Reino Unido

    27. [27] Hallym University

      Hallym University

      Corea del Sur

    28. [28] Stellenbosch University

      Stellenbosch University

      Stellenbosch, Sudáfrica

    29. [29] Universidad de Cuenca

      Universidad de Cuenca

      Cuenca, Ecuador

    30. [30] Universidad Científica del Sur

      Universidad Científica del Sur

      Perú

    31. [31] Babeș-Bolyai University

      Babeș-Bolyai University

      Rumanía

    32. [32] James Cook University

      James Cook University

      Australia

    33. [33] Universidad de Talca

      Universidad de Talca

      Provincia de Talca, Chile

    34. [34] Universidad de Tarapacá

      Universidad de Tarapacá

      Arica, Chile

    35. [35] Universidad Privada del Norte

      Universidad Privada del Norte

      Provincia de Trujillo, Perú

    36. [36] KU Leuven

      KU Leuven

      Arrondissement Leuven, Bélgica

    37. [37] Universidade de São Paulo

      Universidade de São Paulo

      Brasil

    38. [38] Universidad Privada de Santa Cruz de la Sierra

      Universidad Privada de Santa Cruz de la Sierra

      Bolivia

    39. [39] Sharda University

      Sharda University

      IN.36.141.7279602, India

    40. [40] Lithuanian University of Health Sciences

      Lithuanian University of Health Sciences

      Lituania

    41. [41] University of Cape Town

      University of Cape Town

      City of Cape Town, Sudáfrica

    42. [42] Université du Québec à Trois-Rivières

      Université du Québec à Trois-Rivières

      CA.10.04.37067, Canadá

    43. [43] Liverpool John Moores University

      Liverpool John Moores University

      Reino Unido

    44. [44] University of Nevada, Las Vegas, NV, USA
    45. [45] Institute for Behavioural Addictions, Sigmund Freud University, Vienna, Austria
    46. [46] University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany
    47. [47] Institute of Psychology, Polish Academy of Sciences, Warsaw, Poland
    48. [48] Pavol Jozef Safarik University in Kosice, Kosice, Slovakia
    49. [49] University of Galway, Galway, Ireland
    50. [50] Cardinal Stefan Wyszynski University, Warsaw, Poland
    51. [51] Universidad de Artois, Arras, Francia
    52. [52] Florida State University, Panama
    53. [53] All India Institute of Medical Sciences, New Delhi, India
    54. [54] University of Ss. Cyril and Methodius in Trnava, Trnava, Slovakia
    55. [55] Austrian Public Health Institute, Vienna, Austria
  • Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 24, Nº. 2, 2024, págs. 201-210
  • Idioma: inglés
  • Enlaces
  • Resumen
    • 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.


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