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Research Article

A Psychometric Study of a Trait and State Assessment of Sexual Pleasure – The Amsterdam Sexual Pleasure Inventory

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ABSTRACT

We studied the Amsterdam Sexual Pleasure Inventory’s (1.0) psychometric properties. The ASPI, a revised self-report battery designed to measure domains of state and trait sexual pleasure in diverse gender, sex, and relationship populations, is based on a recently proposed conceptual framework of sexual pleasure. We collected quantitative (n = 1371) and qualitative data (n = 637) using a cross-sectional multi-method design targeting the general (German-speaking) population. After pre-processing, we conducted analyses on a sample of n = 706 participants. The theory-based 5-factor exploratory structural equation model and the principal component analyses of the two general exploratory index-scales showed good and acceptable structural validity evidence respectively. Measurement invariance was confirmed separately for male and female participants and for those with sexually functional-scoring and dysfunctional-scoring levels. Coefficient omega indicated that all scales, except those of one facet, showed acceptable to very good internal consistency. The ASPI’s convergent and discriminant associations with sexological and psychological constructs demonstrated good overall construct validity. Participants understood the items as intended and felt that the ASPI covered relevant facets of sexual pleasure. The ASPI might help understand how individuals differ in experiencing sexual pleasure and how different contexts enable some people to experience pleasure while disadvantaging others.

Introduction

Sexual pleasure is a core component of sexual health and has gained increasing clinical and research attention in the last 20 years (Jones, Citation2019; Mitchell et al., Citation2021; World Association for Sexual Health [WAS], Citation2019; World Health Organization [WHO], Citation2002). Sexual pleasure has been defined as “the physical and/or psychological satisfaction and enjoyment derived from solitary or shared erotic experiences, including thoughts, dreams and autoeroticism. […]. The experiences of human sexual pleasure are diverse […]” (Global Advisory Board for Sexual Health and Wellbeing [GAB], Citation2016; WAS, Citation2019) ranging from the experience of physical sensations to the experience of emotional connection and exploration (Fileborn et al., Citation2017; Goldey et al., Citation2016; Werner et al., Citation2023a). Since there is a growing body of sex research that focuses on sexual pleasure, it is of utmost importance to have valid instruments to assess sexual pleasure (Ford et al., Citation2019, Citation2021; Gianotten et al., Citation2021; Jones, Citation2019; Kantor & Lindberg, Citation2020; Philpott et al., Citation2021).

Definitions of Sexual Pleasure

Several definitions of sexual pleasure have been proposed (for a review, see Werner et al., Citation2023a). So far, none of these definitions has succeeded in defining sexual pleasure precisely enough to clearly distinguish it from other concepts such as sexual satisfaction (e.g., the GAB definition equates the two concepts), and comprehensively enough to encompass the diversity of sexual pleasure mentioned above. Recently, Werner et al. (Citation2023a) suggested that sexual pleasure can be defined as the positive feeling induced by the anticipation, attainment, and consumption of rewards during sexual activities. They proposed that (1) the tendency to experience sexual pleasure depends on (2) an individual’s capacities to attain and experience rewards during sexual activities and (3) the availability of sexual activity that offers rewards. Sexual pleasure then encompasses the positive feeling due to rewards (also called state components) and the capacities to attain and experience rewards resulting in the tendency to experience rewarding sexual activity (also called trait components). Since rewards retrieved from sexual activity can be diverse, Werner et al. (Citation2023a) proposed a taxonomy of rewarding aspects of sexual activity based on a review of the theoretical and empirical literature. The proposed taxonomy can be divided into the hedonic, interpersonal, and intrapersonal domains presented in . In summary, the framework of sexual pleasure by Werner et al. (Citation2023a) holistically defined sexual pleasure in its multifaceted nature and thereby provided a framework to conceptualize and assess this multifaceted concept.

Table 1. Domains and facets of trait and state sexual pleasure and existing self-report measures.

What Makes Sexual Pleasure Unique?

While sexual pleasure has been recognized as a multidimensional construct that encompasses more than the experience of orgasm (Fahs & Plante, Citation2017; Tiefer, Citation2004), previous studies have often operationalized it solely in terms of physiological arousal and climax. This measurement focus may overlook the diversity across individuals and contexts in what makes sex pleasurable (Fileborn et al., Citation2017; Goldey et al., Citation2016; Kleinplatz et al., Citation2009). For some individuals in some contexts, low sensual pleasure might be particularly distressing and cause sexual dysfunction (van Lunsen et al., Citation2012) while for others low bonding pleasure might cause sexual distress, requiring a different focus on how to make sex more rewarding. The lack of a consensus on how to define and measure sexual pleasure can impede the development of effective interventions to promote and enhance sexual pleasure (Cambon et al., Citation2019).

Furthermore, defining sexual pleasure as the positive feeling induced by rewarding sexual activities allows differentiating sexual pleasure from sexual satisfaction. Sexual satisfaction has often been conflated with pleasure since satisfaction has been operationalized either in terms of indicators of sexual pleasure (e.g., Laumann, Citation1994) or in terms of positive affect (e.g., Sprecher & Cate, Citation2004). However, the affect in satisfaction is said to result from evaluating rewards as well as costs (Lawrance & Byers, Citation1995), with the final balance depending on what one thinks one deserves (McClelland, Citation2010). Satisfaction could result from the lack of expectations of rewarding sex or the absence of costly sex (Laan et al., Citation2021), depending on one’s learned expectations (McClelland, Citation2010), while pleasure necessitates rewarding sex.

A Note on Sexological States and Traits

Following the interactionist perspective within personality psychology (Schmitt & Blum, Citation2020), Werner et al. (Citation2023a) argued that individual differences in the tendency to experience state sexual pleasure are a function of individual differences in the capacity to experience sexual pleasure and differences in the contextual likelihood to encounter rewarding sexual situations. Differentiating between state and trait conceptualizations and operationalizations of affective responses has been influential in understanding other affective responses, such as anxiety (Spielberger, Citation1972, Citation1983) and sexual desire (Dawson & Chivers, Citation2014). For instance, Frankenbach et al. (Citation2022) similarly differentiated between state and trait sexual desire and reported on a (bias-corrected) medium-sized gender difference in trait sexual desire based on a comprehensive meta-analysis, with men reporting relatively higher trait sexual desire. Dawson and Chivers (Citation2014) also reported that cismen and ciswomen differ, on average, in their reporting of trait sexual desire, i.e., the tendency to experience desire across situations, but that they do not differ in the level of self-reported desire in response to standardized sexual stimuli. Thus, it appears crucial to differentiate between more trait-like and state-like conceptualizations and operationalizations of a concept to assess constructs comprehensively, and to consider these distinctions as part of a spectrum for a more nuanced construct understanding, as illustrated in . Conclusions about a sexological concept can differ depending on the conceptualization and operationalization of the construct.

Figure 1. State and trait self-report measurement.

Note. The figure only refers to self-report measures during different research settings and relating to different reference time-frames, and not to different measurement instrument techniques. The two boxes indicate which state and trait level the ASPI and similar questionnaires likely assess.
Figure 1. State and trait self-report measurement.

Being able to assess individual differences across more state-like and trait-like operationalizations of sexual pleasure might aid in pinpointing the source of individual differences in sexual pleasure. For instance, certain groups of individuals might report low state sexual pleasure in combination with average or high trait sexual pleasure, or vice versa. Such response patterns would suggest that the current experience of sexual pleasure is lowered or heightened because of contextual factors, rather than a diminished or increased capacity to experience sex as pleasurable per se (Laan et al., Citation2021; van Anders et al., Citation2021). Depending on the source of individual differences, clinical interventions would need to be structured differently, focusing either on changing capacities and/or the context (Barlow, Citation2010; Brotto & Velten, Citation2014).

Existing Measurement Instruments of Sexual Pleasure

All currently existing measurement instruments of sexual pleasure have proven useful and informative and represent major steps in positive sexology (Milhausen et al., Citation2019; Rosen & Bachmann, Citation2008). However, since we lacked a shared holistic conceptual understanding of sexual pleasure, this lack is reflected in available measurement instruments. To our knowledge, there are six self-report measurements and one clinical interview that directly address sexual pleasure: the Female Sexual Subjectivity Inventory (FSSI) by Horne and Zimmer-Gembeck (Citation2006), the Sexual Pleasure Scale (SPS) by Pascoal et al. (Citation2016), the Male Sexual Pleasure Scale (EMSEXpleasure) by Siegler et al. (Citation2018), the Body, Emotions, Sensations, Touch/Trust (B.E.S.T.) Scale by Beckmeyer et al. (Citation2021), two unnamed scales by Jozkowski et al. (Citation2016) and Vigil et al. (Citation2021), and the Pleasuremeter by Castellanos-Usigli and Braeken van Schaik (Citation2019). In , we present which facets suggested by the taxonomy of sexual pleasure seem to be captured by currently available instruments.

In , we summarize the characteristics of the instruments. First, many of the instruments did not define what kind of pleasure concept is assessed. Second, sexual pleasure is often treated and measured as a unidimensional rather than multidimensional (i.e., diverse) construct. Third, measuring sexual pleasure associated with or derived from sensory experiences does not consider pleasure from other sources, such as intimacy and affection. Fourth, sexual pleasure is measured as a trait, but not as a state or vice versa. The latter point is also infrequently explicated in the proposed interpretations and uses of the instrument and therefore needs to be inferred from the instructions, items, and response scale. Fifth, many scales focus on partnered sexuality only which precludes insight into pleasure retrieved from solo sex or other types of sexual experience. We conclude that there is no instrument yet that covers all facets of sexual pleasure and assesses the construct in a holistic and inclusive manner. Thereby, existing measurement of sexual pleasure might provide a limited perspective on sexual pleasure which could result in suboptimal assessment and insights in research.

Table 2. Measurement instruments of sexual pleasure.

Aim of the Study

In this study, we assessed the Amsterdam Sexual Pleasure Inventory (ASPI 1.0), a revised version of the original ASPI (0.1; Werner et al., Citation2023b, January 25), which goes beyond existing measurement tools by covering diverse facets of sexual pleasure and assessing sexual pleasure as a state and trait following the taxonomy proposed by Werner et al. (Citation2023a). The ASPI state scales are intended to be interpreted and used such that higher scores indicate more experienced pleasure (in the last two weeks) and the ASPI trait scales are intended to be interpreted and used such that higher scores indicate a greater tendency to experience sexual pleasure in survey research in gender, sex, and relationship diverse populations. The latter is possible since the ASPI is constructed in an inclusive manner and allows for use in populations of diverse sex, gender, and (sexual) relationship types. Inclusivity is particularly important in the context of sex research, as populations have often been excluded or underrepresented in research, partially due to available instruments being limited to use in heteronormative populations (Bradford & Spencer, Citation2020; Carrotte et al., Citation2016; Gieles et al., Citation2022; Mijas et al., Citation2021).

The aim of this study was to analyze the psychometric properties of the Amsterdam Sexual Pleasure Inventory (1.0) to collect evidence regarding its intended interpretation and use following the “modern validity theory” framework (American Educational Research Association, American Psychological Association, et al., Citation2014; Santos-Iglesias, Citation2022). Therefore, our study assessed (1) whether the ASPI could be scaled according to the structure in ; (2) whether this structure holds in different groups and whether resulting scores are comparable between groups (male and female and sexual dys/function); (3) whether the resulting scores can be interpreted to assess state and trait sexual pleasure rather than other constructs, (4) which are not influenced by irrelevant background differences but are sensitive to relevant individual differences; and (5) whether the ASPI scales encompass the relevant diverse facets of sexual pleasure and include items that are understandable to intended participants. For this purpose, we examined the factor structure, its invariance and the scores’ reliability (regarding 1 and 2), as well as construct and content validity evidence (3 and 4) and present qualitative data on item comprehension and content coverage (5).

Method

Development of the Amsterdam Sexual Pleasure Inventory (ASPI 1.0)

Step 1: Development and Validation of the ASPI 0.1

The items of the original version of the ASPI (called Amsterdam Sexual Pleasure Index 0.1) were generated in 2013 by two experts in the field (both sexologists, of which one was a psychologist and the other a medical doctor) following a combination of the intuitive rational and inductive internal method (Oosterveld & Vorst, Citation1996; Oosterveld et al., Citation2019; Werner et al., Citation2023b, January 25). Items were then reviewed and revised in collaboration with a panel of psychologists, sociologists, anthropologists, and medical doctors, all of whom were engaged in sex research. The ASPI 0.1 took the multifaceted nature of sexual pleasure into account but lacked a conceptual framework. Furthermore, the phrasing of the questionnaire and items was based on a trait conception of pleasure only. Item generators assured that the questionnaire was phrased such that it was broadly applicable and inclusive.

The ASPI 0.1 was then examined in a psychometric validation study (Werner et al., Citation2023b, January 25). Results suggested that the ASPI 0.1 and its five preliminary scales showed acceptable but improvable psychometric qualities, and the authors recommended further revision of the ASPI scales. The study information and this original version of the questionnaire are available on the OSF (Werner et al., Citation2023b, January 25) and the original version has been used in previous research (Gieles et al., Citation2022; Klein et al., Citation2022).

Step 2: Item Revision and Generation for ASPI 1.0

A team of three experts in the field, one of which was involved in the item generation of the original ASPI, adapted the items to have all items follow phrasing guidelines (e.g., no double negation, no implicit assumptions, most important idea at the end; Moosbrugger & Kelava, Citation2007; Oosterveld & Vorst, Citation1996; Oosterveld et al., Citation2019) and to have the items better cover the state and trait domains described in the framework of Werner et al. (Citation2023a). During item revision and generation, item generators followed a combination of two deductive methods: the construct method and the facet method (Guttman, 1954, 1965b cited in Landsheer & Boeije, Citation2010; Oosterveld, Citation1996; Oosterveld & Vorst, Citation1996; Oosterveld et al., Citation2019) to assure that items represented each construct facet specifically yet comprehensively (e.g., items should become increasingly specific in terms of sexual behaviors and experiences, with the most general items referring to one’s sex life and the most specific to tactile or visual stimulation; trait items focus on self-evaluation while state items focus on experience evaluation). As a result, items were retained (e.g., “I love it when my erogenous zones are being touched.;” sufficiently specific for Arousal Enjoyment), items were deleted (e.g., “I feel good when I’m naked.;” confounded with Body Image), items were rephrased (e.g., “My sexual pleasure is irrelevant [instead of ‘of no importance’].;” easier negation) and new items were generated (e.g., “I understand what I need in order to enjoy myself sexually.;” sufficiently specific to Enjoyment-related Self-Efficacy).

The differentiation of the trait and state sections and their respective items was implemented through three aspects (DeCastellarnau, Citation2018; Franzen, Citation2019; Menold & Bogner, Citation2015): (a) different item structure and item phrasing, (b) different response scales, as well as (c) different introductions. Trait items (a) ask if respondents tend to experience pleasurable sexual activity by asking about the tendency to experience rewarding sexual activity, (b) are rated on a 6-point Likert-scale from strongly disagree (1) to strongly agree (6), and (c) the introduction of the trait section emphasizes that respondents should answer items thinking about how they generally experience sexual activities. State items (a) ask about the intensity of pleasure associated with different rewards during sexual activities of the last two weeks, (b) are rated on a 6-point Likert-scale from not at all (1) to a great extent (6), and (c) the introduction of the state section emphasizes that respondents should answer items thinking about their sexual experiences in the last two weeks. Furthermore, verb tense was carefully selected to ensure consistency, with present tense used to assess traits and past tense used to capture states experienced within the previous two weeks (Giles et al., Citation2020; Stone & Shiffman, Citation2002).

