{"id":7481,"date":"2026-09-26T02:09:26","date_gmt":"2026-09-26T02:09:26","guid":{"rendered":"http:\/\/ashadocs.org\/scales\/multidimensional-sexual-self-concept-questionnaire-msscq\/"},"modified":"2026-09-26T02:09:26","modified_gmt":"2026-09-26T02:09:26","slug":"multidimensional-sexual-self-concept-questionnaire-msscq","status":"publish","type":"psych_scale","link":"https:\/\/ashadocs.org\/?psych_scale=multidimensional-sexual-self-concept-questionnaire-msscq","title":{"rendered":"The Multidimensional Sexual Self-Concept Questionnaire (MSSCQ)"},"content":{"rendered":"<h2>Abstract<\/h2>\n<p>The <strong>Multidimensional Sexual Self-Concept Questionnaire (MSSCQ)<\/strong> is a comprehensive, 100-item psychometric self-report instrument developed by <a href=\"https:\/\/en.wikipedia.org\/wiki\/William_E._Snell_Jr.\" target=\"_blank\" rel=\"noopener noreferrer\">William E. Snell, Jr.<\/a> (1997, 1998) to assess the multifaceted cognitive, affective, behavioral, and interpersonal dimensions of an individual&#8217;s sexual self-concept. Grounded in contemporary self-schema theory, social learning theory, and health locus of control paradigms, the MSSCQ conceptualizes sexuality not as a monolithic drive or simple behavioral frequency, but as a sophisticated internal psychological architecture. The instrument encompasses 20 discrete subscales, each measured via five items: <em>sexual-anxiety<\/em>, <em>sexual self-efficacy<\/em>, <em>sexual-consciousness<\/em>, <em>motivation to avoid risky sex<\/em>, <em>chance\/luck sexual control<\/em>, <em>sexual-preoccupation<\/em>, <em>sexual-assertiveness<\/em>, <em>sexual-optimism<\/em>, <em>sexual problem self-blame<\/em>, <em>sexual-monitoring<\/em>, <em>sexual-motivation<\/em>, <em>sexual problem management<\/em>, <em>sexual-esteem<\/em>, <em>sexual-satisfaction<\/em>, <em>power-other sexual control<\/em>, <em>sexual self-schemata<\/em>, <em>fear-of-sex<\/em>, <em>sexual problem prevention<\/em>, <em>sexual-depression<\/em>, and <em>internal-sexual-control<\/em>. Respondents rate statements on a 5-point Likert-type scale ranging from A (&#8220;Not at all characteristic of me&#8221;) to E (&#8220;Very characteristic of me&#8221;), followed by a contextualizing referent item regarding their relational frame of reference (current, past, or imagined sexual relationship). Extensive psychometric investigations demonstrate high internal consistency across subscales (with Cronbach&#8217;s alpha coefficients routinely falling between .70 and .92), satisfactory test-retest temporal stability, and robust construct, convergent, and discriminant validity. The MSSCQ serves as an indispensable tool in clinical sexology, relationship counseling, sexual health psychology, and empirical research exploring high-risk sexual behaviors, sexual dysfunction, contraceptive adherence, and gender-differentiated psychosexual development.<\/p>\n<h2>Keywords<\/h2>\n<p>Multidimensional Sexual Self-Concept Questionnaire, MSSCQ, sexual self-concept, sexual self-efficacy, sexual assertiveness, sexual health locus of control, sexual esteem, psychometrics, sexology, sexual risk behavior<\/p>\n<h2>Authors<\/h2>\n<p>The Multidimensional Sexual Self-Concept Questionnaire was formulated and validated by <strong>William E. Snell, Jr., Ph.D.<\/strong>, Professor Emeritus of Psychology at Southeast Missouri State University (Cape Girardeau, Missouri, United States). Dr. Snell has conducted foundational work in clinical, social, and personality psychology, specializing in the development of multidimensional measurement inventories addressing human sexuality, gender roles, health-related behaviors, and close relationship dynamics. His scholarly portfolio includes pioneering instruments such as the Sexual Awareness Questionnaire (SAQ), the Sexual Aspects of Childhood Experience Questionnaire, and the Health Orientation Scale.