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1. Cross-cultural Validation of the Arizona Sexual Experience Scale (ASEX) in 42 Countries and 26 Languages

Author

Ballester-Arnal, Rafael, Elipe-Miravet, Marcel, Castro-Calvo, Jesús, Beltrán-Martínez, Patricia, Nagy, Léna, Koós, Mónika, Kraus, Shane W., Demetrovics, Zsolt, Potenza, Marc N., Batthyány, Dominik, Bergeron, Sophie, Billieux, Joël, Briken, Peer, Burkauskas, Julius, Cárdenas-López, Georgina, Carvalho, Joana, Chen, Ji-Kang, 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 C., Jurin, Tanja, Kalina, Ondrej, Klein, Verena, Költő, András, Lee, Sang-Kyu, Lewczuk, Karol, Lin, Chung-Ying, Lochner, Christine, López-Alvarado, Silvia, Lukavská, Kateřina, Mayta-Tristán, Percy, Miller, Dan J., Orosová, Oľga, Orosz, Gábor, Ponce, Fernando P., Quintana, Gonzalo R., Garzola, Gabriel C. Quintero, Ramos-Diaz, Jano, Rigaud, Kévin, Rousseau, Ann, De Tubino Scanavino, Marco, Schulmeyer, Marion K., Sharan, Pratap, Shibata, Mami, Shoib, Sheikh, Sigre-Leirós, Vera, Sniewski, Luke, Spasovski, Ognen, Steibliene, Vesta, Stein, Dan J., Ünsal, Berk C., Vaillancourt-Morel, Marie-Pier, Van Hout, Marie Claire, and Bőthe, Beáta

Published
2024
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4. The short version of the Sexual Distress Scale (SDS-3): Measurement invariance across countries, gender identities, and sexual orientations.

Author

Grubbs, Joshua, Hashim, Hashim, Islam, Md, Ismail, Mustafa, Jiménez-Martínez, Martha, Jurin, Tanja, Kalina, Ondrej, Klein, Verena, Költő, András, Lee, Sang-Kyu, Lewczuk, Karol, Lochner, Christine, López-Alvarado, Silvia, Lukavská, Kateřina, Mayta-Tristán, Percy, Milea, Ion, Miller, Dan, Orosová, Oľga, Orosz, Gábor, Ponce, Fernando, Quintana, Gonzalo, Garzola, Gabriel, Ramos-Diaz, Jano, Rigaud, Kévin, Rousseau, Ann, Scanavino, Marco, Schulmeyer, Marion, Sharan, Pratap, Shibata, Mami, Shoib, Sheikh, Sigre-Leirós, Vera, Sniewski, Luke, Spasovski, Ognen, Steibliene, Vesta, Stein, Dan, Strizek, Julian, Štulhofer, Aleksandar, Ünsal, Berk, Vaillancourt-Morel, Marie-Pier, Van Hout, Marie, Bőthe, Beáta, Lin, Chung-Ying, Tsai, Meng-Che, Koós, Mónika, Nagy, Léna, Kraus, Shane, Demetrovics, Zsolt, Potenza, Marc, 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, Fernandez, David, Fernandez, Elaine, Fujiwara, Hironobu, Fuss, Johannes, Gabrhelík, Roman, Gewirtz-Meydan, Ateret, Gjoneska, Biljana, and Gola, Mateusz

Subjects
Confirmatory factor analysis (CFA), International sex survey, Psychometric analysis, Sexual distress
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. Cronbachs α for the unidimensional score was 0.83 (range between 0.76 and 0.89), and McDonalds 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 (Cohens 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.

Published
2024

5. Compulsive sexual behavior disorder in 42 countries: Insights from the International Sex Survey and introduction of standardized assessment tools.