Step 3: Translation in Three Languages

The ASPI 1.0 and its successors should be usable in cross-cultural research, which is why item generators aimed the ASPI 1.0 to be translatable into other languages. During item generation, they therefore assured that the phrasing could be forth-and-back translated into different languages and started with the languages they spoke fluently (German, English, Dutch). Final forth-and-back translation was done in collaboration with native speakers of all three languages.

Step 4: Think Aloud Assessment for ASPI 1.0

To ensure that the generated items were understandable and measured their intended construct validly in terms of face validity, item generators conducted independent Think Aloud sessions with German-speaking individuals who had no background in psychology nor sexology. These individuals were asked to read the items and express their thoughts out loud as they did so. This procedure enabled the item generators to assess whether the items captured the intended meaning and understanding of the constructs (Phillips, Citation2014).

Step 5: ASPI 1.0 Pilot Study

In 2020, we piloted the ASPI 1.0 by collecting qualitative data on item comprehension. This pilot was conducted as part of a project in a seminar at the University of Bern. The project group administered the ASPI 1.0 online to 43 participants, and at the end of the survey, participants were asked a series of open-ended questions to gauge their comprehension of the items, including whether they found the statements understandable, whether any of the phrasing was confusing, and whether they felt that any items were redundant or missing. Participants were also asked to provide overall feedback on their impression of the questionnaire. The feedback indicated that while the items were generally clear and easy to understand, some participants did perceive them as being repetitive or redundant.

Step 6: The To-Be-Validated Version of the ASPI 1.0

Based on the qualitative data of the pilot study, 32 items were deleted for the to-be-validated version of the ASPI 1.0 to avoid redundancy (e.g., “I like being sexually aroused. [deleted]” and “I love feeling sexual arousal. [retained]” for trait and “Sex strengthened the bond with my sexpartner [deleted]” and “Sex brought me closer to my sex partner. [retained]” for state). This resulted in a total of 44 state items (10 deleted) and 36 trait items (22 deleted). We intended to delete further items to make the final questionnaires even better tailored to survey research.

Based on the sexual pleasure framework and taxonomy, items combine into five scales representing the different facets for state and trait pleasure respectively (Werner et al. Citation2023a). State Scales: Sensual Pleasure (9 items), Bonding Pleasure (6 items), Interaction Pleasure (6 items), Pleasure-related Mastery (8 items), Pleasure-related Validation (7 items); Trait Scales: Arousal Enjoyment (5 items), Bonding Enjoyment (6 items), Interaction Enjoyment (6 items), Enjoyment-related Self-Efficacy (7 items), Enjoyment-related Self-Worth (6 items). In addition, there are two general scales that are not part of the sexual pleasure framework: General Sexual Pleasure (state; 8 items) and Sexual Experience Enjoyment (trait; 6 items). The general scales include items that ask about (usually experienced) pleasure associated with different types of sexual activities (flirting, erotica, fantasy, masturbation, partner sex, general sexual experiences/one’s sex life) rather than pleasure associated with the experience of one specific rewarding aspect of sexual activity. Since these items refer to different, partly unrelated, activities we consider the overall pleasure associated with these activities as a composite (formative) rather than latent (reflective) variable (Fried, Citation2020) because the respective constructs are a function of the evaluation of each activity rather than common latent factors.

Participants

Sample 1

Between May 2021 and January 2022, N = 2579 people were interested in participating in a larger study concerning sexual experience. After excluding people under the age of 18 and people who had not accepted the declaration of consent, n = 2518 German-speaking participants wanted to take part in the study (56.7% female assigned-at-birth; Mage = 39.7; SDage = 13.6; age range: 18 to 86 years). We excluded those participants who failed attentive responding checks and/or time checks to ensure the quality of data (n = 1147; of which n = 704 only accepted the declaration of consent but did not start the main survey and therefore did not fulfill the attentive responding check, and n = 443 provided survey responses but did not fulfill attentive responding checks). The potentially usable sample consisted of n = 1371 participants.

Sample 2

Sample 2 was a subsample of sample 1 (n = 1371), with participants who were interested in taking part in a follow-up qualitative study which inquired further into item comprehension. The follow-up study was completed by 637 participants.

Procedure

This study followed a cross-sectional multi-method design in which we collected quantitative and qualitative data. We collected survey data using the online questionnaire program Qualtrics (Qualtrics, Provo, UT). Participants were first asked demographic background questions, followed by the ASPI 1.0 and other questionnaires. All questionnaires following the ASPI 1.0 were shown in random order to reduce order effects. In the ASPI, the trait and state parts as well as the items within the two parts were presented randomly. At the end of the survey, we asked participants to provide their e-mail address if they were interested in participating in the follow-up qualitative study, which took place two weeks later. The e-mail address was saved separately from the data to ensure anonymity of responses and was only used for inviting participants to the qualitative survey. The qualitative survey consisted of meta-questions about the items according to the response process evaluation method (Wolf et al., Citation2019). Participants were offered to enrol in a lottery (5 times 100 francs). The study was approved by the ethics committee of the University of Bern. The analysis of this study was preregistered on the OSF (https://osf.io/wnrxa/).

Measures

Demographics

We asked about age, sex assigned-at-birth, gender, sexual orientation, relationship status and duration, marital status, number of children, year of birth, educational attainment, as well as the frequency of masturbating and having partner sex.

The Amsterdam Sexual Pleasure Inventory 1.0

The Amsterdam Sexual Pleasure Inventory (ASPI 1.0) is a self-report questionnaire including a trait and state section each comprising 6 scales. In total, the to-be-validated questionnaire contained 80 original test items (36 trait and 44 state items) and the eventual version contains 57 items (27 trait and 30 state items). State items are rated on a 6-point Likert-scale from not at all (1) to a great extent (6), while trait items are rated on a 6-point Likert-scale from strongly disagree (1) to strongly agree (6), allowing for the differentiation of intensity and general tendencies in sexual pleasure experiences. If participants indicate that they did not engage in partner sex or masturbation in the last two weeks, state items about partner sex and/or masturbation are not presented and coded as NA. In addition, for some state items, there is a NA response category available for respondents to select if an event or experience did not occur.

Trait and state scales are scored separately per scale (6 each) and should be used independently from each other, with higher values representing stronger tendencies for sexual pleasure (traits) and higher levels of recently experienced sexual pleasure (states), respectively. To calculate the scores for each scale, available item scores are averaged for each respondent (see, for a similar rationale, the discussion in McClelland & Holland, Citation2016). An overall ASPI score should not (yet) be calculated as its validity would be questionable. Scores between scales are not yet shown to be comparable in scale and can therefore not be summed or averaged yet to imply greater overall (tendencies for) sexual pleasure. For ease of use, we provide information on the use and scoring of the ASPI within R and SPSS on the OSF (https://osf.io/9hkde/).

Sexual Excitation and Inhibition

The Sexual Inhibition and Sexual Excitation Scales-Short Form (SIS/SES-SF) by Carpenter et al. (Citation2010; for German version, see Rettenberger et al., Citation2019; Velten et al., Citation2018) distinguishes between three facets: (1) Sexual Excitation (SES), (2) Sexual Inhibition – threat due to failure in a sexual situation (SIS1), and (3) Sexual Inhibition – threat of the consequences of a sexual situation (SIS2) and consists of 14 items rated on 4-point Likert-scales, with higher scores indicating a higher propensity for sexual excitation or inhibition. Reliability of SES in the current study is high, with Cronbach’s α = .79, and rather poor for SIS with α = .59 for SIS1, and α = .63 for SIS2.

Sexual Assertiveness

Sexual assertiveness was assessed using the corresponding subscale of the Multidimensional Sexuality Questionnaire (MFS; Brenk-Franz & Strauß, Citation2011; Snell & Kilimnik, Citation2019); items are rated on a 5-point Likert-scale and higher scores indicate stronger sexual assertiveness. Reliability of this measure was acceptable in the current study, α = .78.

Sexual Function

The German version of the Female Sexual Function Index (FSFI-d; Berner et al., Citation2004; Rosen et al., Citation2000) includes 19 items rated on a 5- or 6-point Likert-scale, with higher scores indicating better sexual function. The cutoff value of 26.55 defined by Wiegel et al. (Citation2005) was used to distinguish between functional-scoring and dysfunctional-scoring individuals.

The Male Sexual Function Index (MSFI) by Kalmbach et al. (Citation2015) consists of 16 items scored on 5- or 6-point Likert-scales, with higher scores indicating better sexual function. The cutoff value of 22.35 defined by Kalmbach et al. (Citation2015) was used to distinguish between functional-scoring and dysfunctional-scoring individuals. For the correlational analyses, we excluded the satisfaction subscales from the calculation of the overall score for sexual function to avoid inflating the relationship of sexual function with the satisfaction scales (FSFI: 16 items instead of 19; MSFI: 13 items instead of 16).

The Premature Ejaculation Profile (PEP; Patrick et al., Citation2009) consists of 4 items rated on a 6-point Likert-scale, with higher scores indicating more experienced control of ejaculation and a cutoff value of 10 or lower indicating sexual dysfunction (Jern et al., Citation2013). To cover and operationalize all aspects of sexual function in men, we combined the MSFI and PEP for our analysis.

The Human Sexual Response Questionnaire (HSRQ) assesses sexual function in participants who chose to be presented with a gender-neutral and sex-neutral version of a sexual function assessment. The HSRQ was developed for this study and includes 29 items rated on 5- or 6-point scales. For the correlational analyses, the PEP and HSRQ scales were weighted according to the rules of the MSFI/FSFI to make the scores more comparable between the different scales.

The reliability for all function scales was high with α = .94 for FSFI, α = .93 for MSFI, α = .90 for PEP, and α = .98 for HSRQ.

Sexual Distress

The Sexual Distress Scale Short Form (SDS-SF) by Santos-Iglesias et al. (Citation2020) contains 5 items rated on a 5-point Likert-scale, with higher scores indicating more sexual distress (Derogatis et al., Citation2002; Santos-Iglesias et al., Citation2018). Reliability of this measure was also high in the current study, α = .88.

Sexual Satisfaction

Three self-formulated items on a 6-point Likert-scale captured participants’ sexual satisfaction, with a higher score indicating higher sexual satisfaction (e.g., “Overall, how satisfied are you with your sexuality in general at the moment?”). Reliability of this measure was acceptable in this study, α = .73.

Unidimensional State Sexual Pleasure

The Sexual Pleasure Scale (SPS) by Pascoal et al. (Citation2016) measures recently experienced levels of sexual pleasure in a unidimensional way and includes 3 items rated on a 7-point scale, with higher scores representing higher levels of recently experienced sexual pleasure and reaching a high reliability in the current study, α = .88.

Self-Esteem

The Rosenberg Self Esteem Scale (Rosenberg, Citation1965; Von Collani & Herzberg, Citation2003) includes 10 items with a 4-point Likert-scale, with higher scores representing higher self-esteem and a high reliability in this study α = .90.

Behavioral Inhibition and Behavioral Activation

The Behavioral Inhibition and Activation Scale (BIS/BAS; Carver & White, Citation1994; Strobel et al., Citation2001) assesses the behavioral approach system (BAS) and the behavioral inhibition system (BIS) with three BAS scales (BAS Fun Seeking, α = .62; BAS Drive, α = .74, and BAS Reward, α = .58 in current study) and one BIS scale (α = .84 in current study). Items are rated on 4-point Likert scales and higher scores represent a stronger tendency toward behavioral activation or inhibition.

Attachment Style

The Experiences in Close Relationships – Revised (ECR-RD; Ehrenthal et al., Citation2009; Fairchild & Finney, Citation2006) comprises 12 items and includes an attachment anxiety scale (α = .68 in current study) and an attachment avoidance scale (α = .73 in current study) rated on a 7-point Likert-scale. Higher scores represent more attachment anxiety or attachment avoidance.

Positive and Negative Affect

The Positive and Negative Affect Schedule (PANAS; Breyer & Bluemke, Citation2016; Watson et al., Citation1988) measures positive (PA, α = .89 in current study) and negative affect (NA, α = .86 in current study) using 20 items on a 5-point Likert-scale, with higher scores indicating higher positive or negative affect in the last two weeks.

Social Desirability

The SEA Short Form (Satow, Citation2012) measures socially desirable response tendencies using two items having 4 response options, with higher scores representing a stronger tendency toward socially desirable responses. Reliability of this measure was acceptable in the current study, α = .64.

Attentive Responding Checks

We included 6 different types of items assessing inattentive responding throughout the survey (inspired by Berinsky et al., Citation2014; Huang et al., Citation2015; Meade & Craig, Citation2012).

Power Analysis

To specify a minimum sample size which obtains sufficient power to estimate the factor models precisely, we followed the proposed test of not-close fit by MacCallum et al. (Citation1996). The power analysis suggested a sample of n = 353 per measurement invariance group for the trait-scale and n = 262 per measurement invariance group for the state-scale, with an expected power of > .99. In order to perform the analyses for state and trait with the same sample, the higher n of the trait power calculation was used for the states as well, so that all main factor analyses were conducted with a minimum sample size of n = 706 (n = 353 per measurement invariance group). Measurement invariance groups were female/male and sexually functional/dysfunctional-scoring individuals.

Data Management

As specified in the preregistration, we excluded individuals based on the amount of missingness on the ASPI, starting with those with the most missing values until we reached the minimum necessary n for power. Note that missing values on the ASPI can occur due to three reasons: (1) the item was presented but not completed (true missing), (2) the item was not presented because it related to masturbation or partner sex and participants indicated that they did not engage in one and/or the other in the last two weeks (not applicable missing), (3) the item was presented but participants did not have the experience the item asked about in the last two weeks and therefore selected the respective “not applicable” response option (not applicable missing).

Practically, this data exclusion procedure resulted in individuals being excluded from the analyses who did not engage in either partnered or solo sex in the last two weeks. However, individuals could still be included if they engaged in either solo or partnered sex, or in both, but did indicate on one or a few items to not have experienced a certain situation. This data management procedure was chosen to strike a balance between analyzing the psychometric properties of the ASPI in a dataset that was as complete and representative as possible, while not losing power by excluding everyone with a single missing value with listwise deletion.

Remaining missing values and “not applicable” responses were both treated as missing in the factor analysis through full information maximum likelihood estimation (FIML). Note that the remaining participants (n = 706) did not differ from the excluded participants (n = 665) in terms of age, educational background, and sexual orientation, but did differ in terms of sex and relationship status (more male and partnered participants in the final than the excluded sample) which resulted from stratifying on sex for the measurement invariance analysis and the fact that partnered individuals were less likely to choose “not applicable” responses due to being more likely to engage in both partnered and solo sex.

No additional participants were excluded from any analyses based on background characteristics, nor were outliers. Only for measurement invariance and known-group analysis regarding sexual dys/function, we additionally excluded those who indicated to have been sexually inactive on subscales of the sexual function questionnaires (FSFI, MSFI/PEP, n = 9) and those participants who opted for the gender-neutral sexual function questionnaire (HSRQ, n = 4) since no validated cutoff for sexual dysfunction exists for these participants yet.