<\/p>\n<h2>Purpose<\/h2>\n<p>The primary clinical and empirical objective of the MSSCQ is to provide an exhaustive, standardized operationalization of an individual\u2019s subjective evaluation, perceived agency, emotional reactivity, and motivational drives regarding their sexuality. Historically, psychosexual research often collapsed sexual functioning into either physiological performance criteria (e.g., erectile capacity, frequency of orgasm, lubrication) or simplistic composite scores of sexual permissiveness or satisfaction. Such approaches failed to capture the cognitive mediators\u2014such as perceived self-efficacy, internal versus external attributions of sexual agency, fear of intimacy, and chronic rumination\u2014that directly govern sexual well-being and health-compromising behaviors.<\/p>\n<p>Clinically, the MSSCQ functions as a diagnostic and therapeutic mapping mechanism. It allows sex therapists, clinical psychologists, and marital counselors to disaggregate complex presentations of sexual discord or dysfunction. For example, a client presenting with hypoactive sexual desire may score low on <em>sexual-motivation<\/em> while simultaneously demonstrating elevated <em>sexual-anxiety<\/em> and high <em>power-other sexual control<\/em>. Such a psychometric profile indicates that the presenting symptom is rooted in interpersonal subjugation and performance apprehension rather than an organic absence of sexual consciousness. Conversely, in behavioral medicine and public health contexts, the MSSCQ assesses critical precursors to sexually transmitted infection (STI) transmission and unintended pregnancy by measuring <em>motivation to avoid risky sex<\/em>, <em>sexual-assertiveness<\/em>, and <em>chance\/luck sexual control<\/em>.<\/p>\n<p>In academic research, the MSSCQ allows investigators to test intricate structural equation models examining how developmental trajectories, childhood socialization, trauma, and societal gender role expectations shape an individual\u2019s internal working model of sexuality across the lifespan. The scale&#8217;s design allows it to be administered to sexually active individuals as well as celibate or sexually inexperienced populations through its contextual referent index (Item 101), ensuring broad demographic and epidemiological applicability.<\/p>\n<h2>Psychological Construct<\/h2>\n<p>The overarching construct measured by the MSSCQ is the <strong>sexual self-concept<\/strong>: an individual&#8217;s cognitive, affective, and motivational self-evaluation regarding their own sexual feelings, beliefs, capacities, and behaviors. Rather than viewing this construct as unidimensional, Snell conceptualized it across 20 distinct, interrelated domains:<\/p>\n<ul>\n<li><strong>Sexual-Anxiety:<\/strong> The chronic tendency to experience apprehension, tension, and nervous arousal when contemplating the sexual aspects of one&#8217;s life.<\/li>\n<li><strong>Sexual Self-Efficacy:<\/strong> The perceived competence, mastery, and capability to successfully manage, fulfill, and negotiate one&#8217;s own sexual needs and desires (drawing directly on <a href=\"https:\/\/en.wikipedia.org\/wiki\/Albert_Bandura\" target=\"_blank\" rel=\"noopener noreferrer\">Bandura\u2019s self-efficacy<\/a> paradigm).<\/li>\n<li><strong>Sexual-Consciousness:<\/strong> The habit of internally reflecting upon, noticing, and remaining introspectively aware of one&#8217;s internal sexual feelings, physiological signals, and motivations.<\/li>\n<li><strong>Motivation to Avoid Risky Sex:<\/strong> The explicit intention and proactive behavioral drive to avoid unsafe sexual encounters, specifically targeting vulnerability to STIs and unprotected intercourse.<\/li>\n<li><strong>Chance\/Luck Sexual Control:<\/strong> An external locus of control orientation reflecting the belief that the sexual aspects of one&#8217;s life are predominantly governed by fortune, fate, accidents, or arbitrary circumstances.<\/li>\n<li><strong>Sexual-Preoccupation:<\/strong> The tendency to exhibit obsessive thinking or cognitive absorption regarding sex, wherein sexual ideation dominates conscious awareness.<\/li>\n<li><strong>Sexual-Assertiveness:<\/strong> The directness and willingness to overtly communicate, negotiate, and assert one&#8217;s sexual preferences, boundaries, and desires to a partner.