Abstract
The evolution in conceptualization of sexual desire has stimulated many attempts to measure it. However measures able to assess multiple expressions of desire in all sexual identities are still lacking. The main aim of the present study was to test the psychometric properties of the Sexual Desire and Erotic Fantasies questionnaire - Part 1 Sexual Desire (SDEF1), developed as a sex-positive measure of different sexual desire expressions. The SDEF1 was assessed in 1773 participants from the Italian general population (1105 women, 645 men, and 23 other genders; ranged between 18–78 years old, mean age 29.31 ± 10.35) on an online survey, together with the Sexual Desire Inventory – 2, the International Index of Erectile Function, the Female Sexual Function Index, and the Marlowe–Crowne Social Desirability Scale-Short Form. Results support a factorial structure of six dimensions, including 28 items and accounting for 58.11% of the total variance: sexual desire, negative feelings to sexual desire, autoerotic desire, regular partner desire, attractive person desire, and responsive desire. The confirmatory factorial analysis showed satisfactory indexes (RMSEA = 0.042 [90% CI = 0.039–0.045]; GFI = 0.97; NFI = .96; and CFI = 0.97). Regression coefficients ranged from 0.39 to 0.94 and were all statistically significant (p < 0.001). The SDEF1 showed good psychometric properties such as internal reliability, construct, and discriminant validity, and to differentiate women and men with and without sexual difficulties. Men reported significantly higher levels of desire than women in all areas except for desire for a regular partner, were no gender difference was detected. Desire for autoerotic activity was the factor accounting for more variance explained among genders (11.7%). The SDEF1 could be a useful measure to assess different areas of sexual desire and its use could be recommended for clinical and research purposes.
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1038%2Fs41443-024-00942-2/MediaObjects/41443_2024_942_Fig1_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1038%2Fs41443-024-00942-2/MediaObjects/41443_2024_942_Fig2_HTML.png)
Similar content being viewed by others
Data availability
Data are available on request to the corresponding author.
References
Lewis RW, Fugl-Meyer KS, Corona G, Hayes RD, Laumann EO, Moreira ED Jr, et al. Definitions/epidemiology/risk factors for sexual dysfunction. J Sex Med. 2010;7:1598–607.
Mark K, Herbenick D, Fortenberry D, Sanders S, Reece M. The object of sexual desire: Examining the “what” in “what do you desire?”. J Sex Med. 2014;11:2709–19.
Nimbi FM, Tripodi F, Rossi R, Navarro-Cremades F, Simonelli C. Male sexual desire: An overview of biological, psychological, sexual, relational, and cultural factors influencing desire. Sex Med Rev. 2020;8:59–91.
Spector IP, Carey MP, Steinberg L. The Sexual Desire Inventory: Development, factor structure, and evidence of reliability. J sex marital Ther. 1996;22:175–90.
Nimbi FM, Tripodi F, Rossi R, Michetti PM, Simonelli C. Which psychosocial variables affect drive the most? Analysis of sexual desire in a group of Italian men. Int J Impot Res. 2019;31:410–23.
Levine SB. Hypoactive sexual desire disorder in men: basic types, causes, and treatment. Psychiatric. 2010;1:40–5.
Toates F. How sexual desire works. Cambridge University Press; 2014.
Nimbi FM, Tripodi F, Rossi R, Simonelli C. Testing a conceptual model for men’s sexual desire referring to automatic thoughts, emotions, sexual function, and sexism. J Sex Med. 2018;15:1518–26.
Meston CM, Buss DM. Why humans have sex. Arch Sex Behav. 2007;36:477–507.
Rosen RC, Riley A, Wagner G, Osterloh IH, Kirkpatrick J, Mishra A. The international index of erectile function (IIEF): a multidimensional scale for assessment of erectile dysfunction. Urology. 1997;49:822–30.
Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26:191–208.
Kaplan HS. Hypoactive sexual desire. J Sex Marital Therapy. 1977;3:3–9.
Kaplan HS. Disorders of sexual desire and other new concepts and techniques in sex therapy, vol. 2. New York: Bruner Meisel U; 1979.
van Anders SM. Testosterone and sexual desire in healthy women and men. Arch Sex Behav. 2012;41:1471–84.
Kuhn W, Koenig J, Donoghue A, Hillecke TK, Warth M. Psychometrische Eigenschaften einer deutschsprachigen Kurzversion des Sexual Desire Inventory (SDI-2). Z für Sexualforschung. 2014;27:138–49.
Moyano N, Vallejo-Medina P, Sierra JC. Sexual desire inventory: Two or three dimensions? J Sex Res. 2017;54:105–16.
Callea A, Rossi G. Italian validation of the sexual desire inventory (SDI-2): psychometric properties and factorial structure. Clin Neuropsychiatry. 2021;18:223.
Sarin S, Amsel RM, Binik YM. Disentangling desire and arousal: a classificatory conundrum. Arch Sex Behav. 2013;42:1079–1100.
Basson R. The female sexual response: A different model. J Sex Marital Ther. 2000;26:51–65.
Basson R. Women’s sexual desire: Disordered or misunderstood? J Sex Marital Ther. 2002;28:17–28.