Statistical Analysis

Analysis was performed using IBM SPSS Statistics (SPSS) 27.0. and R-Studio (Package ggthemes; Arnold et al., Citation2021; Package GPArotation; Bernaards & Jennrich, Citation2005; Package data.table; Dowle et al., Citation2021; Package qgraph und bootnet; Epskamp et al., Citation2018, Citation2012; Package semPlot; Epskamp et al., Citation2022; Package Hmisc; Harrell & Dupont, Citation2022; Package Amelia; Honaker et al., Citation2011; Package networktools; Jones, Citation2022; Package semTools; Jorgensen et al., Citation2021; Package MVN; Korkmaz et al., Citation2014; Package psych; Revelle, Citation2023; Package lavaan; Rosseel et al., Citation2017; Package corpor; Schafer et al., Citation2021; RStudio Team, Citation2020; R Core Team, Citation2021; Package corrplot; Wei et al., Citation2021; Package haven; Wickham, Citation2016; Package tidyverse; Wickham et al., Citation2019; Package ggplot2; Wickham & Miller, Citation2021; Package dplyr; Wickham et al., Citation2021; Package knitr; Xie, Citation2021; Package EFAutilities; Zhang et al., Citation2020). To analyze the ASPI’s psychometric properties, we performed the following six steps:

Factor Analysis

First, we ran factor analyses using exploratory structural equation modeling (ESEM) separately for the trait and state model. We used ESEM as it better accommodates complex measurement models by not imposing zero constraints on the relationship between items and factors (i.e., it allows for cross-loadings). Furthermore, ESEM offers better insight in discriminant validity as it delivers a more realistic representation of the data (Marsh et al., Citation2009, Citation2014). We specified oblique semi-specified target rotation for which we could specify which loadings we expected to be 0 while leaving the remaining elements unspecified. This specification followed the conceptual background of Werner et al. (Citation2023a, see ; Lavaan Package; Fischer & Karl, Citation2019; Rosseel et al., Citation2017). For the two general scales (Sexual Experience Enjoyment for trait and General Sexual Pleasure for state), we performed principal component analyses ([PCA]; psych package; Revelle, Citation2023) since these scales represent indices rather than factors (Fried, Citation2020). Since multivariate normality was not given, we used robust methods (robust maximum likelihood estimation and polychoric correlations) for both ESEM and PCA (Brown, Citation2015; Costello & Osborne, Citation2005).

We wanted to shorten the questionnaire to make it more usable for survey research. After having evaluated all ASPI items in terms of content (conceptual background and qualitative data) and statistics (distribution, Cronbach’s alpha, factor loading higher than .3), we reduced the item number and ran ESEM and PCA again for the shortened final state and trait model (Brown, Citation2015; Costello & Osborne, Citation2005; Marsh et al., Citation2010; Rammstedt & Beierlein, Citation2014). We provide a detailed rationale for the criteria used to select each final ASPI item in the Online Supplementary S1. Importantly, we calculated the model fit indices for the models including all original items before item reduction and for the models with reduced number of items. We carried out all following steps using the reduced models.

Measurement Invariance

Second, we tested for measurement invariance across sex assigned-at-birth and sexual function groups to evaluate whether scale scores can be validly compared among these groups (Fischer & Karl, Citation2019; Luong & Flake, Citation2023).

Internal Consistency

Third, we checked the scales’ reliability using omega coefficients and expected adequate internal consistency for each validated scale (Clark & Watson, Citation2019; Dunn et al., Citation2014; Hayes & Coutts, Citation2020).

Construct Validity

Fourth, we examined construct validity through convergent and discriminant relationships to other relevant constructs as well as differences between known-groups (sexual functional vs. dysfunctional). We aimed to include construct validation measures for each of the 12 subscales of the ASPI (both trait and state parts) that could be expected to be associated with pleasure and enjoyment based on insights from psychology (e.g., Behavioral Activation and Attachment Avoidance and Anxiety; Carver & White, Citation1994; Davis et al., Citation2004; Impett et al., Citation2008; Nelson-Coffey et al., Citation2017; Picardi et al., Citation2005), as well as measures that could be expected to be associated based on insights from sexology (e.g., Sexual Excitation; Bancroft et al., Citation2005; Janssen & Bancroft, Citation2007; Werner et al., Citation2023b, January 25). This approach allowed us to examine the relationship of each ASPI subscale with a corresponding psychological construct (usually more weakly correlated; e.g., Positive Affect; Bancroft et al., Citation2003; Kalmbach & Pillai, Citation2014; Oliveira & Nobre, Citation2013; Peixoto & Nobre, Citation2012; Werner et al., Citation2023b, January 25) and sexological construct (usually more moderately or strongly correlated, but not so much as to be measuring the same construct; e.g., Sexual Satisfaction; Bois et al., Citation2013; McClelland, Citation2010, Citation2014; Stephenson & Meston, Citation2012). For convergent and discriminant construct validity, we used network analysis to model Spearman correlations between ASPI scales and the sexological and psychological constructs (Epskamp et al., Citation2012, Citation2018). We ran network analysis for trait and state separately. The postulated hypotheses are provided in the preregistration on the OSF (https://osf.io/wnrxa/; p. 2–4) and in for trait constructs and for state constructs.

Table 3. Sociodemographic characteristics of participants.

Table 4. Trait fit indices ESEM.

Table 5. Trait factor loadings.

Table 6. State fit indices ESEM.

Table 7. State factor loadings.

Table 8. PCA for sexual experience enjoyment.

Table 9. PCA for general sexual pleasure.

Table 10. Measurement invariance between sexes.

Table 11. Measurement invariance between sexually functional and dysfunctional scoring groups.

Table 12. Standardized Cronbach’s alpha and McDonald’s omega.

Table 13. Descriptive statistics of sexological and psychological scales (N = 706).

Table 14. Associations between relevant sexological and psychological constructs with ASPI trait subscales: comparing expected and observed outcomes for construct validity (convergent and discriminant validity).

Table 15. Associations between relevant sexological and psychological constructs with ASPI state subscales: comparing expected and observed outcomes for construct validity (convergent and discriminant validity).

Differences between known-groups were tested using t-tests for independent groups. We expected sexually dysfunctional-scoring participants to report less enjoyment (ASPI trait domains) and pleasure (ASPI state domains) than sexually functional-scoring participants. To account for multiple comparisons, we applied the Bonferroni correction with an initial α-level of .05, which resulted in a significance threshold of p < .0042 (.05/12), where 12 refers to the number of ASPI subscales (Abdi, Citation2007; Andrade, Citation2019).

Sensitivity Analysis

Fifth, to verify whether the NA values of the ASPI could be treated as missing, we performed two sensitivity analyses. (1) We reran the factor and network analyses on the same dataset in which NA was set to 0 instead of missing. (2) We reran the same factor and network analysis on the data of those participants who had no NA nor missing responses on any of the items.

Social Desirability

Sixth, we analyzed the association of the ASPI scales with the SEA-Short Form to see whether responses on the ASPI were systematically associated with socially desirable responses. In order to ascertain whether this is a problem for the ASPI specifically, we compared the strength of association of the largest Spearman correlation coefficient for the trait and state scales with that of the Spearman correlation coefficients of the SES and the Sexual Satisfaction scales and the SEA-Short Form, respectively, and considered correlation coefficients equal to or higher than .5 as problematic (Satow, Citation2012).

Sex Differences

As an explorative step, we examined sex differences on all scales of the ASPI using (Bonferroni corrected) t-tests for independent groups and Spearman correlations for associations between the ASPI scales and the Orgasm Function scale.

Divergence with Respect to the Preregistration

There are seven points of divergence with respect to the preregistration. (1) We estimated five-factor models for state and trait rather than six-factor models because we did not include the general scales for state and trait in the factor models as originally but erroneously specified. The general scales are exploratory and are not based on the conceptual framework of sexual pleasure (Werner et al., Citation2023a). Since the scales are not theory-based and represent components rather than factors, we adjusted the statistical procedure before analyzing the data. This correction was attached to the pre-registration and can be found as an erratum document on the OSF (https://osf.io/qv2wd). (2) Item generators decided to call the ASPI 1.0 an inventory rather than index, since the ASPI 1.0 is a battery rather than single questionnaire and the adapted name does not suggest that the scales assess components rather than factors. (3) Also note that we have adjusted the names of the two scales of one facet: Bonding Enjoyment and Bonding Pleasure were used to be called Attachment Enjoyment and Attachment Pleasure. (4) In order to combine all sexual function scales into one scale for the correlational construct validity analyses, we calculated weighted sum scores rather than average scores before combining the scales because this led to more comparable scores across the function scales. (5) We accepted a higher number of “not applicable” responses for three state scales as initially specified as we would not have reached sufficient power otherwise. This more representative rate of NA responses allowed us to formulate suggestions for future use of the ASPI state questionnaire. (6) We did not have to run the factor sensitivity analyses on subparts of the questionnaire items, since the previous models fit sufficiently well and gave sufficient insight into potential misspecifications. (7) We had planned to sub-select groups for measurement invariance based on gender rather than sex assigned-at-birth. However, we eventually did not want to exclude specific transgender individuals from our sample, but also did not have sufficient individuals in transgender subgroups to run factor and measurement invariance analyses separately for them. We therefore decided to select measurement invariance groups based on sex assigned-at-birth rather than gender. Future studies need to approach the sampling design and measurement invariance analyses differently.

Results

Participants

After preprocessing the data, we obtained a sample of n = 706 participants (sample 1). The sample included an equal number of individuals who were assigned the sex female or male at birth (n = 353, 50%). The average age was 40.3 years (SD = 13.4) with a range between 18 and 86 years. Out of the sample, n = 16 (2.3%) individuals reported that their sex assigned-at-birth did not match their gender. Instead, they identified as genderfluid, bi-gender, diverse or trans. Participants reported their average masturbation frequency (M = 3.51, SD = .65), with n = 42 (5.9%) masturbating less than once per month, n = 278 (39.4%) masturbating more than once per month to once per week, n = 368 (52.1%) masturbating more than once per week to once per day, and n = 18 (2.5%) masturbating more than once per day. No participants reported never having masturbated. The mean frequency of partner sex was M = 3.38 (SD = .64), with n = 50 (7.1%) having partner sex less than once per month, n = 349 (49.4%) having partner sex more than once per month to once per week, n = 297 (42.1%) having partner sex more than once per week to once per day, and n = 10 (1.4%) having partner sex more than once per day. No participants reported never having partner sex. Sample 2 is a subsample of sample 1, with participants who were interested in taking part in a follow-up qualitative study which inquired further into item comprehension (Mage = 41.1; SDage = 14.1; age range: 19 to 86 years). Further sociodemographic characteristics are presented in separately for sample 1 and 2.

Factor Structure

Trait Model

The original 30-items trait version showed a good model fitFootnote1 for the five-factor structure (see ). Except for seven items, the items had factor loadings higher than .3 on their expected factor. After item reduction, seven items were excluded, and 23 items were retained (see ).

The final 23-items trait model also showed a very good model fit (see ). All items, except for items 18 and 11, showed factor loadings higher than the cutoff .3. Nevertheless, the items were not excluded due to the other reduction criteria described in the rationale (see Online Supplementary S1). Items 4, 10, and 14–18 showed cross-loadings (i.e., >.3, see Brown, Citation2015, p. 115; Costello & Osborne, Citation2005) as can be seen in .

State Model

The original 36-items state version showed a good model fitFootnote1 for the five-factor structure (see ). Except for 11 items, the items had factor loadings higher than .3 on their expected factors. After item reduction, 12 items were excluded and 24 items were retained (see ).

The final 24-items state model also showed a very good model fit (see ). Most factor loadings were above the cutoff > .3, seven items were below (Brown, Citation2015; Costello & Osborne, Citation2005). Nevertheless, these items were retained due to the other reduction criteria described in the rationale (see Online Supplementary S1). Items 5–7, 9, 11, 15–17, and 19 showed cross-loadings >.3 (see ). For a detailed summary of all ASPI items, the EFA factor-loadings, and the final decisions regarding item selection, see the Excel® file on the OSF (https://osf.io/fq29c/).

Principal Component Analysis (PCA) for General Scales (Sexual Experience Enjoyment and General Sexual Pleasure)

Examination of Kaiser’s criterion and the scree-plot yielded empirical justification for retaining one component with eigenvalue >1 for the trait-scale. Due to the component loadings, we decided to exclude the trait I and trait II item. For the trait-scale, 45% of the total variance was captured by one component (see ).

Examination of Kaiser’s criterion and the scree-plot yielded empirical justification for retaining one component with eigenvalue exceeding 1 for the state-scale. Due to the component loadings, we decided to exclude the state I and state II item. For the state-scale, 49% of the total variance was captured by one component (see ).

Measurements Invariance for Sex and Sexual Function

Measurement invariance for trait and state model was given between females and males assigned-at-birth (see ).

According to the large majority of our model fit criteria,Footnote2 measurement invariance held at all levels between sexes. In fact, the fit for the ASPI (trait and state) scales was good at the configural level indicating that the same factor structure (which factor is measured by what item) held across groups (Hu & Bentler, Citation1998; MacCallum et al., Citation1996). Furthermore, metric and scalar invariance held, as the difference in goodness-of-fit when constraining loadings (metric model) and intercepts (scalar model) was not above commonly used cutoff values for the differences in CFI, RMSEA, and TLI (Chen, Citation2007; Cheung & Rensvold, Citation2002). In other words, loadings and intercepts were equivalent across groups, and the latter was actually against our expectations.

Measurement invariance held at all levels for sexually functional-scoring and dysfunctional-scoring groups according to the large majority of fit criteriaFootnote2 (see ). The fit for the ASPI trait and state scales was good at the configural level indicating that the same factor structure held across groups (Hu & Bentler, Citation1998; MacCallum et al., Citation1996). Furthermore, metric and scalar invariance held, as the difference in goodness-of-fit when constraining loadings (metric model) and intercepts (scalar model) was not above commonly used cutoff values for the CFI, RMSEA and TLI (Chen, Citation2007; Cheung & Rensvold, Citation2002). In other words, loadings and intercepts were equivalent across sexual function groups.

Reliability: Internal Consistency

Most scales showed acceptable to excellent values in Standardized Cronbach’s Alpha and McDonald´s Omega, except Enjoyment-Related Self-Worth of the trait scales and Pleasure-Related Validation of the state scales which showed questionable values ().

Construct Validity I: Convergent and Discriminant Associations

In , Panels A and B, we present the zero-order and model-selected associations between all ASPI trait and state scales respectively and the respective convergent and discriminant construct scales. We ran the recommended stability analyses for the network estimation which showed that the overall correlation structure and individual edge estimation was sufficiently stable to allow substantive interpretation.Footnote3 reports all descriptive statistics of convergent and discriminant construct scales. The ASPI’s descriptive statistics can be found in . Additionally, a table outlining the correlations between the state and trait scales, available in the Online Supplementary S2, demonstrates that although these scales are related, they may capture distinct domains and facets of the construct of sexual pleasure.

Figure 2. (Panel A and B). Relationships with other constructs of the ASPI trait scales. Zero-order Spearman correlations on the left and model-selected Spearman correlations on the right. Zero-order correlations which did not reach statistical significance are crossed out (α = .001).

