Validation of a brief sex addiction screening instrument (PATHOS) and prediction of sex addiction in the Iranian population
Armin Zareiyan, Hamid Sharif Nia, Nader Molavi, Abdolhadi Saeidi, Mohamadreza Najarzadegan, Masumeh Ghazanfarpour, Hamed Jafarpour, Masoudeh Babakhanian
Abstract
Introduction
Sex addiction is a major psychiatric disorder in which a person is compelled to participate in sexual activities despite negative consequences. This study was conducted to localize a brief sex addiction screening instrument (PATHOS) for use in the Iranian population and to determine variables predictive of sex addiction in the general Iranian population.
Methods
In this study, we evaluated the psychometric properties of PATHOS in a sample of 443 Iranians in 2018. Data were analyzed using exploratory factor analysis (Factor 10.8.04 software). Simple and multiple linear regression analyses were used to investigate construct validity and variables predictive of addiction.
Results
Exploratory factor analysis identified two factors in this dichotomous questionnaire and reported the questionnaire’s test-retest reliability in the target population. Prognostic variables for sexual addiction in the Iranian population were determined to be female gender, higher education, viewing pornographic videos, having multiple sex partners, having difficulty interacting in sex, and history of masturbation.
Conclusion
The Persian version of the brief sex addiction screening instrument (PATHOS) has sufficient reliability and validity in the Iranian population. The predictive variables of sex addiction are indicative of the presence of risk of this disorder in Iranian samples and more studies are needed in order to enable prevention and treatment.
Keywords
References
1 Fugelstad A, Ramstedt M, Thiblin I, Johansson LA. Drug-related deaths: statistics based on death certificates miss one-third of cases. Scand J Public Health. 2020;48:29-37.
2 Carnes PJ, Green BA, Merlo LJ, Polles A, Carnes S, Gold MS. PATHOS: A brief screening application for assessing sexual addiction. J Addict Med. 2012;6:29-34.
3 Cashwell CS, Giordano AL, Lewis TF, Wachtel KA, Bartley JL. Using the PATHOS questionnaire for screening sexual addiction among college students: a preliminary exploration. Sex Addict Compulsivity. 2015;22:154-66.
4 Hagaman AK, Maharjan U, Kohrt BA. Suicide surveillance and health systems in Nepal: a qualitative and social network analysis. Int J Ment Health Syst. 2016;10:46.
5 de Alarcón R, de la Iglesia JI, Casado NM, Montejo AL. Online porn addiction: what we know and what we don’t -- a systematic review. J Clin Med. 2019;8:91.
6 Plichta SB, Kelvin EA, Munro BH. Munro statistical methods for health care research. Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins; 2013.
7 Nulty DD. The adequacy of response rates to online and paper surveys: what can be done? Assess Eval High Educ. 2008;33:301-14.
8 Lorenzo-Seva U, Van Ginkel JR. Multiple imputation of missing values in exploratory factor analysis of multidimensional scales: estimating latent trait scores. Anal Psicol. 2016;32:596-608.
9 Lorenzo-Seva U. A factor simplicity index. Psychometrika. 2003;68:49-60.
10 Carnes P, O’Hara S. Sexual addiction screening test (SAST). Tennessee Nurse. 1991;54:29.
11 Coleman E, Miner M, Ohlerking F, Raymond N. Compulsive Sexual Behavior Inventory: a preliminary study of reliability and validity. J Sex Marital Ther. 2001;27:325-32.
12 Graneheim UH, Lundman B. Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Educ Today. 2004;24:105-12.
13 Green BA, Carnes S, Carnes PJ, Weinman EA. Cybersex addiction patterns in a clinical sample of homosexual, heterosexual, and bisexual men and women. Sex Addict Compulsivity. 2012;19:77-98.
14 Kraus SW, Krueger RB, Briken P, First MB, Stein DJ, Kaplan MS, et al. Compulsive sexual behaviour disorder in the ICD-11. World Psychiatry. 2018;17:109-10.
15 Wéry A, Billieux J. Problematic cybersex: conceptualization, assessment, and treatment. Addict Behav. 2017;64:238-46.
16 Andreassen CS, Pallesen S, Griffiths MD, Torsheim T, Sinha R. The development and validation of the Bergen-Yale Sex Addiction Scale with a large national sample. Front Psychol. 2018;9:144.
17 Gola M, Wordecha M, Marchewka A, Sescousse G. Visual sexual stimuli -- Cue or reward? A perspective for interpreting brain imaging findings on human sexual behaviors. Front Hum Neurosci. 2016;10:402.
18 Prause N, Steele VR, Staley C, Sabatinelli D, Hajcak G. The latest falsification of addiction predictions. Biol Psychol. 2016;120:159-61.
19 Wéry A, Deleuze J, Canale N, Billieux J. Emotionally laden impulsivity interacts with affect in predicting addictive use of online sexual activity in men. Compr Psychiatry. 2018;80:192-201.
20 Allen A, Kannis-Dymand L, Katsikitis M. Problematic internet pornography use: The role of craving, desire thinking, and metacognition. Addict Behav. 2017;70:65-71.
21 Moshtagh M, Rafiey H, Mirlashari J, Azin A, Farnam R. Facilitators of and barriers to compulsive sexual behavior in Iranian women. Sex Addict Compulsivity. 2017;24:270-84.
22 Maasoumi R, Lamyian M, Khalaj Abadi Farahani F, Montazeri A. Women’s perception of sexual socialization in Iran: A qualitative study. J Qual Res Health Sci. 2013;2:221-33.
23 Cooper A, Delmonico DL, Burg R. Cybersex users, abusers, and compulsives: New findings and implications. Sex Addict Compulsivity. 2000;7:5-29.
24 Moshtagh M, Mirlashari J, Rafiey H, Azin A, Farnam R. Human identity versus gender identity: The perception of sexual addiction among Iranian women. Health Care Women Int. 2017;38:732-52.
25 Shimoni L, Dayan M, Cohen K, Weinstein A. The contribution of personality factors and gender to ratings of sex addiction among men and women who use the Internet for sex purpose. J Behav Addict. 2018;7:1015-21.
26 Weinstein A, Katz L, Eberhardt H, Cohen K, Lejoyeux M. Sexual compulsion -- Relationship with sex, attachment and sexual orientation. J Behav Addict. 2015;4:22-6.