Spanish validation of the Sexual Addiction Screening Test

Abstract

Background and aimsSexual addiction is a pathological behavior characterized by a combination of excessive sexual desire and impaired ability to control it. Its incidence ranges between 1.2% and 32.2%, although this number may vary depending on the screening tool used. This wide variability is largely due to the use of non-validated instruments (e.g., structural validity relying on exploratory analyses, instruments translated without an additional validation process, or instruments validated in another format). To deal with these limitations, this study tested the psychometric properties of the Spanish paper-and-pencil and online versions of the Sexual Addiction Screening Test (SAST).MethodsA total of 2,528 participants (1,163 males) completed the Spanish version of the SAST, along with other instruments assessing sexual compulsivity (1,585 = paper-and-pencil, 943 = online).ResultsThe exploratory factor analysis yielded a four-factor structure explaining 57.39% of the variance for the SAST paper-and-pencil version. This factor structure was then verified for the online version through the use of confirmatory factor analysis [χ2(264) = 441.59; χ2/df = 1.66; RMSEA = 0.02; CFI = 0.94; IFI = 0.94]. This methodology was also used to support measurement invariance (configural, metric, and scalar invariance) according to gender. The reliability of the total score ranged from .82 to .85. Similarly, correlations with related scales were positive and significant (r between .22 and .71). Temporal stability 1 year after the first application was 0.65 (paper-and-pencil format) and 0.60 (online version).ConclusionThese results, together with the absence of questionnaires translated into Spanish to assess this construct, justify the use of the SAST in the evaluation of sexual addiction in Spanish-speaking countries.

Occurrence and clinical characteristics of Compulsive Sexual Behavior Disorder (CSBD): A cluster analysis in two independent community samples

“…Goodness of fit of two possible models was tested: a model where the six first-order factors (i.e., CSBD symptoms) were correlated (M1) and a model where these factors were grouped under a second order factor (M2). This second approach was in line with models proposing a unidimensional expression of CSBD symptoms (Graham, Walters, Harris, & Knight, 2016) and has received support by recent works on the factorial structure of a CSBD assessment scale (Castro-Calvo et al, 2018). As Table 2 shows, M1 obtained the best model fit in both sample 1 and 2.…”

A Validation Study of the Spanish Version of the Hypersexual Behavior Inventory (HBI): Paper-and-Pencil Versus Online Administration

“…Only three of the 32 scales cited by Womack, Hook, Ramos, Davis and Penberthy (2013) in their review of HD assessment instruments have a translated, adapted and validated version in the Spanish context: the SCS (Ballester-Arnal, Gómez-Martínez, Gil-Llario, & Salmerón-Sánchez, 2013), the SAST (Castro-Calvo et al, 2018) and the Internet Sex Screening Test (ISST) (Ballester-Arnal, Gil-Llario, Gómez-Martínez, & Gil-Juliá, 2010). Likewise, most of the current research (especially epidemiological and descriptive studies) recruit and assess their participants through the Internet, without considering the fact that scales properties (factorial structure, reliability, and scores) of an online administered questionnaire may not be totally equivalent to its paper-andpencil use (Alfonsson et al, 2014).…”

“…However, this acknowledgement is not still in the field of hypersexuality. Despite the fact that the majority of recent studies in this field have been total or partially carried out through the Internet (Jardin et al, 2017;Jerome, Woods, Moskowitz, & Carrico, 2016;Parsons, Rendina, Ventuneac, Moody, & Grov, 2016;Štulhofer, Jurin, & Briken, 2016;Vaillancourt-Morel et al, 2016) or computer-assisted (Graham, Walters, Harris, & Knight, 2016), only one of the screening instruments often used for the assessment of sexual addiction symptoms (i.e., the SAST) has compared its reliability, validity and VALIDATION OF THE HYPERSEXUAL BEHAVIOR INVENTORY 8 clinical utility during paper-and-pencil and online application (Castro-Calvo et al, 2018).…”

“…In the present study, reliability for the overall scale and subscales ranged from .76-.86 for the paper-and-pencil group and from .78-.87 for the online group. (SAST, Carnes, 1983) in its validated Spanish version (Castro-Calvo et al, 2018).…”

Hypersexuality: Terms, Diagnostic Approaches, Conceptualization, Prevalence

“…В одной статье сообщается, что частота сексуальной зависимости колеблется от 1,2% до 32,2%, и что она может варьировать в зависимости от «используемого инструмента скрининга» [24].…”