Note. SEE = Sexual Experience Enjoyment; AE = Arousal Enjoyment, IE = Interaction Enjoyment; ERSE = Enjoyment-Related Self-Efficacy; ERSW = Enjoyment-Related Self-Worth; BE = Bonding Enjoyment; SFI = Sexual Function Index; SDS = Sexual Distress; SIS1 = Sexual Inhibition (Performance Failure); SIS2 = Sexual Inhibition (Performance Consequences); SES = Sexual Excitation; BASd = Behavioral Activation (Drive); BASr = Behavioral Activation (Reward Responsiveness); BASfs = Behavioral Activation (Fun Seeking); BIS = Behavioral Inhibition; ECRav = Attachment Avoidance; ECRax = Attachment Anxiety; MFS = Sexual Assertiveness; RSES = Self-Esteem.
Legend for panel B) Different questionnaires have different node colors (black = ASPI; dark gray = Sexual Function and Distress, gray = SIS/SES, middle gray = BIS/BAS, light gray = Attachment, white = Self-Esteem and Sexual Assertiveness). Solid lines indicate positive, dashed lines indicate negative relationships. The thicker the line, the stronger the relationship.
Figure 2. (Panel A and B). Relationships with other constructs of the ASPI trait scales. Zero-order Spearman correlations on the left and model-selected Spearman correlations on the right. Zero-order correlations which did not reach statistical significance are crossed out (α = .001).

Figure 3. (Panel A and B). Relationships with other constructs of the ASPI state scales. Zero-order Spearman correlations on the left and model-selected Spearman correlations on the right. Zero-order correlations which did not reach statistical significance are crossed out (α = .001).

Note. GSP = General Sexual Pleasure; SP = Sensual Pleasure; IP = Interaction Pleasure; PRM = Pleasure-Related Mastery; PRV = Pleasure-Related Validation; BP = Bonding Pleasure; SFI = Sexual Function Index; SDS = Sexual Distress; SS = Sexual Satisfaction; PANASp = Positive Affect; PANASn = Negative Affect, SPS = Sexual Pleasure Scale.
Legend for panel B) Different questionnaires have different node colors (black = ASPI; dark gray = Sexual Function, Distress and Satisfaction, gray = Sexual Pleasure and Positive and Negative Affect). Solid lines indicate positive, dashed lines indicate negative relationships. The thicker the line, the stronger the relationship.
Figure 3. (Panel A and B). Relationships with other constructs of the ASPI state scales. Zero-order Spearman correlations on the left and model-selected Spearman correlations on the right. Zero-order correlations which did not reach statistical significance are crossed out (α = .001).

Table 16. Descriptive statistics of ASPI-scales overall, and for known-groups and explorative analyses.

Trait Scales

The construct validity (convergent and discriminant validity) of the ASPI trait subscales was supported by most of the observed associations with sexological and psychological constructs, as shown in and . Most hypotheses were confirmed, with some deviations from expectations. The observed moderate to strong associations between the ASPI trait subscales and Sexual Function, Sexual Distress, Sexual Assertiveness, Sexual Excitation, Sexual Inhibition (specifically SIS2), and Attachment Avoidance highlight the convergent validity of the ASPI trait subscales. The ASPI trait scales were associated less strongly with psychological compared to sexological trait scales (e.g., BAS versus SES) and showed differential relationships with Self-Esteem and Sexual Assertiveness, providing evidence for discriminant validity. The discrepancies between expected and observed results (specifically, regarding Attachment Anxiety and SIS1) warrant further investigation, but overall, the construct validity of the ASPI trait subscales appeared to be supported.

State Scales

The construct validity (convergent and discriminant validity) of the ASPI state subscales was largely supported by the observed associations with relevant sexological and psychological constructs, as shown in and . For example, the positive associations between ASPI state subscales and Sexual Function, Sexual Satisfaction, and Positive Affect, as well as the negative associations with Sexual Distress and Negative Affect, were largely in line with the hypotheses. Discriminant validity of the ASPI state scales was shown by the fact that the ASPI state scales generally associated less strongly with psychological states (PA and NA) compared to sexological state scales (SF, SS, and SD). Furthermore, the associations between Sexual Satisfaction and the ASPI state scales were smaller than the association of Sexual Satisfaction with Sexual Distress. A few discrepancies between expected and observed results might suggest areas for future research (i.e., the alternative Sexual Pleasure Scale (SPS) showed a different pattern of correlations than anticipated, correlating most strongly with Bonding and Interaction Pleasure only), but overall, the construct validity of the ASPI state subscales appeared to be supported, as demonstrated in .

Contrary to our expectations, the two general ASPI scales did not correlate equally with all other ASPI scales. Sexual Experience Enjoyment correlated most strongly with Enjoyment-Related Self-Efficacy, followed by Arousal and Interaction Enjoyment (see ). General Sexual Pleasure correlated most strongly with Sensual Pleasure and Mastery, followed by Interaction Pleasure (see Panel A) and Bonding Pleasure (see Panel B) for the zero-order and model-selected correlations, respectively.

Construct Validity II: Differences Between Known-Groups

T-tests for independent groups per scale confirmed the expected differences between the sexually functional-scoring and the sexually dysfunctional-scoring group. The sexually dysfunctional-scoring group had significantly lower mean ASPI scores than the sexually functional-scoring group on all scales (p < .0042; corrected for multiple comparisons using the Bonferroni method; see ), with Enjoyment-Related Self-Efficacy differentiating most among the trait facets, and differences appearing more pronounced on the state compared to the trait scales. In other words, the ASPI scales discriminated between sexual function groups and the state and trait scales showed differential utility in discriminating between sexual function groups since the state scales appeared to show larger differences than the trait scales.

Sensitivity Analysis Regarding Handling of “Not Applicable” Responses

Factor analysis for the state model still resulted in similar, i.e., good model fit compared to the original models (in which “not applicable” was handled as missing) when participants with “not applicable” responses were included but “not applicable” was set to 0, and when participants with “not applicable” responses were excluded (see ).

Table 17. Model fit indices (ESEM) for the sensitivity analysis for the state model.

We also ran sensitivity analyses with the two additional samples for the network analysis. For both cases (“not applicable” set to 0 and NA excluded), all networks were highly similar to the original networks with all newly estimated correlation matrices correlating above .9 with the original correlation matrices.

Response Bias for ASPI Scales

ASPI scales were not systematically associated with socially desirable responses since correlation coefficients were not equal or higher than the cutoff of rs > .5 (the highest zero-order correlation was rs = .18 between SEA and Interaction Pleasure). In addition, the correlations between the ASPI scales and the SEA-Short Form were comparable to the correlation of the Sexual Satisfaction scales with the SEA-Short Form. The fact that both the ASPI and Sexual Satisfaction correlated more strongly with the SEA than the SES correlated with the SEA warrants further investigation in the future. Detailed correlation tables (one for state and one for trait) can be found in the Online Supplementary S3 and S4, providing further information on the relationships between these variables.

Explorative Analysis: Sex Differences on ASPI Scales

Most scales showed no significant sex difference using t-tests for independent groups (see ). Only the trait scales Interaction Enjoyment and Enjoyment-Related Self-Worth and the state counterpart scale Pleasure-Related Validation showed a significant sex difference, with males showing higher mean scores for the Interaction scale and females showing higher mean scores for the Self-Worth and Validation scales (p < .0042; corrected for multiple comparisons using the Bonferroni method; see ). The effect sizes according to Cohen (Citation1988) were small (Cohen’s d for Interaction Enjoyment = -0.41, Cohen’s d for Enjoyment-Related Self-Worth = 0.31, Cohen’s d for Pleasure-Related Validation = 0.23).

We additionally explored sex differences in the associations between the Orgasm Function scale and the ASPI scales, considering differences in orgasm consistency across sex and gender (Frederick et al., Citation2018). shows that across all participants all ASPI scales correlated moderately positively with the Orgasm Function scale, indicating that the experience of pleasurable sex was associated with orgasm function. Sex differences in associations emerged, with stronger correlations emerging among the female subsample compared to the male subsample, especially for the intrapersonal reward domain (Enjoyment-related Self-Efficacy and Self-Worth and Pleasure-related Mastery and Validation).

Table 18. Spearman correlations between the ASPI and orgasm function for all participants (n = 698) and female (n = 346) and male (n = 352) participants separately.

Response Process Evaluation: Item Comprehension and Content Validity

We asked participants of sample 1 whether they thought the ASPI covered (trait) enjoyment and (state) pleasure sufficiently or whether they felt that any pleasurable aspects of sexual experiences were missing. Respondents noted that playing with, exploring, and learning about personal and interpersonal boundaries and the resulting novelty, psychological “mindfuck” and spiritual and transcendent experiences were not yet sufficiently included. We also specifically targeted those people who indicated that they had not experienced any of the sexual experiences covered in the ASPI to ask them whether they had experienced anything as sexually pleasurable which was not covered in the ASPI (n = 10 of 1371). None of these participants suggested any additional activity or experience; all indicated that no potential experience was missing.

In the qualitative survey (sample 2), we focused on whether participants understood the content of the items. For the most part, the items were understandable. Only for nine items more than three participants indicated that they did not fully understand them. Seven of these items were excluded based on the quantitative analysis. For the two retained items (state4: “During partner sex, my genitals glowed with excitement.” and state5: “During masturbation, my genitals glowed with excitement.”) we examined the qualitative responses in more detail and saw that people had difficulty understanding the word “glowed.” We checked what the two statements meant to respondents in their own words and noted that they described the statement as intended (e.g., hot, wet, blood flowing, swelling, maximum arousal). We therefore retained these two items.

Participants were also asked whether the items adequately covered the scales. Those participants who indicated issues, mainly had difficulties with the names of the scales. This difficulty could be due to failed scale-label translation into German or the fact that the scale labels are technical and potentially not intuitively familiar. The German labeling and definition of the scales could be reworded in future ASPI versions, which would allow for better insight in item-scale coverage in future response process evaluations.

Discussion

In this study, we presented the Amsterdam Sexual Pleasure Inventory (ASPI 1.0), a revised version of the original ASPI (0.1), and analyzed its psychometric properties to gather validity evidence regarding the intended interpretation and uses of the ASPI. The ASPI is a multidimensional instrument which aims to assess the different facets of sexual pleasure from a trait and state perspective and can be used in diverse groups of people to compare respective scores between male and female respondents with and without sexual dysfunction.

Our analyses suggested that the 5-facet structure for trait and state pleasure proposed by Werner et al. (Citation2023a) showed good structural validity evidence and that the explorative general ASPI scales showed acceptable evidence of structural validity as indices. The majority of the scales showed acceptable internal consistency and the factor structure was invariant among intended comparison groups. Sexual pleasure as assessed by the ASPI differed sufficiently from similar and related constructs such as sexual satisfaction and associated theoretically sensibly with other sexological and psychological constructs, suggesting that the ASPI scales showed overall good validity evidence regarding relations with other constructs.

Differences between known-groups suggested that the state scales have differential utility compared to the trait scales in differentiating sexual dys/function and that the different facets have utility in researching differences between males and females (assigned-at-birth). Furthermore, we showed that the ASPI did not appear to be particularly sensitive to socially desirable responding. Based on the qualitative data, participants understood the items as intended and thought that the ASPI covered relevant facets of sexual pleasure. Therefore, we argue that the ASPI can be used in survey research among respondents with different sex, gender, and relationship types to assess the tendency to experience sexual pleasure and the levels of experienced sexual pleasure and can be used to compare scores on the respective scales between males and females, and potentially between groups with and without sexual dysfunction.

Factor Structure and Internal Consistency

Trait Scales

The model fit for the trait model was very good. Except for Interaction Enjoyment, all facets showed clearly demarcated factor loading patterns. For Interaction Enjoyment, we decided to retain the lowest loading item, as without it, the scale would primarily emphasize the giving of pleasure rather than the exchange of pleasure which we considered crucial to capture sexual interaction. However, future research needs to ascertain whether the tendency to enjoy sexual interaction reflects the tendency to enjoy the reciprocal sharing of pleasure or rather the giving of pleasure only (Lawrance & Byers, Citation1995; Muise & Impett, Citation2015; Muise et al., Citation2013).

For Interaction Enjoyment, we also accepted the strongly cross-loading items since they cross-loaded on Bonding Enjoyment only, which also belongs to the interpersonal enjoyment domain, and should therefore not be theoretically problematic (Werner et al., Citation2023a). We also did not collapse the items into one scale as the items from Bonding Enjoyment did not exhibit cross-loadings on Interaction Enjoyment and since the two scales showed differential patterns of convergent and discriminant relationships with other constructs. For instance, Bonding Enjoyment showed a controlled negative association with Attachment Avoidance (cf. Davis et al., Citation2004; Impett et al., Citation2008), whereas Interaction Enjoyment did not. This indicates that the two subscales represent different facets despite both belonging to the interpersonal enjoyment domain.

All scales, with the exception of the Enjoyment-Related Self-Worth scale, showed at least acceptable internal consistency, probably due to the fact that it is shorter with only three items, two of which are reverse scored (Giles et al., Citation2020; Greenberger et al., Citation2003; Rodebaugh et al., Citation2007; Smith et al., Citation2000).

State Scales

The state structure showed good model fit. However, the factor loading patterns were not as consistent as for the trait model, and only Sensual Pleasure, Pleasure-Related Validation, and Bonding Pleasure showed clear demarcation in terms of their factor loadings. Interaction Pleasure showed four cross-loadings on Sensual Pleasure, probably because Interaction items also ask about pleasure received from stimulation (Item 15, 16, 17, 19), but with a focus on stimulation in a partnered rather than general context (Werner et al., Citation2023a). We decided to keep the scales separate in order to be able to still assess a more general, rather than only partnered, context with a Sensual Pleasure scale especially for those who did not engage in partnered sex. This decision was further supported by the Sensual Pleasure scale not exhibiting cross-loadings on Interaction Pleasure and both scales showing differential patterns of convergent and discriminant relationships with other constructs (e.g., Sensual Pleasure associated with Sexual Function, which Interaction Pleasure did not; Stephenson & Meston, Citation2012).

Pleasure-Related Mastery included four items which loaded weakly on Pleasure-Related Mastery while cross-loading strongly on other factors (Item 6, 7, 9, 11). Three of these cross-loading items refer to partner sex and loaded strongly on Interaction Pleasure and Bonding Pleasure, probably because these factors share the context of partnered sex. Since the Pleasure-Related Mastery scale is not about the activity and its context but about the mastery experienced during the activity and context, we decided to keep the scale separate to be able to measure this pleasurable facet of partnered sex separately (for a similar rationale, see the method in Murphy et al., Citation2001).

All scales except Pleasure-Related Validation showed at least acceptable internal consistency. Pleasure-Related Validation probably showed questionable consistency since it is shorter with only three items, two of which are reverse scored (Giles et al., Citation2020; Greenberger et al., Citation2003; Rodebaugh et al., Citation2007; Smith et al., Citation2000).

Trait vs. State Scales

Overall, the structure of the trait model was more robust than that of the state model with the state scales showing lower loadings overall and more cross loadings than the trait scales. We can speculate about three potential reasons. First, state scales might be affected more by measurement error than trait scales since experiences reflected in state items might be affected more by unsystematic extraneous time-varying aspects (Hamaker et al., Citation2007) than those of trait items, resulting in lower factor-loadings due to more residual variation. Second, in the state model more than in the trait model, items clustered alongside the activity and/or context, suggesting that state-evaluations are more sensitive to situational aspects which might lead respondents to answer items relating to the same situations more similarly even though the items refer to different aspects of those situations (Fleeson, Citation2001; Mischel & Shoda, Citation1995; Murphy et al., Citation2001). Future work could address this by modeling factor models including three method factors (Morin et al., Citation2020) for general sexual experiences, partner sex, and solo sex. Third, the ASPI state scales are newer in development than the trait scales, since the trait scales were partially based on and therefore able to learn from the original version of the ASPI 0.1 (Gieles et al., Citation2022; Klein et al., Citation2022; Werner et al., Citation2023b, January 25).