Author

Bőthe, Beáta, Koós, Mónika, Nagy, Léna, Kraus, Shane, Demetrovics, Zsolt, Potenza, Marc, Michaud, Aurélie, Ballester-Arnal, Rafael, Batthyány, Dominik, Bergeron, Sophie, Billieux, Joël, Briken, Peer, Burkauskas, Julius, Cárdenas-López, Georgina, Carvalho, Joana, Castro-Calvo, Jesús, Chen, Lijun, Ciocca, Giacomo, Corazza, Ornella, Csako, Rita, Fernandez, David, Fernandez, Elaine, Fournier, Loïs, Fujiwara, Hironobu, Fuss, Johannes, Gabrhelík, Roman, Gewirtz-Meydan, Ateret, Gjoneska, Biljana, Gola, Mateusz, Grubbs, Joshua, Hashim, Hashim, Islam, Md, Ismail, Mustafa, Jiménez-Martínez, Martha, Jurin, Tanja, Kalina, Ondrej, Klein, Verena, Költő, András, Lee, Chih-Ting, Lee, Sang-Kyu, Lewczuk, Karol, Lin, Chung-Ying, Lochner, Christine, López-Alvarado, Silvia, Lukavská, Kateřina, Mayta-Tristán, Percy, Milea, Ionut, Miller, Dan, Orosová, Oľga, Orosz, Gábor, Ponce, Fernando, Quintana, Gonzalo, Quintero Garzola, Gabriel, Ramos-Diaz, Jano, Rigaud, Kévin, Rousseau, Ann, De Tubino Scanavino, Marco, Schulmeyer, Marion, Sharan, Pratap, Shibata, Mami, Shoib, Sheikh, Sigre Leirós, Vera, Sniewski, Luke, Spasovski, Ognen, Steibliene, Vesta, Stein, Dan, Strizek, Julian, Štulhofer, Aleksandar, Ünsal, Berk, and Vaillancourt-Morel, Marie-Pier

Subjects
International Sex Survey (ISS), addictive behavior, assessment, compulsive sexual behavior, cross-cultural, validation, Humans, Female, Male, Reproducibility of Results, Sexual Behavior, Sexual Dysfunctions, Psychological, Paraphilic Disorders, Compulsive Behavior
Abstract

BACKGROUND AND AIMS: Despite its inclusion in the 11th revision of the International Classification of Diseases, there is a virtual paucity of high-quality scientific evidence about compulsive sexual behavior disorder (CSBD), especially in underrepresented and underserved populations. Therefore, we comprehensively examined CSBD across 42 countries, genders, and sexual orientations, and validated the original (CSBD-19) and short (CSBD-7) versions of the Compulsive Sexual Behavior Disorder Scale to provide standardized, state-of-the-art screening tools for research and clinical practice. METHOD: Using data from the International Sex Survey (N = 82,243; Mage = 32.39 years, SD = 12.52), we evaluated the psychometric properties of the CSBD-19 and CSBD-7 and compared CSBD across 42 countries, three genders, eight sexual orientations, and individuals with low vs. high risk of experiencing CSBD. RESULTS: A total of 4.8% of the participants were at high risk of experiencing CSBD. Country- and gender-based differences were observed, while no sexual-orientation-based differences were present in CSBD levels. Only 14% of individuals with CSBD have ever sought treatment for this disorder, with an additional 33% not having sought treatment because of various reasons. Both versions of the scale demonstrated excellent validity and reliability. DISCUSSION AND CONCLUSIONS: This study contributes to a better understanding of CSBD in underrepresented and underserved populations and facilitates its identification in diverse populations by providing freely accessible ICD-11-based screening tools in 26 languages. The findings may also serve as a crucial building block to stimulate research into evidence-based, culturally sensitive prevention and intervention strategies for CSBD that are currently missing from the literature.

Published
2023

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

Author

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, Költő, András, Lee, Sang-Kyu, Lewczuk, Karol, Lochner, Christine, López-Alvarado, Silvia, Lukavská, Kateřina, Mayta-Tristán, Percy, Milea, Ion, Miller, Dan J., Orosová, Oľga, Orosz, Gábor, Ponce, Fernando P., Quintana, Gonzalo R., Garzola, Gabriel C. Quintero, Ramos-Diaz, Jano, Rigaud, Kévin, Rousseau, Ann, Scanavino, Marco De Tubino, Schulmeyer, Marion K., Sharan, Pratap, Shibata, Mami, Shoib, Sheikh, Sigre-Leirós, Vera, Sniewski, Luke, Spasovski, Ognen, Steibliene, Vesta, Stein, Dan J., Strizek, Julian, Štulhofer, Aleksandar, Ünsal, Berk C., Vaillancourt-Morel, Marie-Pier, Van Hout, Marie Claire, and Bőthe, Beáta

