Psychometric properties of the Iranian version of the Sexual Modes Questionnaire (SMQ): to assess the association between automatic thoughts, emotions and sexual response

ABSTRACTThe role of cognitive-affective factors on male and female sexual functioning has been studied in North America and European countries and there is a lack of validated measures available for use elsewhere. The aim of this study was to translate and validate the Sexual Modes Questionnaire (SMQ) to the Iranian context. The SMQ is a validated measure aimed at assessing the association between thoughts, emotions and sexual response during sexual activity. A total of 388 participants (224 women and 164 men) completed the SMQ. A principal component analysis with varimax rotation and subsequent confirmatory factor analysis (CFA) were performed. Three factors were identified in the male version: Failure Anticipation Thoughts, Erection Concern Thoughts, and Lack of Erotic Thoughts. In the female version, six factors were identified: Failure and Disengagement Thoughts, Low Self-Body Image Thoughts, Sexual Abuse Thoughts, Sexual Passivity and Control, Lack of Erotic Thoughts, and Partner's Lack of Affection....