Factors vs. Components – Latent Variables vs. Indices

We also demonstrated acceptable model fit for the component models for the general scales (Sexual Experience Enjoyment and General Sexual Pleasure), with component loadings generally surpassing acceptable strength (Brown, Citation2015; Costello & Osborne, Citation2005). However, the fact that the components only captured about 50% of the variance suggests that one should look critically at an average score of this scale (Abdi & Williams, Citation2010). Experience across the different activities seem to vary unsystematically across individuals – i.e., not everyone who experiences masturbation as pleasurable also experiences partner sex as pleasurable – which implies that overall pleasure and enjoyment across different activities cannot be easily reduced unidimensionally.

Measurement Invariance and Known-Group Differences

We showed that the ASPI can be used to compare scores across sex and probably sexual function groups since measurement invariance was given for both male and female participants and for sexually functional-scoring and dysfunctional-scoring people. Thereby, the ASPI is the first sexual pleasure scale with validity evidence regarding uses and comparability in such different groups of people.

Furthermore, we showed that all ASPI scale scores significantly differentiated between dysfunctional-scoring and functional-scoring participants, with Enjoyment-Related Self-Efficacy showing the biggest difference among the trait scales and the state scales showing bigger differences than the trait scales. These results confirm that the ASPI is able to discriminate sexual function groups and that sexually dysfunctional-scoring individuals report less pleasure and a lower tendency to experience pleasure than functional-scoring individuals, which is in line with previous research (Pascoal et al., Citation2016; Stephenson & Meston, Citation2012). Furthermore, these results suggest that it is useful to differentiate between state and trait sexual pleasure.

Somewhat contrary to the previous literature (Klein et al., Citation2022; Laan et al., Citation2021), sex differences occurred only on Enjoyment-Related Self-Worth and Interaction Enjoyment and the state counterpart Pleasure-Related Validation, with females scoring higher on Enjoyment-Related Self-Worth and Pleasure-Related Validation and lower on Interaction Enjoyment than males. Our finding highlights the utility of the ASPI in that it is possible to study specifically how groups differ in various aspects of pleasure and enjoyment. Earlier findings of gender differences in pleasure, with women reporting less pleasure than men, potentially resulted from the fact that those instruments assessed pleasure and enjoyment associated with the sexual interaction rather than other (aspects of) sexual activities.

Despite few sex differences in average reported levels of pleasure and enjoyment as assessed by the ASPI, female participants did report lower Orgasm Function and larger interindividual differences in Orgasm Function than male participants, which is in line with the literature (Klein et al., Citation2022; Laan et al., Citation2021). Overall, pleasurable sex associated moderately positively with Orgasm Function, confirming that pleasurable sex encompasses, but is not equivalent to, orgasm during sex (Fahs & Plante, Citation2017; Tiefer, Citation2004). Importantly, Orgasm Function associated more strongly with pleasurable sexual experiences among female than male participants, presumably because of the more restricted variance in Orgasm Function in males than females (Laan et al., Citation2021, p. 518). The intrapersonal reward domain associated with Orgasm Function most strongly and consistently, suggesting that (the tendency) to feel worthy of and capable to create positive and validating sexual experiences might be particularly worthwhile points of intervention to not only make sex more pleasurable for both sexes but also orgasmic, especially for females. These observed sex differences should be replicated for further confirmation as they were exploratory in nature and included the ASPI scale with the lowest internal consistency.

Construct and Content Validity: Convergent and Discriminant Associations and Response Process Evaluation

Overall, each ASPI scale showed sufficiently differential interrelationships with other constructs compared to the other ASPI scales which suggests that each ASPI scale represents a unique construct worthwhile to interpret and use separately. This further supports our decision to not collapse any of the factors into the same scale (e.g., Interaction Enjoyment and Bonding Enjoyment, or Interaction Pleasure and Sensual Pleasure). Furthermore, participants provided qualitative responses which showed good evidence of validity regarding the content of the ASPI scales. Items were considered comprehensive, understandable, and relevant.

Our construct validity analyses offered evidence of good validity of the ASPI scales in terms of relations with other variables, apart from some important exceptions regarding relationships with Sexual Inhibition and Attachment Anxiety. In line with our predictions, the ASPI scales correlated more strongly with sexological compared to psychological scales, with the trait scales correlating more strongly with Sexual Excitation compared to Behavioral Activation, and the state scales correlating more strongly with Sexual Function, Distress and Satisfaction compared to General Positive and Negative Affect. Furthermore, the Enjoyment-Related Self-Efficacy & Pleasure-Related Mastery and Enjoyment-Related Self-Worth & Pleasure-Related Validation scales showed differential patterns of relationships with Sexual Assertiveness and Self-Esteem, supporting their intended interpretation (Mastro & Zimmer-Gembeck, Citation2015; Rowland et al., Citation2015).

As expected, the ASPI scales correlated with Sexual Satisfaction, but generally less strongly and consistently so than Sexual Satisfaction and Sexual Distress correlated with each other, offering further evidence to interpreting the ASPI to measure a different construct than Satisfaction, which is consistent with the literature (Bois et al., Citation2013; McClelland, Citation2010, Citation2014; Pascoal et al., Citation2014; Stephenson & Meston, Citation2012)

Contrary to our expectations, the ASPI trait scales did not correlate as expected with Attachment Anxiety and Sexual Inhibition, whereas the relationships between the ASPI trait scales and Attachment Avoidance and Sexual Excitation did follow our expectations overall (Davis et al., Citation2004; Impett et al., Citation2008; Nelson-Coffey et al., Citation2017). We speculate that these deviations could be due to two reasons. First, the Sexual Inhibition scales showed low internal consistency in our sample, which might explain why these scales did not systematically covary with any of the other scales (DeVellis & Thorpe, Citation2021; Nunnally & Bernstein, Citation1994). Second, we assume that, at the time we formulated our hypotheses, we had limited understanding of the differential roles Attachment Anxiety and Sexual Inhibition play in pleasure and enjoyment and might have underestimated potential sex differences which could moderate these associations (e.g., Sexual Inhibition due to performance threat, SIS1, might only associate negatively with pleasure and enjoyment among men for which those scales were originally created; Janssen & Bancroft, Citation2007). That is, we think that we specified faulty conceptual hypotheses rather than that we report on problems of the ASPI. Future research needs to replicate our findings, disentangle the differential role Attachment Avoidance and Attachment Anxiety appear to be playing in sexual pleasure and function (Barnett et al., Citation2018; Cohen & Belsky, Citation2008; Davis et al., Citation2004; Impett et al., Citation2008), and focus on the differential role Sexual Inhibition and Sexual Excitation seem to be playing in different domains of sexual pleasure and enjoyment (Janssen & Bancroft, Citation2007).

The general scales (Sexual Experience Enjoyment and General Sexual Pleasure) correlated most strongly and robustly with Arousal Enjoyment and Sensual Pleasure and Enjoyment-Related Self-Efficacy and Pleasure-Related Mastery, and somewhat less strongly and consistently with the Bonding and Interaction facets, and very weakly to not at all with Pleasure-Related Validation and Enjoyment-Related Self-Worth. This might imply that general sexual pleasure and enjoyment do not encompass the Enjoyment-Related Self-Worth and Pleasure-Related Validation facets, or that such an association is group-dependent and moderated by, for instance, gender (Klein et al., Citation2022; Meana, Citation2010). Also, the alternative general Sexual Pleasure Scale (SPS; Pascoal et al., Citation2016) did correlate consistently with the Bonding and Interaction scales, suggesting that this alternative general scale assesses the interpersonal domain of sexual pleasure. However, since the general scales correlated with at least one of the scales of each domain, these results suggest that the general ASPI scales can be interpreted and used to assess the general tendency to and experience of sexual pleasure.

Limitations and Future Improvements

There are several limitations and potential future improvements regarding the study and questionnaire.

Study

First, the study did not include repeated measurements which are needed to investigate differentiation into state and trait variability on the scales over time (Hamaker et al., Citation2007), as well as reliability in terms of temporal stability. Second, in this study we did not further discuss and differentiate between traits as tendencies and traits as capacities which we briefly referred to in the introduction. We expect that a self-report assessment that is structured like the ASPI mostly assesses the tendency but not capacity to experience pleasure, an assumption which should be further researched in the future (see for a discussion Werner et al. Citation2023a, and in the introduction). Third, we studied the ASPI in a sample of German-speaking individuals. Investigations of cross-cultural measurement invariance are necessary in order to use the ASPI in other languages and cultural contexts. Fourth, examining the factor structure of the ASPI for sexually inactive people separately was beyond the scope of the study. We did assess different procedures for scoring the “not applicable” responses, indicating that in our sample the scoring of “not applicable” responses did not have a strong influence on the conclusions drawn regarding validity evidence. Future studies should assure the valid use and interpretation of the scores in samples with more “not applicable” and missing responses and explore the scaling and scoring in different groups in more detail using Item Response Theory. Fifth, measurement invariance in people with sexual dysfunction, people whose assigned sex does not correspond to their gender, and partnered versus non-partnered respondents needs to be assessed in a larger sample to pursue the goal of using the ASPI scores to compare these groups of individuals validly. Sixth, some of the scales used for construct validation showed less than acceptable internal consistency in our sample. Future studies need to ascertain whether our findings, specifically regarding Attachment Anxiety and Sexual Inhibition, were a result of lacking reliability of these measures in our sample. Finally, we focused on reporting validity evidence for the state and trait scales separately to establish their validity and performance independently, as outlined in our preregistration. We thereby aimed to lay the groundwork for future research which can investigate the interplay between the validated state and trait facets and delve deeper into their relationships.

Questionnaire

First, the ASPI is a self-report questionnaire, leaving the results subject to measurement limitations specific to self-report assessments (Giles et al., Citation2020). Future work using different instruments such as physiological measures of pleasure, instruments assessing standardized situations (Janssen et al., Citation2002a), and studies into response-scale interpretation (McClelland, Citation2017) can gather additional evidence regarding the interpretation of the ASPI state scales as a state measure and the interpretation of the ASPI trait scales as a trait measure. The integration of psychophysiological measures in future studies will not only contribute to the validation of the ASPI but also enhance our understanding of the complex interplay between self-reported sexual pleasure and its physiological underpinnings, paving the way for a more comprehensive approach to the study of sexual pleasure (e.g., Janssen et al., Citation2002b).

Second, the validity evidence suggested that the Interaction scales and the Enjoyment-Related Self-Worth and Pleasure-Related Validation scales require another round of improvements. Future ASPI versions need to disentangle whether the Interaction scales need to capture reciprocity in exchanging pleasure or whether the pleasure involved in sharing pleasure lies mainly in giving rather than reciprocally receiving pleasure, the latter which might already be sufficiently captured by the Sensual Pleasure scale, explaining the cross-loadings of the Interaction scales (cf. Lawrance & Byers, Citation1995; Muise & Impett, Citation2015; Muise et al., Citation2013). Regarding the Self-Worth and Validation scales, their internal consistency could be improved by rephrasing included items from negative to positive valence and potentially adding new items (Giles et al., Citation2020; Greenberger et al., Citation2003; Rodebaugh et al., Citation2007; Smith et al., Citation2000).

Third, the current version does not yet cover all rewarding aspects of sexual experiences and participants suggested adding facets that dovetail with additional facets suggested in previous research (playing with, learning about, and expanding boundaries as well as novelty and the transcendence or spirituality of sex; see also Goldey et al., Citation2016; Kleinplatz et al., Citation2009; Werner et al. Citation2023a).

Fourth, as for previous versions of the ASPI (i.e. 0.1) and other sexual pleasure scales, the items and scores of the ASPI 1.0 were left skewed and non-normally distributed; however, rather than seeing this as a limitation of the instrument, it appears to be how pleasure is distributed in samples from the general population (Beckmeyer et al., Citation2021).

Strengths and Conceptual Implications

The ASPI is the first questionnaire to assess sexual pleasure from a conceptual and holistic perspective, capturing trait and state aspects of multiple facets of sexual pleasure, considering aspects of partner and solo sexuality, while being inclusive as it does not assume gender, sex, or relationship types. Overall, Werner et al.’s (Citation2023a) suggestion that sexual pleasure encompasses the (tendency for the) experience of different rewards was supported in that the general scales did correlate consistently with at least one scale of each of the three reward domains (hedonic, interpersonal and intrapersonal). The latter suggestion is in line with views that suggest that sexual pleasure encompasses more than the experience of sensual pleasure and orgasm and that it is crucial to incorporate other rewarding aspects of sexuality in order to study sexually pleasurable experiences (Fileborn et al., Citation2017; Goldey et al., Citation2016; Kleinplatz et al., Citation2009; Opperman et al., Citation2014).

We investigated the questionnaire using a sufficiently large sample representing the general (German speaking) population. By adhering to the a priori power analysis specified in our preregistration, we ensured sufficient power and methodological rigor (Simmons et al., Citation2016).

Even though we did not study the ASPI in a clinical sample, comparing the scales between sexually functional-scoring and dysfunctional-scoring groups suggests the utility of the ASPI in differentiating these groups. The construct validity results suggest that the ASPI includes constructs which have not been covered sufficiently yet in other conceptual frameworks and questionnaires and which could be useful for future research on sexual dys/function and differences between groups. Specifically, among the trait scales, the two sexual function groups differed most regarding Enjoyment-related Self-Efficacy, suggesting that individuals reporting sexual dysfunction tend to feel incapable of creating sexually pleasurable experiences. Also, the differences on the state scales between sexual function groups tended to be more pronounced than those on the trait scales, suggesting that, overall, individuals reporting sexual dysfunction currently might tend to experience sex as pleasurable but experience decreased levels of sexual pleasure due to contextual reasons. Future research could uncover how to best foster Enjoyment-related Self-Efficacy and determine which capacities and contextual factors predict state sexual pleasure in order to inform tailored sexual pleasure interventions.

Conclusion

In this study, we presented the psychometric properties of the ASPI 1.0, an inclusive instrument that comprehensively assesses both trait and state aspects of sexual pleasure, and reported on evidence regarding its intended interpretation and use. By revising the original ASPI 0.1 and adhering to the conceptual framework proposed by Werner et al. (Citation2023a), the ASPI considers sexual pleasure as a multifaceted concept from a state and trait conceptualization of pleasure. Sexually pleasurable experiences can be more than “merely” sensually pleasurable experiences, they can also encompass the experience of feeling validated, feeling confident and competent, feeling intimate and connected, and sharing pleasure joyfully. Furthermore, people differ not only in the level of sexual pleasure experienced recently but also their tendency to experience sexual pleasure. By offering insights into the diverse aspects of pleasurable sexual experiences, the ASPI might contribute to a more nuanced understanding of sexual function, health, and wellbeing, and guide future research in uncovering the individual and contextual factors that determine sexual pleasure. We hope the ASPI helps us to find out why some people find it easier than others to create pleasurable sexual experiences, and how different contextual factors enable some people to experience sexual pleasure while disadvantaging others.

Contribution

Contributions to conception and design of the questionnaire: EL, MB, MW

Contributions to conception and design of the study: DD, FA, LB, MB, MW

Acquisition of data: LB, MB

Analysis and interpretation of data: DD, LB, MB, MW

Drafting the article or revising it critically for important intellectual content: DD, HJZ, LB, MB, MW, SGS

Final approval of the version to be published: DD, HJZ, LB, MB, MW, SGS

Supplemental material

Supplemental Material

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Acknowledgments

We dedicate this work to Ellen Laan, a special woman who spent more than a decade working on the question of how to best measure sexual pleasure. She developed the original ASPI 0.1 a decade ago together with her friend and colleague Rik van Lunsen. Before her passing, she was still able to contribute to the reformulation of the ASPI 1.0 and the design of this study. Her spirit, passion and work will forever inspire us!