Published
2024
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9. Cross-cultural validation and measurement invariance of anxiety and depression symptoms: A study of the Brief Symptom Inventory (BSI) in 42 countries

Author

Quintana, Gonzalo R., Ponce, Fernando P., Escudero-Pastén, Javier I., Santibáñez-Palma, Juan F., Nagy, Léna, Koós, Mónika, Kraus, Shane W., Demetrovics, Zsolt, Potenza, Marc N., Ballester-Arnal, Rafael, Batthyány, Dominik, Bergeron, Sophie, Billieux, Joël, Briken, Peer, Burkauskas, Julius, 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 C., Jurin, Tanja, Kalina, Ondrej, Klein, Verena, Költő, András, Lee, Chih-Ting, Lee, Sang-Kyu, Lewczuk, Karol, Lin, Chung-Ying, Lochner, Christine, López-Alvarado, Silvia, Lukavská, Kateřina, Mayta-Tristán, Percy, Miller, Dan J., Orosová, Oľga, Orosz, Gábor, Quintero Garzola, Gabriel C., Ramos-Diaz, Jano, Rigaud, Kévin, Rousseau, Ann, Scanavino, Marco De Tubino, Schulmeyer, Marion K., Sharan, Pratap, Shibata, Mami, Shoib, Sheikh, Sigre-Leirós, Vera, Sniewski, Luke, Spasovski, Ognen, Steibliene, Vesta, Stein, Dan J., Ünsal, Berk C., Vaillancourt-Morel, Marie-Pier, Van Hout, Marie Claire, and Bőthe, Beáta

Published
2024
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11. Sexual Trauma and Psychotic Risk

Author

Jannini, Tommaso B., Petrocchi, Laura, Ciocca, Giacomo, Jannini, Emmanuele A., Series Editor, Foresta, Carlo, Series Editor, Lenzi, Andrea, Series Editor, Maggi, Mario, Series Editor, and Corona, Giovanni, editor

Published
2023
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12. Etiology of Sexual Offending

Author

Di Dionisio, Carlo Matteo, Jannini, Tommaso B., Limoncin, Erika, Mollaioli, Daniele, Ciocca, Giacomo, Jannini, Emmanuele A., Jannini, Emmanuele A., Series Editor, Foresta, Carlo, Series Editor, Lenzi, Andrea, Series Editor, Maggi, Mario, Series Editor, and Corona, Giovanni, editor

Published
2023
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14. Atypical Sexual Offenders

Author

Mollaioli, Daniele, Limoncin, Erika, Ciocca, Giacomo, Jannini, Emmanuele A., Jannini, Emmanuele A., Series Editor, Foresta, Carlo, Series Editor, Lenzi, Andrea, Series Editor, Maggi, Mario, Series Editor, and Corona, Giovanni, editor

Published
2023
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16. Psychometric properties of the Alcohol Use Disorders Identification Test (AUDIT) across cross-cultural subgroups, genders, and sexual orientations: Findings from the International Sex Survey (ISS)

Author

Horváth, Zsolt, Nagy, Léna, Koós, Mónika, Kraus, Shane W., Demetrovics, Zsolt, Potenza, Marc N., Ballester-Arnal, Rafael, Batthyány, Dominik, Bergeron, Sophie, Billieux, Joël, Briken, Peer, Burkauskas, Julius, Cárdenas-López, Georgina, Carvalho, Joana, Castro-Calvo, Jesús, Chen, Lijun, Ciocca, Giacomo, Corazza, Ornella, Csako, Rita, Fernandez, David P., Fujiwara, Hironobu, Fernandez, Elaine F., 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 C., Jurin, Tanja, Kalina, Ondrej, Klein, Verena, Költő, András, Lee, Sang-Kyu, Lewczuk, Karol, Lin, Chung-Ying, Lochner, Christine, López-Alvarado, Silvia, Lukavská, Kateřina, Mayta-Tristán, Percy, Miller, Dan J., Orosová, Oľga, Orosz, Gábor, Ponce, Fernando P., Quintana, Gonzalo R., Quintero Garzola, Gabriel C., Ramos-Diaz, Jano, Rigaud, Kévin, Rousseau, Ann, Scanavino, Marco De Tubino, Schulmeyer, Marion K., Sharan, Pratap, Shibata, Mami, Shoib, Sheikh, Sigre-Leirós, Vera, Sniewski, Luke, Spasovski, Ognen, Steibliene, Vesta, Stein, Dan J., Strizek, Julian, Tsai, Meng-Che, Ünsal, Berk C., Vaillancourt-Morel, Marie-Pier, Van Hout, Marie Claire, and Bőthe, Beáta

