TY - JOUR
T1 - The short version of the Sexual Distress Scale (SDS-3)
T2 - Measurement invariance across countries, gender identities, and sexual orientations
AU - Sungkyunkwan University's research team
AU - Lin, Chung Ying
AU - Tsai, Meng Che
AU - Koós, Mónika
AU - Nagy, Léna
AU - Kraus, Shane W.
AU - Demetrovics, Zsolt
AU - Potenza, Marc N.
AU - Ballester-Arnal, Rafael
AU - Batthyány, Dominik
AU - Bergeron, Sophie
AU - Billieux, Joël
AU - Briken, Peer
AU - Cárdenas-López, Georgina
AU - Carvalho, Joana
AU - Castro-Calvo, Jesús
AU - Chen, Lijun
AU - Ciocca, Giacomo
AU - Corazza, Ornella
AU - Csako, Rita I.
AU - Fernandez, David P.
AU - Fernandez, Elaine F.
AU - Fujiwara, Hironobu
AU - Fuss, Johannes
AU - Gabrhelík, Roman
AU - Gewirtz-Meydan, Ateret
AU - Gjoneska, Biljana
AU - Gola, Mateusz
AU - Grubbs, Joshua B.
AU - Hashim, Hashim T.
AU - Islam, Md Saiful
AU - Ismail, Mustafa
AU - Jiménez-Martínez, Martha
AU - Jurin, Tanja
AU - Kalina, Ondrej
AU - Klein, Verena
AU - Költő, András
AU - Lee, Sang Kyu
AU - Lewczuk, Karol
AU - Lochner, Christine
AU - López-Alvarado, Silvia
AU - Lukavská, Kateřina
AU - Mayta-Tristán, Percy
AU - Milea, Ion
AU - Miller, Dan J.
AU - Orosová, Oľga
AU - Orosz, Gábor
AU - Ponce, Fernando P.
AU - Quintana, Gonzalo R.
AU - Garzola, Gabriel C.Quintero
AU - Ramos-Diaz, Jano
N1 - Publisher Copyright:
© 2024 The Author(s)
PY - 2024/4/1
Y1 - 2024/4/1
N2 - 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.
AB - 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.
KW - Confirmatory factor analysis (CFA)
KW - International sex survey
KW - Psychometric analysis
KW - Sexual distress
UR - https://www.scopus.com/pages/publications/85191437044
U2 - 10.1016/j.ijchp.2024.100461
DO - 10.1016/j.ijchp.2024.100461
M3 - Article
AN - SCOPUS:85191437044
SN - 1697-2600
VL - 24
JO - International Journal of Clinical and Health Psychology
JF - International Journal of Clinical and Health Psychology
IS - 2
M1 - 100461
ER -
ODS 3: Salud y bienestar