Basson R, Leiblum S, Brotto L, Derogatis L, Fourcroy J, Fugl-Meyer K, et al. Definitions of women’s sexual dysfunction reconsidered: advocating expansion and revision. J Psychosom Obstet Gynecol. 2003;24:221–9.
Štulhofer A, Carvalheira AA, Træen B. Is responsive sexual desire for partnered sex problematic among men? Insights from a two-country study. Sex Relatsh Ther. 2013;28:246–58.
Timmers AD, Dawson SJ, Chivers ML. The effects of gender and relationship context cues on responsive sexual desire in exclusively and predominantly androphilic women and gynephilic men. J Sex Res. 2018;55:1167–79.
Nimbi FM, Tripodi F, Rossi R, Simonelli C. Expanding the analysis of psychosocial factors of sexual desire in men. J Sex Med. 2018;15:230–44.
Velten J, Dawson SJ, Suschinsky K, Brotto LA, Chivers ML. Development and validation of a measure of responsive sexual desire. J Sex Marital Ther. 2020;46:122–40.
Dewitte M, Mayer A. Exploring the link between daily relationship quality, sexual desire, and sexual activity in couples. Arch Sex Behav. 2018;47:1675–86.
Nimbi FM, Simonelli C. The Sex Therapists’ Approach to the Evaluation and Management of Low Sex Drive in Men. J Sex Med. 2022;19:546–52.
Cartagena-Ramos D, Fuentealba-Torres M, Rebustini F, Leite ACAB, Alvarenga WDA, Arcencio RA, et al. Systematic review of the psychometric properties of instruments to measure sexual desire. BMC Med Res Methodol. 2018;18:1–13.
Mark KP, Lasslo JA. Maintaining sexual desire in long-term relationships: A systematic review and conceptual model. J Sex Res. 2018;55:563–81.
Mark KP, Toland MD, Rosenkrantz DE, Brown HM, Hong SH. Validation of the Sexual Desire Inventory for lesbian, gay, bisexual, trans, and queer adults. Psychol Sex Orientat Gend Diversity. 2018;5:122.
Nimbi FM, Ciocca G, Limoncin E, Fontanesi L, Uysal ÜB, Flinchum M, et al. Sexual desire and fantasies in the LGBT+ community: Focus on lesbian women and gay men. Curr Sex Health Rep. 2020;12:153–61.
Nimbi FM, Ciocca G, Limoncin E, Fontanesi L, Uysal ÜB, Flinchum M, et al. Sexual desire and fantasies in the LGBT+ Community: A focus on bisexuals, transgender, and other shades of the rainbow. Curr Sex Health Rep. 2020;12:162–9.
APA - American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 5th ed. 2013. https://doi.org/10.1176/appi.books.9780890425596
WHO - World Health Organization. International Statistical Classification of Diseases and Related Health Problems, 11th ed. 2019. https://icd.who.int/
Bitzer J, Giraldi A, Pfaus J. Sexual desire and hypoactive sexual desire disorder in women. Introduction and overview. Standard operating procedure (SOP Part 1). J Sex Med. 2013;10:36–49.
Bitzer J, Giraldi A, Pfaus J. A standardized diagnostic interview for hypoactive sexual desire disorder in women: standard operating procedure (SOP Part 2). J Sex Med. 2013;10:50–57.
Rubio-Aurioles E, Bivalacqua TJ. Standard operational procedures for low sexual desire in men. J Sex Med. 2013;10:94–107.
Nimbi FM, Galizia R, Rossi R, Limoncin E, Ciocca G, Fontanesi L, et al. The biopsychosocial model and the sex-positive approach: an integrative perspective for sexology and general health care. Sexuality Res Soc Policy. 2022;19:894–908.
APA - American Psychological Association. Guidelines for Psychological Practice With Lesbian, Gay, and Bisexual Clients. Am Psychologist. 2012;67:10–42.
APA - American Psychological Association. Guidelines for Psychological Practice With Transgender and Gender Nonconforming People. Am Psychologist. 2015;70:832–64.
Nimbi FM, Galizia R, Fontanesi L, Soyman S, Jannini EA, Simonelli C, et al. Sexual Desire and Erotic Fantasies Questionnaire: Validation of the Erotic Fantasy Inventory Scale (SDEF3) in Italian Adults. Healthcare. 2023;11:880.
Nimbi FM, Galizia R, Limoncin E, Levy T, Jannini EA, Simonelli C, et al. Sexual Desire and Erotic Fantasies Questionnaire: The Development and Validation of the Erotic Fantasy Use Scale (SDEF2) on Experience, Attitudes, and Sharing Issues. Healthcare. 2023;11:1159.
Pettigrew JA, Novick AM. Hypoactive Sexual Desire Disorder in Women: Physiology, Assessment, Diagnosis, and Treatment. J Midwifery Womens Health. 2021;66:740–8.
Dewitte M, Carvalho J, Corona G, Limoncin E, Pascoal P, Reisman Y, et al. Sexual desire discrepancy: A position statement of the European Society for Sexual Medicine. Sex Med. 2020;8:121–31.