Published
2023
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17. The eleven-item Alcohol, Smoking and Substance Involvement Screening Test (ASSIST-11): Cross-cultural psychometric evaluation across 42 countries

Author

Lee, Chih-Ting, Lin, Chung-Ying, Koós, Mónika, Nagy, Léna, Kraus, Shane W., Demetrovics, Zsolt, Potenza, Marc N., Ballester-Arnal, Rafael, Batthyány, Dominik, Bergeron, Sophie, Billieux, Joël, Burkauskas, Julius, 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, Költő, András, Lee, Sang-Kyu, Lewczuk, Karol, Lochner, Christine, López-Alvarado, Silvia, Lukavská, Kateřina, Mayta-Tristán, Percy, Milea, Ionut, Miller, Dan J., Orosová, Oľga, Orosz, Gábor, Ponce, Fernando P., Quintana, Gonzalo R., Garzola, Gabriel C.Quintero, Ramos-Diaz, Jano, Rigaud, Kévin, Rousseau, Ann, Scanavino, Marco De Tubino, Schulmeyer, Marion K., Sharan, Pratap, Shibata, Mami, Shoib, Sheikh, Sigre-Leirós, Vera, Sniewski, Luke, Spasovski, Ognen, Steibliene, Vesta, Stein, Dan J., Strizek, Julian, Ünsal, Berk C., Vaillancourt-Morel, Marie-Pier, Van Hout, Marie Claire, and Bőthe, Beáta

Published
2023
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21. Suicide-Related Outcomes Among Adults in Custody: An Umbrella Review of Systematic Literature Reviews.

Author

Bruno, Serena, Andreassi, Silvia, Ballarotto, Giulia, Carola, Valeria, Cimino, Silvia, Ciocca, Giacomo, Cordella, Barbara, Di Trani, Michela, Galli, Federica, Lai, Carlo, Langher, Viviana, Limoncin, Erika, Tomai, Manuela, and Velotti, Patrizia

Subjects
SCIENCE databases, ADULTS, UMBRELLAS, SUICIDE, HETEROGENEITY
Abstract

We conducted a comprehensive umbrella review including all published meta-analyses and systematic reviews on suicide-related outcomes among adults in custody. Eligible studies were searched for in major scientific databases following the PRISMA method up to February 2023. The quality of each study was assessed using the AMSTAR-2 protocol. Twenty studies were included, consisting of 11 meta-analyses and nine systematic reviews. Factors associated with suicide outcomes among individuals in custody were categorized into five domains: clinical status, historical, custodial, criminological, and prevention. However, all systematic studies reported considerable heterogeneity (I2 > 50%–85%). Most systematic literature reviews and/or meta-analyses showed moderate quality based on AMSTAR-2. This umbrella review highlights individual factors (in the clinical status and historical domain), contextual factors (in the custodial and criminological domains), and protective factors (in the prevention domain) to provide a clearer understanding of the prison-related domains involved in the development and maintenance of suicide-related outcomes. [ABSTRACT FROM AUTHOR]

Published
2024
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22. Sexual Disorders in Adolescents and Young Adults

Author

Ciocca, Giacomo, Limoncin, Erika, Sansone, Andrea, Zauri, Selene, Colonnello, Elena, Simeoli, Chiara, Siracusano, Alberto, Di Lorenzo, Giorgio, Balercia, Giancarlo, Jannini, Emmanuele A., Jannini, Emmanuele A., Series Editor, Foresta, Carlo, Series Editor, Lenzi, Andrea, Series Editor, Maggi, Mario, Series Editor, and Gianfrilli, Daniele, editor

Published
2021
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25. Transcultural Homo- and Transphobia

Author

Ciocca, Giacomo, Solano, Caterina, Nimbi, Filippo M., Jannini, Emmanuele A., Jannini, Emmanuele A., Series Editor, Foresta, Carlo, Series Editor, Lenzi, Andrea, Series Editor, Maggi, Mario, Series Editor, and Rowland, David L., editor

Published
2020
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31. What Does It Take to Make an Incel: The Role of Paranoid Thinking, Depression, Anxiety, and Attachment Patterns.