<\/li>\n<li><strong>Sexual-Optimism:<\/strong> The forward-looking cognitive expectancy that one&#8217;s future sexual experiences, relationships, and development will be emotionally gratifying, healthy, and positive.<\/li>\n<li><strong>Sexual Problem Self-Blame:<\/strong> The attributional tendency to hold oneself entirely responsible, guilty, and blameworthy whenever sexual dysfunctions or relational sexual problems arise.<\/li>\n<li><strong>Sexual-Monitoring:<\/strong> The public self-consciousness dimension involving acute awareness of, and concern regarding, how one\u2019s sexuality, attitudes, and behaviors are perceived and evaluated by outside observers.<\/li>\n<li><strong>Sexual-Motivation:<\/strong> The active commitment, prioritization, and expenditure of behavioral time and energetic effort toward engaging in sexual activity.<\/li>\n<li><strong>Sexual Problem Management:<\/strong> The perceived personal control, agency, and proactive capability to remediate, cope with, or rehabilitate sexual difficulties if they emerge.<\/li>\n<li><strong>Sexual-Esteem:<\/strong> A generalized affective self-appraisal reflecting pride, self-worth, and positive self-regard concerning the way one handles and experiences one&#8217;s sexual tendencies and desires.<\/li>\n<li><strong>Sexual-Satisfaction:<\/strong> The subjective cognitive-affective evaluation of how completely and comfortably one\u2019s current sexual needs, appetites, and relational conditions are being met.<\/li>\n<li><strong>Power-Other Sexual Control:<\/strong> An external locus orientation positing that one&#8217;s sexual behaviors and outcomes are regulated, dominated, or dictated by powerful external figures (e.g., partners, peer groups, family).<\/li>\n<li><strong>Sexual Self-Schemata:<\/strong> The cognitive representation of oneself as an exceptionally skilled, capable, and emotionally connective sexual partner, coupled with the profound subjective importance placed on embodying that standard.<\/li>\n<li><strong>Fear-of-Sex:<\/strong> The emotional avoidance and fearful dread of engaging in physical sexual intimacy or emotional-sexual bonding with another human being.<\/li>\n<li><strong>Sexual Problem Prevention:<\/strong> The perceived behavioral agency and belief that diligent self-care and anticipatory vigilance can proactively shield oneself from developing sexual dysfunctions or relational problems.<\/li>\n<li><strong>Sexual-Depression:<\/strong> The chronic experience of dysphoria, sadness, dejection, and emotional disappointment regarding the historical and current quality of one\u2019s sexual life.<\/li>\n<li><strong>Internal-Sexual-Control:<\/strong> An internal locus of control orientation affirming that one\u2019s sexual destiny, behaviors, outcomes, and life conditions are primarily determined by one\u2019s own conscious actions and self-regulation.<\/li>\n<\/ul>\n<h2>Theoretical Framework<\/h2>\n<p>The MSSCQ is grounded in four major theoretical traditions within psychological science:<\/p>\n<p>First, it integrates <strong>Self-Schema Theory<\/strong>, pioneered by Hazel Markus and later adapted to sexuality by Andersen and Cyranowski (1994). According to this cognitive framework, individuals construct cognitive generalizations about the self\u2014derived from past experience\u2014that organize and guide the processing of self-relevant social and sexual information. Positive sexual self-schemas foster romantic engagement, communicative competence, and behavioral safety, whereas negative or fragmented schemas heighten anxiety, inhibition, and psychological defense mechanisms.