We would like to thank Alex I. Macdougall for his help in translating the ASPI 1.0 into English.

We also thank Flavio Azevedo for sharing his knowledge and expertise with us regarding attentive responding in survey research and his feedback on the pre-registration of this psychometric study.

Disclosure Statement

No potential conflict of interest was reported by the authors.

Supplementary Data

Supplemental data for this article can be accessed online at https://doi.org/10.1080/00224499.2023.2261439.

Correction Statement

This article has been corrected with minor changes. These changes do not impact the academic content of the article.

Additional information

Funding

The authors reported there was no funding associated with the work featured in this article.

Notes

1 We used the following criteria for model fit: root mean square error of approximation (RMSEA) with values less than .06 indicating excellent fit, values between .08 and .10 indicating mediocre fit and values above .10 indicating poor model fit (Hu & Bentler, Citation1998); the standardized root mean square residual (SRMR) with values smaller than .09 suggesting good fit (Hu & Bentler, Citation1998); the comparative fit index (CFI) and Tucker – Lewis Index (TLI) with values above .90 indicating acceptable fit and values above .95 indicating good model fit (Hu & Bentler, Citation1998; MacCallum et al., Citation1996).

2 For configural we used the following criteria for model fit: root mean square error of approximation (RMSEA) with values less than .06 indicating excellent fit, values between .08 and .10 indicating mediocre fit and values above .10 indicating poor model fit (Hu & Bentler, Citation1998); the comparative fit index (CFI) and Tucker – Lewis Index (TLI) with values above .90 indicating acceptable fit and values above .95 indicating good model fit (Hu & Bentler, Citation1998; MacCallum et al., Citation1996). For metric and scalar: differences in fit larger than .01 (for RMSEA) and smaller than −.01 (for CFI and TLI) suggest non-invariance across groups (Chen, Citation2007; Cheung & Rensvold, Citation2002).

3 Edge stability (retaining a correlation of .7 in at least 95% of the samples) for the trait and the state network was 0.751 (0.673–1) and the bootstrap-based variance around the edge estimates seemed acceptable. Stability plots can be found in the Online Supplementary S5.