Author

Fontanesi, Lilybeth, Marchetti, Daniela, Cosi, Giulia, Limoncin, Erika, Jannini, Emmanuele A., Verrocchio, Maria Cristina, Ciocca, Giacomo, and Liu, Xinqiao

Subjects
PERSONALITY, INCELS, SEXUAL partners, PSYCHOMETRICS, HETEROSEXUAL men, PARANOIA
Abstract

Background. The term "incel" (involuntary celibate) refers to the members of an online subculture, mainly composed of heterosexual men. These individuals find it difficult or impossible to have a romantic and/or sexual partner, and they express extreme anger and resentment toward women, as they hold them accountable for their "inceldom." In recent years, online and offline acts of violence have been perpetrated by incels, raising concern at social and political levels. This study aims to understand the personal, psychological, and psychopathological variables that may contribute to developing incel traits. Materials and Methods. A total of 800 Italian heterosexual cisgender men were recruited by a link to the survey forwarded on social networks. Participants have completed a sociodemographic questionnaire and a set of psychometric tests to assess incels' personality traits, attachment patterns, paranoia, anxiety, and depression. Results. Positive correlations among incel personality traits and psychopathological symptoms and insecure attachment were found. Hierarchical regression analysis showed the significant role of paranoid thinking, insecure attachment, depression, and anxiety symptoms in the presence of incels' personality traits. Conclusion. Therefore, the assessment of these psychopathological aspects could help clinicians, parents, and teachers to early identify young males that can be caught in the inceldom and to develop specific intervention programs to prevent violence. [ABSTRACT FROM AUTHOR]

Published
2024
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44. Sexual Disorders in Adolescents and Young Adults

Author

Ciocca, Giacomo, primary, Limoncin, Erika, additional, Sansone, Andrea, additional, Zauri, Selene, additional, Colonnello, Elena, additional, Simeoli, Chiara, additional, Siracusano, Alberto, additional, Di Lorenzo, Giorgio, additional, Balercia, Giancarlo, additional, and Jannini, Emmanuele A., additional

Published
2021
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45. Problematic pornography use across countries, genders, and sexual orientations: Insights from the International Sex Survey and comparison of different assessment tools.

Author

Bőthe, Beáta, Nagy, Léna, Koós, Mónika, Demetrovics, Zsolt, Potenza, Marc N., Kraus, Shane W., Demirgül, Süleyman A., Gaudet, Émilie, Ballester‐Arnal, Rafael, Batthyány, Dominik, Bergeron, Sophie, Billieux, Joël, Briken, Peer, Burkauskas, Julius, Cárdenas‐López, Georgina, Carvalho, Joana, Castro‐Calvo, Jesús, Chen, Lijun, Ciocca, Giacomo, and Corazza, Ornella

Subjects
COMPULSIVE behavior -- Risk factors, SEXUAL orientation, SELF-evaluation, STATISTICAL correlation, COMPULSIVE behavior, RESEARCH funding, HUMAN sexuality, SEX distribution, RESEARCH methodology evaluation, RESEARCH evaluation, POPULATION geography, DESCRIPTIVE statistics, SEVERITY of illness index, SEX customs, SURVEYS, PORNOGRAPHY, PSYCHOMETRICS, RESEARCH, COMPARATIVE studies, CONFIDENCE intervals, FACTOR analysis
Abstract