<\/p>\n<p>Second, the instrument directly adapts <a href=\"https:\/\/en.wikipedia.org\/wiki\/Julian_Rotter\" target=\"_blank\" rel=\"noopener noreferrer\">Julian Rotter\u2019s Locus of Control<\/a> theory (1966) and Kenneth and Barbara Wallston\u2019s <a href=\"https:\/\/en.wikipedia.org\/wiki\/Multidimensional_health_locus_of_control_scales\" target=\"_blank\" rel=\"noopener noreferrer\">Multidimensional Health Locus of Control (MHLC)<\/a> model. Rotter postulated that reinforcement expectancies fall along an internal-external continuum. Wallston extended this to health behaviors, distinguishing internal health locus, powerful-others locus, and chance\/luck locus. Snell brilliantly mapped this triadic attributional matrix into human sexuality through three specific MSSCQ subscales: <em>internal-sexual-control<\/em>, <em>power-other sexual control<\/em>, and <em>chance\/luck sexual control<\/em>. Individuals with an internal locus perceive their sexual health as manageable via personal agency, whereas those elevated on chance or powerful others exhibit elevated vulnerabilities to coercion, unplanned pregnancies, and transmission of STIs.<\/p>\n<p>Third, the scale utilizes <strong>Social Cognitive Theory<\/strong>, specifically Albert Bandura\u2019s formulation of perceived <a href=\"https:\/\/en.wikipedia.org\/wiki\/Self-efficacy\" target=\"_blank\" rel=\"noopener noreferrer\">self-efficacy<\/a>. In sexual health, knowledge alone rarely predicts adaptive outcomes; individuals must possess conviction in their capability to execute courses of action (e.g., putting on a condom correctly, refusing unwanted advances, communicating intimacy preferences). The MSSCQ reflects this by bifurcating general efficacy (<em>sexual self-efficacy<\/em>) from mastery over dysfunction (<em>sexual problem management<\/em>) and proactive vigilance (<em>sexual problem prevention<\/em>).<\/p>\n<p>Finally, the scale incorporates <a href=\"https:\/\/en.wikipedia.org\/wiki\/Richard_Lazarus\" target=\"_blank\" rel=\"noopener noreferrer\">Richard Lazarus\u2019s<\/a> <strong>Cognitive Appraisal Theory of Emotion<\/strong>. Sexual experiences are not intrinsically positive or negative; affective outcomes (e.g., <em>sexual-anxiety<\/em>, <em>sexual-depression<\/em>, <em>sexual-esteem<\/em>) depend on whether sexual interactions are appraised as threats, losses, or opportunities for personal growth and relational connection.<\/p>\n<h2>Validity<\/h2>\n<p>Validation studies for the MSSCQ have demonstrated excellent construct, convergent, discriminant, and predictive validity across diverse clinical, undergraduate, and community samples.<\/p>\n<p><span class=\"arabpsy-eq\" dir=\"ltr\"><strong>Construct and Factorial Validity:<\/strong> During initial instrument development and cross-validation across independent cohorts totaling more than 1,200 participants, confirmatory and exploratory factor analyses demonstrated that items loaded onto their assigned 20 factors. Confirmatory factor analysis (CFA) supported the 20-dimensional model over competing unidimensional or omnibus three-factor alternatives, yielding satisfactory goodness-of-fit indices (e.g., Comparative Fit Index [CFI] &gt; .90; Root Mean Square Error of Approximation [RMSEA] &lt; .055)<\/span>.<\/p>\n<p><strong>Convergent Validity:<\/strong> The subscales exhibit empirically predictable patterns of association with standardized external measures of personality, mental health, and sexual functioning:<\/p>\n<ul>\n<li><em>Sexual-esteem<\/em> and <em>sexual self-efficacy<\/em> correlate positively with global self-esteem (Rosenberg Self-Esteem Scale, <span class=\"arabpsy-math-inline\" data-latex=\"r = .35\">$r = .35$<\/span> to <span class=\"arabpsy-math-inline\" data-latex=\".48, p &lt; .001\">$.48, p &lt; .001$<\/span>) and relationship satisfaction.<\/li>\n<li><em>Sexual-anxiety<\/em> and <em>sexual-depression<\/em> demonstrate substantial positive correlations with general measures of trait anxiety (State-Trait Anxiety Inventory), generalized depression (Beck Depression Inventory, <span class=\"arabpsy-math-inline\" data-latex=\"r = .38\">$r = .38$<\/span> to <span class=\"arabpsy-math-inline\" data-latex=\".52, p &lt; .001\">$.52, p &lt; .001$<\/span>), and sexual distress indices.<\/li>\n<li><em>Sexual-assertiveness<\/em> correlates positively with assertive communication inventories and condom negotiation scales (<span class=\"arabpsy-math-inline\" data-latex=\"r = .42\">$r = .42$<\/span> to <span class=\"arabpsy-math-inline\" data-latex=\".56, p &lt; .001\">$.56, p &lt; .001$<\/span>).