Goldstein I, Kim NN, Clayton AH, DeRogatis LR, Giraldi A, Parish SJ, et al. Hypoactive sexual desire disorder: International Society for the Study of Women’s Sexual Health (ISSWSH) expert consensus panel review. Mayo Clin Proc. 2017;92:114–28.
Filocamo MT, Serati M, Li Marzi V, Costantini E, Milanesi M, Pietropaolo A, et al. The Female Sexual Function Index (FSFI): Linguistic Validation of the Italian Version. J Sex Med. 2014;11:447–53.
Fischer DG, Fick C. Measuring social desirability: Short forms of the Marlowe-Crowne social desirability scale. Educ Psychological Meas. 1993;53:417–24.
Manganelli AM, Canova L, Marcorin R. La desiderabilita sociale. Un’analisi di forme brevi della scala di Marlowe e Crowne. Test Psicometria Metodologia. 2000;7:5–17.
Watkins MW. Determining parallel analysis criteria. J Mod Appl Stat Methods. 2006;5:344–6.
Carvalho J, Nobre P. Predictors of women’s sexual desire: The role of psychopathology, cognitive-emotional determinants, relationship dimensions, and medical factors. J Sex Med. 2010;7:928–37.
Carvalho J, Nobre P. Biopsychosocial determinants of men’s sexual desire: testing an integrative model. J Sex Med. 2011;8:754–63.
Kafka MP. The development and evolution of the criteria for a newly proposed diagnosis for DSM-5: Hypersexual disorder. Sex Addiction Compulsivity. 2013;20:19–26.
Blackmore DE, Hart SL, Albiani JJ, Mohr DC. Improvements in partner support predict sexual satisfaction among individuals with multiple sclerosis. Rehabilit Psychol. 2011;56:117.
Dorfman CS, Arthur SS, Kimmick GG, Westbrook KW, Marcom PK, Corbett C, et al. Partner status moderates the relationships between sexual problems and self-efficacy for managing sexual problems and psychosocial quality-of-life for postmenopausal breast cancer survivors taking adjuvant endocrine therapy. Menopause. 2019;26:823.
Lehmiller JJ. Tell me what you want. New York: Capo Press; 2018.
Adam A. Perceptions of infidelity: A comparison of sexual, emotional, cyber-, and parasocial behaviors. Interpersona Int J Personal Relatsh. 2019;13:237–52.
Meyer IH. Prejudice, social stress, and mental health in lesbian, gay, and bisexual populations: conceptual issues and research evidence. Psychological Bull. 2003;129:674.
Cerny JA, Janssen E. Patterns of sexual arousal in homosexual, bisexual, and heterosexual men. Arch Sex Behav. 2011;40:687–97.
Timmers AD, Bouchard KN, Chivers ML. Effects of gender and sexual activity cues on the sexual responses of women with multidimensionally defined bisexuality. J Bisexuality. 2015;15:154–79.
Leitenberg H, Henning K. Sexual fantasy. Psychological Bull. 1995;117:469.
Birnbaum GE, Kanat-Maymon Y, Mizrahi M, Recanati M, Orr R. What fantasies can do to your relationship: The effects of sexual fantasies on couple interactions. Personal Soc Psychol Bull. 2019;45:461–76.
Nimbi FM, Appia C, Tanzilli A, Giovanardi G, Lingiardi V. Deepening Sexual Desire and Erotic Fantasies Research in the ACE Spectrum: Comparing the Experiences of Asexual, Demisexual, Gray-Asexual, and Questioning People. Arch Sex Behav. 2024;53:1031–45.
Nimbi FM, Cavagnis S, Eleuteri S. Changes in sexual behavior and satisfaction and violent behavior during COVID-19 lockdown: explorative results from the Italian cross-sectional study of the I-SHARE multi-country project. Int J Environ Res Public Health. 2024;21:96.
Author information
Authors and Affiliations
Contributions
Conceptualization, FMN, EAJ, CS, and, RT; methodology, FMN; software, FMN; validation, EAJ, CS, and RT; formal analysis, FMN; investigation, FMN, RG, GC, and ABZ; resources, RG, GC, and ABZ; data curation, RG, GC, and ABZ; writing—original draft preparation, FMN; writing—review and editing, RG, GC, and ABZ; visualization, FMN; supervision, EAJ, CS, and RT. All authors have read and agreed to the published version of the manuscript.
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Ethics approval and consent to participate
The study was conducted in accordance with the Declaration of Helsinki and approved by the Institutional Ethics Committee of the Dept. of Dynamic and Clinical Psychology and Health Studies, Sapienza University of Rome. (protocol code n.14 approved on January 9th, 2019). Informed consent was obtained from all subjects involved in the study.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary information
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Nimbi, F.M., Galizia, R., Ciocca, G. et al. Sexual desire and erotic fantasies questionnaire: development and validation of the sexual desire scale (SDEF1). Int J Impot Res (2024). https://doi.org/10.1038/s41443-024-00942-2
Received:
Revised:
Accepted:
Published:
DOI: https://doi.org/10.1038/s41443-024-00942-2
- Springer Nature Limited