Background and aims: Problematic pornography use (PPU) is a common manifestation of the newly introduced Compulsive Sexual Behavior Disorder diagnosis in the 11th edition of the International Statistical Classification of Diseases and Related Health Problems. Although cultural, gender‐ and sexual orientation‐related differences in sexual behaviors are well documented, there is a relative absence of data on PPU outside Western countries and among women as well as gender‐ and sexually‐diverse individuals. We addressed these gaps by (a) validating the long and short versions of the Problematic Pornography Consumption Scale (PPCS and PPCS‐6, respectively) and the Brief Pornography Screen (BPS) and (b) measuring PPU risk across diverse populations. Methods: Using data from the pre‐registered International Sex Survey [n = 82 243; mean age (Mage) = 32.4 years, standard deviation = 12.5], a study across 42 countries from five continents, we evaluated the psychometric properties (i.e. factor structure, measurement invariance, and reliability) of the PPCS, PPCS‐6, and BPS and examined their associations with relevant correlates (e.g. treatment‐seeking). We also compared PPU risk among diverse groups (e.g. three genders). Results: The PPCS, PPCS‐6, and BPS demonstrated excellent psychometric properties [for example, comparative fit index = 0.985, Tucker–Lewis Index = 0.981, root mean square error of approximation = 0.060 (90% confidence interval = 0.059–0.060)] in the confirmatory factor analysis, with all PPCS' inter‐factor correlations positive and strong (rs = 0.72–0.96). A total of 3.2% of participants were at risk of experiencing PPU (PPU+) based on the PPCS, with significant country‐ and gender‐based differences (e.g. men reported the highest levels of PPU). No sexual orientation‐based differences were observed. Only 4–10% of individuals in the PPU+ group had ever sought treatment for PPU, while an additional 21–37% wanted to, but did not do so for specific reasons (e.g. unaffordability). Conclusions: This study validated three measures to assess the severity of problematic pornography use across languages, countries, genders, and sexual orientations in 26 languages: the Problematic Pornography Consumption Scale (PPCS, and PPCS‐6, respectively), and the Brief Pornography Screen (BPS). The problematic pornography use risk is estimated to be 3.2–16.6% of the population of 42 countries, and varies among different groups (e.g. genders) and based on the measure used. [ABSTRACT FROM AUTHOR]

Published
2024
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50. Cross-Cultural Adult ADHD Assessment in 42 Countries Using the Adult ADHD Self-Report Scale Screener.

Author

Lewczuk, Karol, Marcowski, Przemysław, Wizła, Magdalena, Gola, Mateusz, Nagy, Léna, Koós, Mónika, Kraus, Shane W., Demetrovics, Zsolt, Potenza, Marc N., Ballester-Arnal, Rafael, Batthyány, Dominik, Bergeron, Sophie, Billieux, Joël, Briken, Peer, Burkauskas, Julius, Cárdenas-López, Georgina, Carvalho, Joana, Castro-Calvo, Jesús, Chen, Lijun, and Ciocca, Giacomo

Subjects
ATTENTION-deficit hyperactivity disorder, ENGLISH-speaking countries, ADULTS, SELF-evaluation, WESTERN countries
Abstract

Objective: We analyzed adult ADHD symptoms in a cross-cultural context, including investigating the occurrence and potential correlates of adult ADHD and psychometric examination of the Adult ADHD Self-Report Scale (ASRS) Screener. Method: Our analysis is based on a large-scale research project involving 42 countries (International Sex Survey, N =72,627, 57% women, Mage =32.84; SDage =12.57). Results: The ASRS Screener demonstrated good reliability and validity, along with partial invariance across different languages, countries, and genders. The occurrence of being at risk for adult ADHD was relatively high (21.4% for women, 18.1% for men). The highest scores were obtained in the US, Canada, and other English-speaking Western countries, with significantly lower scores among East Asian and non-English-speaking European countries. Moreover, ADHD symptom severity and occurrence were especially high among gender-diverse individuals. Significant associations between adult ADHD symptoms and age, mental and sexual health, and socioeconomic status were observed. Conclusions: Present results show significant cross-cultural variability in adult ADHD occurrence as well as highlight important factors related to adult ADHD. Moreover, the importance of further research on adult ADHD in previously understudied populations (non-Western countries) and minority groups (gender-diverse individuals) is stressed. Lastly, the present analysis is consistent with previous evidence showing low specificity of adult ADHD screening instruments and contributes to the current discussion on accurate adult ADHD screening and diagnosis. [ABSTRACT FROM AUTHOR]

Published
2024
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