References

  • Abdi, H. (2007). Bonferroni and Šidák corrections for multiple comparisons. Encyclopedia of Measurement and Statistics, 3(1), 1–9.
  • Abdi, H., & Williams, L. J. (2010). Principal component analysis. Wiley Interdisciplinary Reviews: Computational Statistics, 2(4), 433–459. https://doi.org/10.1002/wics.101
  • American Educational Research Association, American Psychological Association, & National Council on Measurement in Education. (2014). Standards for educational and psychological testing. American Educational Research Association.
  • Andrade, C. (2019). Multiple testing and protection against a type 1 (false positive) error using the Bonferroni and Hochberg corrections. Indian Journal of Psychological Medicine, 41(1), 99–100. https://doi.org/10.4103/IJPSYM.IJPSYM_499_18
  • Arnold, J. B., Daroczi, G., Werth, B., Weitzner, B., Kunst, J., & Auguie, B. (2021). Ggthemes: Extra themes, scales and geoms for ‘Ggplot2’. https://CRAN.R-project.org/package=ggthemes
  • Bancroft, J., Herbenick, D., Barnes, T., Hallam-Jones, R., Wylie, K., Janssen, E., & Members of BASRT*. (2005). The relevance of the dual control model to male sexual dysfunction: The Kinsey Institute/BASRT collaborative project. Sexual & Relationship Therapy, 20(1), 13–30.
  • Bancroft, J., Janssen, E., Strong, D., Carnes, L., Vukadinovic, Z., & Long, J. S. (2003). The relation between mood and sexuality in heterosexual men. Archives of Sexual Behavior, 32(3), 217–230. https://doi.org/10.1023/a:1023409516739
  • Barlow, D. H. (2010). Negative effects from psychological treatments: A perspective. American Psychologist, 65(1), 13–20. https://doi.org/10.1037/a0015643
  • Barnett, M. D., Moore, J. M., Woolford, B. A., & Riggs, S. A. (2018). Interest in partner orgasm: Sex differences and relationships with attachment strategies. Personality and Individual Differences, 124, 194–200. https://doi.org/10.1016/j.paid.2017.12.015
  • Beckmeyer, J. J., Herbenick, D., & Eastman-Mueller, H. (2021). Sexual pleasure during college students’ most recent partnered sexual experiences. Journal of American College Health, 1–12. https://doi.org/10.1080/07448481.2021.1978461
  • Berinsky, A. J., Margolis, M. F., & Sances, M. W. (2014). Separating the shirkers from the workers? Making sure respondents pay attention on self‐administered surveys. American Journal of Political Science, 58(3), 739–753. https://doi.org/10.1111/ajps.12081
  • Bernaards, C. A., & Jennrich, R. I. (2005). Gradient projection algorithms and software for arbitrary rotation criteria in factor analysis. Educational and Psychological Measurement, 65(5), 676–696. https://doi.org/10.1177/0013164404272507
  • Berner, M., Kriston, L., Zahradnik, H.-P., Härter, M., & Rohde, A. (2004). Überprüfung der Gültigkeit und Zuverlässigkeit des deutschen Female Sexual Function Index [Checking the validity and reliability of the German Female Sexual Function Index] (FSFI-d). Geburtshilfe und Frauenheilkunde, 64(3), 293–303. https://doi.org/10.1055/s-2004-815815
  • Bois, K., Bergeron, S., Rosen, N. O., McDuff, P., & Grégoire, C. (2013). Sexual and relationship intimacy among women with provoked vestibulodynia and their partners: Associations with sexual satisfaction, sexual function, and pain self‐efficacy. The Journal of Sexual Medicine, 10(8), 2024–2035. https://doi.org/10.1111/jsm.12210
  • Bradford, N. J., & Spencer, K. (2020). Sexual pleasure in transgender and gender diverse individuals: An update on recent advances in the field. Current Sexual Health Reports, 12(4), 314–319. https://doi.org/10.1007/s11930-020-00284-2
  • Brenk-Franz, K., & Strauß, B. (2011). Der Multidimensionale Fragebogen zur Sexualität [The Multidimensional Sexuality Questionnaire] (MFS). Zeitschrift für Sexualforschung, 24(3), 256–271. https://doi.org/10.1055/s-0031-128706
  • Breyer, B., & Bluemke, M. (2016). Deutsche Version der Positive and Negative Affect Schedule PANAS [German version of the Positive and Negative Affect Schedule] (GESIS panel). Zusammenstellung sozialwissenschaftlicher Items und Skalen. ZIS. https://doi.org/10.6102/zis242
  • Brotto, L., & Velten, J. (2014). Sexual interest/arousal disorder in women. In K. S. K. Hall & Y. M. Binik (Eds.), Principles and practice of sex therapy (6th ed., pp. 13–40). The Guilford Press.
  • Brown, T. A. (2015). Confirmatory factor analysis for applied research (2nd ed.). The Guilford Press.
  • Cambon, L., Terral, P., & Alla, F. (2019). From intervention to interventional system: Towards greater theorization in population health intervention research. BMC Public Health, 19(1), 1–7. https://doi.org/10.1186/s12889-019-6663-y
  • Carpenter, D., Janssen, E., Graham, C. A., Vorst, H., & Wicherts, J. (2010). Sexual Inhibition/Sexual Excitation Scales-Short Form. In T. D. Fisher & C. M. Davis. W. L. Yarber & S. L. Davis (Eds.), Handbook of sexuality-related measures (3rd ed., pp. 236–239). Routledge.
  • Carrotte, E. R., Vella, A. M., Bowring, A. L., Douglass, C., Hellard, M. E., & Lim, M. S. (2016). “I am yet to encounter any survey that actually reflects my life”: A qualitative study of inclusivity in sexual health research. BMC Medical Research Methodology, 16(1), 1–10. https://doi.org/10.1186/s12874-016-0193-4
  • Carver, C. S., & White, T. L. (1994). Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS scales. Journal of Personality and Social Psychology, 67(2), 319–333. https://doi.org/10.1037/0022-3514.67.2.319
  • Castellanos-Usigli, A., & Braeken van Schaik, D. (2019). The Pleasuremeter: Exploring the links between sexual health, sexual rights and sexual pleasure in sexual history-taking, SRHR counselling and education. Sexual and Reproductive Health Matters, 27(1), 313–315. https://doi.org/10.1080/26410397.2019.1690334
  • Chen, F. F. (2007). Sensitivity of goodness of fit indexes to lack of measurement invariance. Structural Equation Modeling: A Multidisciplinary Journal, 14(3), 464–504. https://doi.org/10.1080/10705510701301834
  • Cheung, G. W., & Rensvold, R. B. (2002). Evaluating goodness-of-fit indexes for testing measurement invariance. Structural Equation Modeling, 9(2), 233–255. https://doi.org/10.1207/S15328007SEM0902_5
  • Clark, L. A., & Watson, D. (2019). Constructing validity: New developments in creating objective measuring instruments. Psychological Assessment, 31(12), 1412–1427. https://doi.org/10.1037/pas0000626
  • Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Lawrence Erlbaum Associates. https://doi.org/10.1016/C2013-0-10517-X
  • Cohen, D., & Belsky, J. (2008). Avoidant romantic attachment and female orgasm: Testing an emotion-regulation hypothesis. Attachment & Human Development, 10(1), 1–10. https://doi.org/10.1080/14616730701868555
  • Costello, A. B., & Osborne, J. (2005). Best practices in exploratory factor analysis: Four recommendations for getting the most from your analysis. Practical Assessment, Research & Evaluation, 10(7), 1–9. https://doi.org/10.7275/jyj1-4868
  • Crutzen, R., & Peters, G. J. Y. (2017). Scale quality: Alpha is an inadequate estimate and factor-analytic evidence is needed first of all. Health Psychology Review, 11(3), 242–247. https://doi.org/10.1080/17437199.2015.1124240
  • Davis, D., Shaver, P. R., & Vernon, M. L. (2004). Attachment style and subjective motivations for sex. Personality and Social Psychology Bulletin, 30(8), 1076–1090. https://doi.org/10.1177/0146167204264794
  • Dawson, S. J., & Chivers, M. L. (2014). Gender differences and similarities in sexual desire. Current Sexual Health Reports, 6(4), 211–219. https://doi.org/10.1007/s11930-014-0027-5
  • DeCastellarnau, A. (2018). A classification of response scale characteristics that affect data quality: A literature review. Quality & Quantity, 52(4), 1523–1559. https://doi.org/10.1007/s11135-017-0533-4
  • Derogatis, L. R., Rosen, R., Leiblum, S., Burnett, A., & Heiman, J. (2002). The Female Sexual Distress Scale (FSDS): Initial validation of a standardized scale for assessment of sexually related personal distress in women. Journal of Sex & Marital Therapy, 28(4), 317–330. https://doi.org/10.1080/00926230290001448
  • DeVellis, R. F., & Thorpe, C. T. (2021). Scale development: Theory and applications (5th ed.). Sage publications.
  • Dowle, M., Srinivasan, A., Gorecki, J., Chirico, M., Stetsenko, P., Short, T., Lianoglou, S., Antonyan, E., Bonsch, M., & Parsonage, H. (2021). Data.Table: Extension of `data.Frame`. https://CRAN.R-project.org/package=data.table
  • Dunn, T. J., Baguley, T., & Brunsden, V. (2014). From alpha to omega: A practical solution to the pervasive problem of internal consistency estimation. British Journal of Psychology, 105(3), 399–412. https://doi.org/10.1111/bjop.12046
  • Ehrenthal, J. C., Dinger, U., Lamla, A., Funken, B., & Schauenburg, H. (2009). Evaluation der deutschsprachigen Version des Bindungsfragebogens “Experiences in Close Relationships-Revised” [Evaluation of the German-language version of the attachment questionnaire Experiences in Close Relationships-Revised] (ECR-RD). PPmP-Psychotherapie, Psychosomatik, Medizinische Psychologie, 59(6), 215–223. https://doi.org/10.1055/s-2008-1067425
  • Epskamp, S., Borsboom, D., & Fried, E. I. (2018). Estimating psychological networks and their accuracy: A tutorial paper. Behavior Research Methods, 50(1), 195–212. https://doi.org/10.3758/s13428-017-0862-1
  • Epskamp, S., Cramer, A. O., Waldorp, L. J., Schmittmann, V. D., & Borsboom, D. (2012). Qgraph: Network visualizations of relationships in psychometric data. Journal of Statistical Software, 48(4), 1–18. https://doi.org/10.18637/jss.v048.i04
  • Epskamp, S., Stuber, S., Nak, J., Veenman, M., & Jorgensen, T. D. (2022). semPlot: path diagrams and visual analysis of various SEM packages’ output. https://CRAN.R-project.org/package=semPlot
  • Fahs, B., & Plante, R. (2017). On ‘good sex’ and other dangerous ideas: Women narrate their joyous and happy sexual encounters. Journal of Gender Studies, 26(1), 33–44. https://doi.org/10.1080/09589236.2016.1246999
  • Fairchild, A. J., & Finney, S. J. (2006). Investigating validity evidence for the Experiences in Close Relationships-Revised Questionnaire. Educational and Psychological Measurement, 66(1), 116–135. https://doi.org/10.1177/0013164405278564
  • Fileborn, B., Hinchliff, S., Lyons, A., Heywood, W., Minichiello, V., Brown, G., Malta, S., Barrett, C., & Crameri, P. (2017). The importance of sex and the meaning of sex and sexual pleasure for men aged 60 and older who engage in heterosexual relationships: Findings from a qualitative interview study. Archives of Sexual Behavior, 46(7), 2097–2110. https://doi.org/10.1007/s10508-016-0918-9
  • Fischer, R., & Karl, J. A. (2019). A primer to (cross-cultural) multi-group invariance testing possibilities in R. Frontiers in Psychology, 10. Article 1507. https://doi.org/10.3389/fpsyg.2019.01507
  • Fleeson, W. (2001). Toward a structure- and process-integrated view of personality: Traits as density distributions of states. Journal of Personality and Social Psychology, 80(6), 1011–1027. https://doi.org/10.1037/0022-3514.80.6.1011
  • Ford, J. V., Corona Vargas, E., Finotelli, I., Jr., Fortenberry, J. D., Kismödi, E., Philpott, A., Rubio-Aurioles, E., & Coleman, E. (2019). Why pleasure matters: Its global relevance for sexual health, sexual rights and wellbeing. International Journal of Sexual Health, 31(3), 217–230. https://doi.org/10.1080/19317611.2019.1654587
  • Ford, J. V., El Kak, F., Herbenick, D., Purdy, C., Tellone, S., Wasserman, M., & Coleman, E. (2021). Sexual pleasure and healthcare settings: Focusing on pleasure to improve healthcare delivery and utilization. International Journal of Sexual Health, 33(4), 572–586. https://doi.org/10.1080/19317611.2021.1955802
  • Frankenbach, J., Weber, M., Loschelder, D. D., Kilger, H., & Friese, M. (2022). Sex drive: Theoretical conceptualization and meta-analytic review of gender differences. Psychological Bulletin, 148(9–10), 621–661. https://doi.org/10.1037/bul0000366
  • Franzen, A. (2019). Antwortskalen in standardisierten Befragungen [Response scales in standardised surveys]. In N. Baur & J. Blasius (Eds.), Handbuch Methoden der empirischen Sozialforschung (2nd ed., pp. 843–854). Springer. https://doi.org/10.1007/978-3-658-21308-4_58
  • Frederick, D. A., John, H. K., St Garcia, J. R., & Lloyd, E. A. (2018). Differences in orgasm frequency among gay, lesbian, bisexual, and heterosexual men and women in a U.S. national sample. Archives of Sexual Behavior, 47(1), 273–288. https://doi.org/10.1007/s10508-017-0939-z
  • Fried, E. I. (2020). Lack of theory building and testing impedes progress in the factor and network literature. Psychological Inquiry, 31(4), 271–288. https://doi.org/10.1080/1047840X.2020.1853461
  • Gianotten, W. L., Alley, J. C., & Diamond, L. M. (2021). The health benefits of sexual expression. International Journal of Sexual Health, 33(4), 478–493. https://doi.org/10.1080/19317611.2021.1966564
  • Gieles, N. C., van de Grift, T. C., Elaut, E., Heylens, G., Becker-Hebly, I., Nieder, T. O., Laan, E. T., & Kreukels, B. P. (2022). Pleasure please! Sexual pleasure and influencing factors in transgender persons: An ENIGI follow-up study. International Journal of Transgender Health, 24(2), 212–224. https://doi.org/10.1080/26895269.2022.2028693
  • Giles, S., Fletcher, D., Arnold, R., Ashfield, A., & Harrison, J. (2020). Measuring well-being in sport performers: Where are we now and how do we progress? Sports Medicine, 50(7), 1255–1270. https://doi.org/10.1007/s40279-020-01274-z
  • Global Advisory Board for Sexual Health and Wellbeing. (2016). Working definition of sexual pleasure. Retrieved 12 September, 2021 from https://www.gab-shw.org/our-work/working-definition-of-sexual-pleasure/
  • Goldey, K. L., Posh, A. R., Bell, S. N., & van Anders, S. M. (2016). Defining pleasure: A focus group study of solitary and partnered sexual pleasure in queer and heterosexual women. Archives of Sexual Behavior, 45(8), 2137–2154. https://doi.org/10.1007/s10508-016-0704-8
  • Greenberger, E., Chen, C., Dmitrieva, J., & Farruggia, S. P. (2003). Item-wording and the dimensionality of the Rosenberg Self-Esteem Scale: Do they matter? Personality and Individual Differences, 35(6), 1241–1254. https://doi.org/10.1016/S0191-8869(02)00331-8
  • Hamaker, E. L., Nesselroade, J. R., & Molenaar, P. C. (2007). The integrated trait–state model. Journal of Research in Personality, 41(2), 295–315. https://doi.org/10.1016/j.jrp.2006.04.003
  • Harrell, F. E., & Dupont, C. (2022). Hmisc: Harrell miscellaneous. https://CRAN.R-project.org/package=Hmisc
  • Hayes, A. F., & Coutts, J. J. (2020). Use omega rather than Cronbach’s alpha for estimating reliability. But …. Communication Methods and Measures, 14(1), 1–24. https://doi.org/10.1080/19312458.2020.1718629
  • Honaker, J., King, G., & Blackwell, M. (2011). Amelia II: A program for missing data. Journal of Statistical Software, 45(7), 1–47. https://doi.org/10.18637/jss.v045.i07
  • Horne, S., & Zimmer-Gembeck, M. J. (2006). The Female Sexual Subjectivity Inventory: Development and validation of a multidimensional inventory for late adolescents and emerging adults. Psychology of Women Quarterly, 30(2), 125–138. https://doi.org/10.1111/j.1471-6402.2006.00276.x
  • Huang, J. L., Bowling, N. A., Liu, M., & Li, Y. (2015). Detecting insufficient effort responding with an infrequency scale: Evaluating validity and participant reactions. Journal of Business and Psychology, 30(2), 299–311. https://doi.org/10.1007/s10869-014-9357-6
  • Hu, L.-T., & Bentler, P. M. (1998). Fit indices in covariance structure modeling: Sensitivity to under parameterized model misspecification. Psychological Methods, 3(4), 424–453. https://doi.org/10.1037/1082-989X.3.4.424
  • Impett, E. A., Gordon, A. M., & Strachman, A. (2008). Attachment and daily sexual goals: A study of dating couples. Personal Relationships, 15(3), 375–390. https://doi.org/10.1111/j.1475-6811.2008.00204.x
  • Janssen, E., & Bancroft, J. (2007). The dual-control model: The role of sexual inhibition and excitation in sexual arousal and behavior. In E. Janssen (Ed.), The psychophysiology of sex (pp. 197–222). Indiana University Press.
  • Janssen, E., Vorst, H., Finn, P., & Bancroft, J. (2002a). The Sexual Inhibition (SIS) and Sexual Excitation (SES) Scales: I. Measuring sexual inhibition and excitation proneness in men. The Journal of Sex Research, 39(2), 114–126. https://doi.org/10.1080/00224490209552130
  • Janssen, E., Vorst, H., Finn, P., & Bancroft, J. (2002b). The Sexual Inhibition (SIS) and Sexual Excitation (SES) Scales: II. Predicting psychophysiological response patterns. The Journal of Sex Research, 39(2), 127–132. https://doi.org/10.1080/00224490209552131
  • Jern, P., Piha, J., Santtila, P., & Speybroeck, N. (2013). Validation of three early ejaculation diagnostic tools: A composite measure is accurate and more adequate for diagnosis by updated diagnostic criteria. PLoS One, 8(10), e77676. https://doi.org/10.1371/journal.pone.0077676
  • Jones, A. (2019). Sex is not a problem: The erasure of pleasure in sexual science research. Sexualities, 22(4), 643–668. https://doi.org/10.1177/1363460718760210
  • Jones, P. (2022). Networktools: Tools for identifying important nodes in networks. https://CRAN.R-project.org/package=networktools
  • Jorgensen, T. D., Pornprasertmanit, S., Schoemann, A. M., Rosseel, Y., Miller, P., Quick, C., Garnier-Villarreal, M., Selig, J., Boulton, A., & Preacher, K. (2021). semTools: Useful tools for structural equation modeling. https://CRAN.R-project.org/package=semTools
  • Jozkowski, K. N., Sanders, S. A., Rhoads, K., Milhausen, R. R., & Graham, C. A. (2016). Examining the psychometric properties of the Sexual Excitation/Sexual Inhibition Inventory for Women (SESII-W) in a sample of lesbian and bisexual women. The Journal of Sex Research, 53(7), 836–848. https://doi.org/10.1080/00224499.2015.1066743
  • Kalmbach, D. A., Ciesla, J. A., Janata, J. W., & Kingsberg, S. A. (2015). The validation of the Female Sexual Function Index, Male Sexual Function Index, and Profile of Female Sexual Function for use in healthy young adults. Archives of Sexual Behavior, 44(6), 1651–1662. https://doi.org/10.1007/s10508-014-0334-y
  • Kalmbach, D. A., & Pillai, V. (2014). Daily affect and female sexual function. The Journal of Sexual Medicine, 11(12), 2938–2954. https://doi.org/10.1111/jsm.12712
  • Kantor, L. M., & Lindberg, L. (2020). Pleasure and sex education: The need for broadening both content and measurement. American Journal of Public Health, 110(2), 145–148. https://doi.org/10.2105/AJPH.2019.305320
  • Klein, V., Laan, E., Brunner, F., & Briken, P. (2022). Sexual pleasure matters (especially for women)—data from the German Sexuality and Health Survey (GeSid). Sexuality Research and Social Policy, 19(2), 1879–1887. https://doi.org/10.1007/s13178-022-00694-y
  • Kleinplatz, P. J., Ménard, A. D., Paquet, M.-P., Paradis, N., Campbell, M., Zuccarino, D., & Mehak, L. (2009). The components of optimal sexuality: A portrait of “great sex”. Canadian Journal of Human Sexuality, 18(1–2), 1–13.
  • Korkmaz, S., Göksülük, D., & Zararsiz, G. (2014). MVN: An R package for assessing multivariate normality. The R Journal, 6(2), 151–162. https://doi.org/10.32614/RJ-2014-031
  • Laan, E. T., Klein, V., Werner, M. A., van Lunsen, R. H., & Janssen, E. (2021). In pursuit of pleasure: A biopsychosocial perspective on sexual pleasure and gender. International Journal of Sexual Health, 33(2), 1–21. https://doi.org/10.1080/19317611.2021.1965689
  • Landsheer, J., & Boeije, H. (2010). In search of content validity: Facet analysis as a qualitative method to improve questionnaire design: An application in health research. Quality & Quantity, 44(1), 59–69. https://doi.org/10.1007/s11135-008-9179-6
  • Laumann, E. O. (1994). The social organization of sexuality: Sexual practices in the United States. University of Chicago Press. https://doi.org/10.2307/1534637
