Metacognitions about Sex Scale (Efrati & Spada, 2024)

Beliefs regarding sexual ideation in adolescents; 11 items / 7 & 4 Item subscales, Ages 13-18
  • Populations: Middle and Late adolescents
  • Age ranges: 13-18
  • Languages: Hebrew, English
  • Countries: Israel

Items

Subscales: 

  • Negative Metacognitions about Sex, 7 Items
  • Positive Metacognitions about Sex, 4 Items

 

Items by Subscale:

Negative Metacognitions about Sex: 

  • Thoughts about sex interfere with my functioning
  • Thoughts about sex are becoming an obsession
  • Sexual thoughts make me lose control
  • Once I start thinking of sex, I cannot stop
  • I have no control over my sexual behavior
  • Having thoughts about sex means I will act on them
  • I have no control over my thoughts about sex

Positive Metacognitions about Sex:

  • Engaging in sex distracts my mind from problems
  • Engaging in sex reduces my feelings of tension
  • Engaging in sex reduces my anxious feelings
  • Engaging in sex will help me to control my negative thoughts

 

Responses:

Items used a 4 point Likert-type scale, 1 = Do not agree, 4  = Agree very much

Scoring

“Items were summed to obtain scores for both positive and negative metacognitions, with higher scores representing higher levels of metacognitions.” (Efrati & Spada, 2024)

Citations

Yaniv Efrati & Marcantonio M. Spada (2024) Development and Validation of the Metacognitions about Sex Scale: Exploring its Role as a Mediator between Negative Affect, Emotion Dysregulation Strategies, and Compulsive Sexual Behavior Disorder, Journal of Sex & Marital Therapy, 50:1, 76-93, DOI: 10.1080/0092623X.2023.2259894

Scoring breakdown

Measure development

  • Significant design input from young people
  • Cognitive interviews with young people
  • Expert input

Validity

  • Green: Face validity
  • Green: Convergent validity
  • Green: Construct validity

Reliability

  • Green: Internal consistency
  • Unknown: Test-retest

Ease of use

  • Unknown: Readability

Definitions

Face validity: How well a measure appears to represent the construct it is supposed to be measuring.

Convergent validity: How well a measure correlates with other hypothetically-related measures.

Construct validity: The extent to which a measure reflects the construct it was designed to evaluate.

Internal consistency: The extent to which items in a scale capture aspects of the same construct.

Test-retest: The degree to which measurement scores are consistent over a short period of time (usually 2 weeks).

Readability: The ease with which a reader can understand the questionnaire items.

Key

  • Green: Meets validation criteria
  • Red: Does not meet validation criteria
  • Unknown: Evidence not available

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