  • Lawrance, K. A., & Byers, E. S. (1995). Sexual satisfaction in long‐term heterosexual relationships: The interpersonal exchange model of sexual satisfaction. Personal Relationships, 2(4), 267–285. https://doi.org/10.1111/j.1475-6811.1995.tb00092.x
  • Luong, R., & Flake, J. K. (2023). Measurement invariance testing using confirmatory factor analysis and alignment optimization: A tutorial for transparent analysis planning and reporting. Psychological Methods, 28(4), 905–924. https://doi.org/10.1037/met0000441
  • MacCallum, R. C., Browne, M. W., & Sugawara, H. M. (1996). Power analysis and determination of sample size for covariance structure modeling. Psychological Methods, 1(2), 130. https://doi.org/10.1037/1082-989X.1.2.130
  • Marsh, H. W., Lüdtke, O., Muthén, B., Asparouhov, T., Morin, A. J. S., Trautwein, U., & Nagengast, B. (2010). A new look at the big five factor structure through exploratory structural equation modeling. Psychological Assessment, 22(3), 471–491. https://doi.org/10.1037/a0019227
  • Marsh, H. W., Morin, A. J., Parker, P. D., & Kaur, G. (2014). Exploratory structural equation modeling: An integration of the best features of exploratory and confirmatory factor analysis. Annual Review of Clinical Psychology, 10(1), 85–110. https://doi.org/10.1146/annurev-clinpsy-032813-153700
  • Marsh, H. W., Muthén, B., Asparouhov, T., Lüdtke, O., Robitzsch, A., Morin, A. J., & Trautwein, U. (2009). Exploratory structural equation modeling, integrating CFA and EFA: Application to students’ evaluations of university teaching. Structural Equation Modeling: A Multidisciplinary Journal, 16(3), 439–476. https://doi.org/10.1080/10705510903008220
  • Mastro, S., & Zimmer-Gembeck, M. J. (2015). Let’s talk openly about sex: Sexual communication, self-esteem and efficacy as correlates of sexual well-being. European Journal of Developmental Psychology, 12(5), 579–598. https://doi.org/10.1080/17405629.2015.1054373
  • McClelland, S. I. (2010). Intimate justice: A critical analysis of sexual satisfaction. Social and Personality Psychology Compass, 4(9), 663–680. https://doi.org/10.1111/j.1751-9004.2010.00293.x
  • McClelland, S. I. (2014). “What do you mean when you say that you are sexually satisfied?” A mixed methods study. Feminism & Psychology, 24(1), 74–96. https://doi.org/10.1177/0959353513508392
  • McClelland, S. I. (2017). Conceptual disruption: The self-anchored ladder in critical feminist research. Psychology of Women Quarterly, 41(4), 451–464. https://doi.org/10.1177/0361684317725985
  • McClelland, S. I., & Holland, K. J. (2016). Toward better measurement: The role of survey marginalia in critical sexuality research. Qualitative Psychology, 3(2), 166–185. https://doi.org/10.1037/qup0000056
  • Meade, A. W., & Craig, S. B. (2012). Identifying careless responses in survey data. Psychological Methods, 17(3), 437–455. https://doi.org/10.1037/a0028085
  • Meana, M. (2010). Elucidating women’s (hetero) sexual desire: Definitional challenges and content expansion. The Journal of Sex Research, 47(2–3), 104–122. https://doi.org/10.1080/00224490903402546
  • Menold, N., & Bogner, K. (2015). Gestaltung von Ratingskalen in Fragebögen [Design of rating scales in questionnaires]. Mannheim, GESIS – Leibniz-Institut für Sozialwissenschaften (GESIS Survey Guidelines). https://doi.org/10.15465/gesis-sg_en_015
  • Mijas, M., Grabski, B., Blukacz, M., & Davies, D. (2021). Sexual health studies in gay and lesbian people: A critical review of the literature. The Journal of Sexual Medicine, 18(6), 1012–1023. https://doi.org/10.1016/j.jsxm.2021.02.013
  • Milhausen, R. R., Sakaluk, J. K., Fisher, T. D., Davis, C. M., & Yarber, W. L. (Eds.). (2019). Handbook of sexuality-related measures (4th ed.). Routledge. https://doi.org/10.4324/9781315183169
  • Mischel, W., & Shoda, Y. (1995). A cognitive-affective system theory of personality: Reconceptualizing situations, dispositions, dynamics, and invariance in personality structure. Psychological Review, 102(2), 246–268. https://doi.org/10.1037/0033-295X.102.2.246
  • Mitchell, K. R., Lewis, R., O’Sullivan, L. F., & Fortenberry, J. D. (2021). What is sexual wellbeing and why does it matter for public health? The Lancet Public Health, 6(8), e608–e613. https://doi.org/10.1016/S2468-2667(21)00099-2
  • Moosbrugger, H., & Kelava, A. (2007). Testtheorie und Fragebogenkonstruktion [Test theory and questionnaire construction] (3rd ed.). Springer. https://doi.org/10.1007/978-3-540-71635-8
  • Morin, A. J. S., Myers, N. D., & Lee, S. (2020). Modern factor analytic techniques: Bifactor models, exploratory structural equation modeling (ESEM), and bifactor‐ESEM. In G. Tenenbaum; R. C. Eklund, & N. Boiangin (Eds.), Handbook of sport psychology: Exercise, methodologies, & special topics (pp. 1044–1073). John Wiley & Sons, Inc.
  • Muise, A., & Impett, E. A. (2015). Good, giving, and game: The relationship benefits of communal sexual motivation. Social Psychological and Personality Science, 6(2), 164–172. https://doi.org/10.1177/1948550614553641
  • Muise, A., Impett, E. A., Kogan, A., & Desmarais, S. (2013). Keeping the spark alive: Being motivated to meet a partner’s sexual needs sustains sexual desire in long-term romantic relationships. Social Psychological and Personality Science, 4(3), 267–273. https://doi.org/10.1177/1948550612457185
  • Murphy, D. A., Stein, J. A., Schlenger, W., & Maibach, E. (2001). Conceptualizing the multidimensional nature of self-efficacy: Assessment of situational context and level of behavioral challenge to maintain safer sex. Health Psychology, 20(4), 281–290. https://doi.org/10.1037/0278-6133.20.4.281
  • Nelson-Coffey, S. K., Borelli, J. L., & River, L. M. (2017). Attachment avoidance, but not anxiety, minimizes the joys of caregiving. Attachment & Human Development, 19(5), 504–531. https://doi.org/10.1080/14616734.2017.1326060
  • Nunnally, J., & Bernstein, I. (1994). Psychometric theory (3rd ed.). McGraw-Hill. https://doi.org/10.1177/014662169501900308
  • Oliveira, C., & Nobre, P. J. (2013). The role of trait-affect, depression, and anxiety in women with sexual dysfunction: A pilot study. Journal of Sex & Marital Therapy, 39(5), 436–452. https://doi.org/10.1080/0092623X.2012.665813
  • Oosterveld, P. (1996). Questionnaire design methods. Berkhout Nijmegen.
  • Oosterveld, P., & Vorst, H. C. (1996). Methoden voor vragenlijstconstructie [Methods for questionnaire construction]. Nederlands Tijdschrift voor de Psychologie, 51, 11–27.
  • Oosterveld, P., Vorst, H. C. M., & Smits, N. (2019). Methods for questionnaire design: A taxonomy linking procedures to test goals. Quality of Life Research, 28(9), 2501–2512. https://doi.org/10.1007/s11136-019-02209-6
  • Opperman, E., Braun, V., Clarke, V., & Rogers, C. (2014). “It feels so good it almost hurts”: Young adults’ experiences of orgasm and sexual pleasure. The Journal of Sex Research, 51(5), 503–515. https://doi.org/10.1080/00224499.2012.753982
  • Pascoal, P. M., Narciso, I. D. S. B., & Pereira, N. M. (2014). What is sexual satisfaction? Thematic analysis of lay people’s definitions. The Journal of Sex Research, 51(1), 22–30. https://doi.org/10.1080/00224499.2013.815149
  • Pascoal, P. M., Sanchez, D. T., Raposo, C. F., & Pechorro, P. (2016). Initial validation of the Sexual Pleasure Scale in clinical and non-clinical samples of partnered heterosexual people. The Journal of Sexual Medicine, 13(9), 1408–1413. https://doi.org/10.1016/j.jsxm.2016.06.010
  • Patrick, D. L., Giuliano, F., Ho, K. F., Gagnon, D. D., McNulty, P., & Rothman, M. (2009). The Premature Ejaculation Profile: Validation of self‐reported outcome measures for research and practice. BJU International, 103(3), 358–364. https://doi.org/10.1111/j.1464-410X.2008.08041.x
  • Peixoto, M., & Nobre, P. (2012). Trait-affect, depressed mood, and male sexual functioning: A preliminary study. The Journal of Sexual Medicine, 9(8), 2001–2008. https://doi.org/10.1111/j.1743-6109.2012.02779.x
  • Phillips, A. C. (2014). The usefulness of ‘think-aloud’ for evaluating questionnaires in use in the health domain. The University of Manchester (United Kingdom).
  • Philpott, A., Larsson, G., Singh, A., Zaneva, M., & Gonsalves, L. (2021). How to navigate a blindspot: Pleasure in sexual and reproductive health and rights programming and research. International Journal of Sexual Health, 33(4), 587–601. https://doi.org/10.1080/19317611.2021.1965690
  • Picardi, A., Caroppo, E., Toni, A., Bitetti, D., & DiMaria, G. (2005). Stability of attachment‐related anxiety and avoidance and their relationships with the five‐factor model and the psychobiological model of personality. Psychology & Psychotherapy: Theory, Research & Practice, 78(3), 327–345. https://doi.org/10.1348/147608305X26882
  • Rammstedt, B., & Beierlein, C. (2014). Can’t we make it any shorter? Journal of Individual Differences, 35(4), 212–220. https://doi.org/10.1027/1614-0001/a000141
  • R Core Team. (2021). A language and environment for statistical computing. R Foundation for Statistical Computing. http://www.R-project.org/
  • Rettenberger, M., de Albuquerque Camarão, B., Breiling, L., Etzler, S., Turner, D., Klein, V., & Briken, P. (2019). A validation study of the German version of the Sexual Inhibition/Sexual Excitation Scales-Short Form. Archives of Sexual Behavior, 48(8), 2553–2563. https://doi.org/10.1007/s10508-019-01489-w
  • Revelle, W. (2023). Package psych: Procedures for psychological, psychometric, and personality research. https://CRAN.R-project.org/package=psych
  • Rodebaugh, T. L., Woods, C. M., & Heimberg, R. G. (2007). The reverse of social anxiety is not always the opposite: The reverse-scored items of the Social Interaction Anxiety Scale do not belong. Behavior Therapy, 38(2), 192–206. https://doi.org/10.1016/j.beth.2006.08.001
  • Rosen, R. C., & Bachmann, G. A. (2008). Sexual well-being, happiness, and satisfaction, in women: The case for a new conceptual paradigm. Journal of Sex & Marital Therapy, 34(4), 291–297. https://doi.org/10.1080/00926230802096234
  • Rosenberg, M. (1965). Rosenberg Self-Esteem Scale (RSE). Acceptance and commitment therapy: Measures Package, 61(52), 18.
  • Rosen, R. C., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., Ferguson, D., & D’Agostino, R. (2000). The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex & Marital Therapy, 26(2), 191–208. https://doi.org/10.1080/009262300278597
  • Rosseel, Y., Oberski, D., Byrnes, J., Vanbrabant, L., Savalei, V., Merkle, E., Hallquist, M., Rhemtulla, M., Katsikatsou, M., & Barendse, M. (2017). Package ‘lavaan’. https://doi.org/10.1037/met0000147
  • Rowland, D. L., Adamski, B. A., Neal, C. J., Myers, A. L., & Burnett, A. L. (2015). Self-efficacy as a relevant construct in understanding sexual response and dysfunction. Journal of Sex & Marital Therapy, 41(1), 60–71. https://doi.org/10.1080/0092623X.2013.811453
  • RStudio Team. (2020). RStudio: Integrated development for R. RStudio, PBC.
  • Sanders, S. A., Herbenick, D., Reece, M., Schick, V., Mullinax, M., Dodge, B., & Fortenberry, J. D. (2013). The development and validation of a brief quality of sexual experience (QSE) scale: Results from a nationally representative sample of men and women in the United States. The Journal of Sexual Medicine, 10(10), 2409–2417. https://doi.org/10.1111/jsm.12198
  • Santos-Iglesias, P. (2022). Test and measurement in sexology research: A critical approach. The Journal of Sexual Medicine, 19(8), 1225–1227. https://doi.org/10.1016/j.jsxm.2022.05.001
  • Santos-Iglesias, P., Bergeron, S., Brotto, L. A., Rosen, N. O., & Walker, L. M. (2020). Preliminary validation of the Sexual Distress Scale-Short Form: Applications to women, men, and prostate cancer survivors. Journal of Sex & Marital Therapy, 46(6), 542–563. https://doi.org/10.1080/0092623X.2020.1761494
  • Santos-Iglesias, P., Mohamed, B., Danko, A., & Walker, L. M. (2018). Psychometric validation of the Female Sexual Distress Scale in male samples. Archives of Sexual Behavior, 47(6), 1733–1743. https://doi.org/10.1007/s10508-018-1146-2
  • Satow, L. (2012). Skala zur Erfassung von Testverfälschung durch positive Selbstdarstellung und sozial erwünschte Antworttendenzen [Scale to detect test bias due to positive self-representation and socially desirable response tendencies] (SEA). Psychomeda Discuss Pap. https://doi.org/10.23668/psycharchives.417
  • Schafer, J., Opgen-Rhein, R., Zuber, V., Ahdesmaki, M., Silva, A. P. D., Strimmer, K., & Strimmer, M. K. (2021). Package ‘Corpcor’. https://CRAN.R-project.org/package=corpcor
  • Schmitt, M., & Blum, G. S. (2020). State/trait interactions. In V. Zeigler-Hill & T. K. Shackelford (Eds.), Encyclopedia of personality and individual differences (pp. 5206–5209). https://doi.org/10.1007/978-3-319-24612-3_1922
  • Siegler, A. J., Boos, E., Rosenberg, E. S., Cecil, M. P., & Sullivan, P. S. (2018). Validation of an event-level, male sexual pleasure scale (EMSEXpleasure) among condom-using men in the US. Archives of Sexual Behavior, 47(6), 1745–1754. https://doi.org/10.1007/s10508-017-1103-5
  • Simmons, J. P., Nelson, L. D., & Simonsohn, U. (2016). False-positive psychology: Undisclosed flexibility in data collection and analysis allows presenting anything as significant. Psychological Science, 22(11), 1359–1366. https://doi.org/10.1177/0956797611417632
  • Smith, G. T., McCarthy, D. M., & Anderson, K. G. (2000). On the sins of short-form development. Psychological Assessment, 12(1), 102–111. https://doi.org/10.1037/1040-3590.12.1.102
  • Snell, W. E., & Kilimnik, C. D. (2019). The Multidimensional Sexual Self-Concept Questionnaire. In R. R. Milhausen, J. K. Sakaluk, T. D. Fisher, C. M. Davis, & W. L. Yarber (Eds.), Handbook of sexuality-related measures (4th ed., pp. 545–551). Routledge.
  • Spielberger, C. D. (1972). Anxiety as an emotional state. In C. D. Spielberger (Ed.), Anxiety: Current trends in theory and research (Vol. 1, pp. 23–49). Academic Press. https://doi.org/10.1016/B978-0-12-657401-2.50009-5
  • Spielberger, C. D. (1983). State-Trait Anxiety Inventory for Adults (STAI-AD) [Database record]. APA PsycTests. https://doi.org/10.1037/t06496-000
  • Sprecher, S., & Cate, R. M. (2004). Sexual satisfaction and sexual expression as predictors of relationship satisfaction and stability. In J. H. Harvey, A. Wenzel, & S. Sprecher (Eds.), The handbook of sexuality in close relationships (pp. 235–256). Lawrence Erlbaum Associates Publishers.
  • Steinke, E. E., Wright, D. W., Chung, M. L., & Moser, D. K. (2008). Sexual self-concept, anxiety, and self-efficacy predict sexual activity in heart failure and healthy elders. Heart and Lung, 37(5), 323–333. https://doi.org/10.1016/j.hrtlng.2007.09.004
  • Stephenson, K. R., & Meston, C. M. (2012). Consequences of impaired female sexual functioning: Individual differences and associations with sexual distress. Sexual and Relationship Therapy, 27(4), 344–357. https://doi.org/10.1080/14681994.2012.738905
  • Stone, A. A., & Shiffman, S. (2002). Capturing momentary, self-report data: A proposal for reporting guidelines. Annals of Behavioral Medicine, 24(3), 236–243. https://doi.org/10.1207/S15324796ABM2403_09
  • Strobel, A., Beauducel, A., Debener, S., & Brocke, B. (2001). Eine deutschsprachige version des BIS/BAS-Fragebogens von Carver und White [A German version of the BIS/BAS questionnaire by Carver and White]. Zeitschrift für Differentielle und Diagnostische Psychologie, 22(3), 216–227. https://doi.org/10.1024/0170-1789.22.3.216
  • Tiefer, L. (2004). Sex is not a natural act & other essays (2nd ed.). Westview Press. https://doi.org/10.4324/9780429494659
  • van Anders, S. M., Herbenick, D., Brotto, L. A., Harris, E. A., & Chadwick, S. B. (2021). The heteronormativity theory of low sexual desire in women partnered with men. Archives of Sexual Behavior, 51(1), 391–415. https://doi.org/10.1007/s10508-021-02100-x
  • van Lunsen, R., Brauer, M., & Laan, E. (2012). Sex, pleasure, and dyspareunia in liberal northern Europe: How sexual pleasure is seen as the most important goal of all nonreproductive sexual activity in a postmodern northern European society, but is denied by women and scientists who are still under the influence of male dominated sexual scripts. In K. S. Hall & C. A. Graham (Eds.), The cultural context of sexual pleasure and problems (pp. 356–370). Routledge.
  • Velten, J., Scholten, S., Margraf, J., & Vallejo-Medina, P. (2018). Psychometric properties of the Sexual Excitation/Sexual Inhibition Inventory for Women and Men (SESII-W/M) and the Sexual Inhibition/Sexual Excitation Scales-Short Form (SIS/SES-SF) in a population-based sample in Germany. PLoS One, 13(3), e0193080. https://doi.org/10.1371/journal.pone.0193080
  • Vigil, K. E., de Jong, D. C., & Poovey, K. N. (2021). Roles of genital self-image, distraction, and anxiety in women’s sexual pleasure: A preregistered study. Journal of Sex & Marital Therapy, 47(4), 325–340. https://doi.org/10.1080/0092623X.2021.1874581
  • Von Collani, G., & Herzberg, P. Y. (2003). Eine revidierte Fassung der deutschsprachigen Skala zum Selbswertgefühl von Rosenberg [A revised version of Rosenberg’s German-language Self-esteem Scale]. Zeitschrift für Differentielle und Diagnostische Psychologie, 24(1), 3–7. https://doi.org/10.1024//0170-1789.24.1.3
  • Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: The PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063–1070. https://doi.org/10.1037/0022-3514.54.6.1063
  • Wei, T., Simko, V., & Levy, M. (2021). R Package ‘Corrplot’: Visualization of a Correlation Matrix. https://github.com/taiyun/corrplot
  • Werner, M., Borgmann, M., & Laan, E. (2023a). Sexual pleasure matters – and how to define and assess it too. A conceptual framework of sexual pleasure and the sexual response. International Journal of Sexual Health, 35(3), 313–340. https://doi.org/10.1080/19317611.2023.2212663
  • Werner, M., van Lunsen, R., Gaasterland, C., Bloemendaal, L., & Laan, E. (2023b, January 25). Amsterdam sexual pleasure index - the original (a.k.a. Vol. 0.1). https://doi.org/10.17605/OSF.IO/42EZW
  • Wickham, H. (2016). ggplot2: Elegant graphics for data analysis. Springer International Publishing. https://doi.org/10.1007/978-3-319-24277-4
  • Wickham, H., Averick, M., Bryan, J., Chang, W., McGowan, L. D. A., François, R., Grolemund, G., Hayes, A., Henry, L., Hester, J., Kuhn, M., Pedersen, T., Miller, E., Bache, S., Müller, K., Ooms, J., Robinson, D., Seidel, D., … Woo, K. (2019). Welcome to the tidyverse. Journal of Open Source Software, 4(43), 1686. https://doi.org/10.21105/joss.01686
  • Wickham, H., & Miller, E. (2021). Haven: Import and Export ‘SPSS’, ‘Stata’ and ‘SAS’ Files. https://CRAN.R-project.org/package=haven
  • Wickham, H., Romain, F., Henry, L., & Müller, K. (2021). Dplyr: A Grammar of Data Manipulation. https://CRAN.R-project.org/package=dplyr
  • Wiegel, M., Meston, C., & Rosen, R. (2005). The Female Sexual Function Index (FSFI): Cross-validation and development of clinical cutoff scores. Journal of Sex & Marital Therapy, 31(1), 1–20. https://doi.org/10.1080/00926230590475206
  • Wolf, M. G., Ihm, E., & Taves, A. (2019). Survey item validation. https://doi.org/10.31234/osf.io/k27w3
  • World Association for Sexual Health. (2019). Declaration on Sexual Pleasure. Retrieved February 23, 2021 from https://worldsexualhealth.net/declaration-on-sexual-pleasure/
  • World Health Organization. (2002). Defining sexual health: Report of a technical consultation on sexual health, 28-31 January 2002, Geneva. World Health Organization.
  • Xie, Y. (2021). Knitr: A general-purpose package for dynamic report generation in R.
  • Zhang, G., Jiang, G., Hattori, M., & Trichtinger, L. (2020). EFAutilities: Utility functions for exploratory factor analysis. https://CRAN.R-project.org/package=EFAutilities