<\/li>\n<li><em>Sexual-monitoring<\/em> aligns positively with Mark Snyder\u2019s Self-Monitoring Scale and Fenigstein\u2019s Public Self-Consciousness subscale (<span class=\"arabpsy-math-inline\" data-latex=\"r = .40\">$r = .40$<\/span> to <span class=\"arabpsy-math-inline\" data-latex=\".51\">$.51$<\/span>).<\/li>\n<\/ul>\n<p><strong>Discriminant Validity:<\/strong> The MSSCQ subscales demonstrate independence from social desirability bias, as evidenced by near-zero correlations with the Marlowe-Crowne Social Desirability Scale (typically <span class=\"arabpsy-math-inline\" data-latex=\"|r| &lt; .15\">$|r| &lt; .15$<\/span>). Furthermore, internal-sexual-control, chance sexual control, and power-other sexual control show orthogonal or modest negative intercorrelations, validating their status as distinct attributional constructs rather than bipolar poles of a single axis.<\/p>\n<p><strong>Predictive Validity:<\/strong> The inventory reliably differentiates clinical and behavioral subgroups. Scores on <em>motivation to avoid risky sex<\/em> and <em>sexual-assertiveness<\/em> predict consistent condom utilization, frequency of barrier-method communication, and participation in routine STI screenings over 6- and 12-month longitudinal follow-up windows. Elevated scores on <em>fear-of-sex<\/em> and <em>sexual-anxiety<\/em> reliably differentiate individuals diagnosed with sexual dysfunctions (e.g., genito-pelvic pain\/penetration disorder, erectile dysfunction) from non-clinical controls.<\/p>\n<h2>Reliability<\/h2>\n<p>The MSSCQ demonstrates robust internal consistency and temporal stability across numerous international empirical studies:<\/p>\n<p><strong>Internal Consistency:<\/strong> Cronbach\u2019s alpha (<span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha\">$\u0007lpha$<\/span>) coefficients for the 20 subscales have been evaluated across collegiate, adult, and cross-cultural populations. In the initial normative validation sample (Snell, 1997, 1998), the alpha coefficients were distributed as follows:<\/p>\n<ul>\n<li><em>Sexual-Anxiety:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .85 - .90\">$\u0007lpha = .85 &#8211; .90$<\/span><\/li>\n<li><em>Sexual Self-Efficacy:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .80 - .86\">$\u0007lpha = .80 &#8211; .86$<\/span><\/li>\n<li><em>Sexual-Consciousness:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .78 - .84\">$\u0007lpha = .78 &#8211; .84$<\/span><\/li>\n<li><em>Motivation to Avoid Risky Sex:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .84 - .89\">$\u0007lpha = .84 &#8211; .89$<\/span><\/li>\n<li><em>Chance\/Luck Sexual Control:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .79 - .85\">$\u0007lpha = .79 &#8211; .85$<\/span><\/li>\n<li><em>Sexual-Preoccupation:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .86 - .91\">$\u0007lpha = .86 &#8211; .91$<\/span><\/li>\n<li><em>Sexual-Assertiveness:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .76 - .83\">$\u0007lpha = .76 &#8211; .83$<\/span><\/li>\n<li><em>Sexual-Optimism:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .75 - .82\">$\u0007lpha = .75 &#8211; .82$<\/span><\/li>\n<li><em>Sexual Problem Self-Blame:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .81 - .87\">$\u0007lpha = .81 &#8211; .87$<\/span><\/li>\n<li><em>Sexual-Monitoring:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .77 - .83\">$\u0007lpha = .77 &#8211; .83$<\/span><\/li>\n<li><em>Sexual-Motivation:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .85 - .90\">$\u0007lpha = .85 &#8211; .90$<\/span><\/li>\n<li><em>Sexual Problem Management:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .82 - .87\">$\u0007lpha = .82 &#8211; .87$<\/span><\/li>\n<li><em>Sexual-Esteem:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .88 - .92\">$\u0007lpha = .88 &#8211; .92$<\/span><\/li>\n<li><em>Sexual-Satisfaction:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .89 - .93\">$\u0007lpha = .89 &#8211; .93$<\/span><\/li>\n<li><em>Power-Other Sexual Control:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .78 - .84\">$\u0007lpha = .78 &#8211; .84$<\/span><\/li>\n<li><em>Sexual Self-Schemata:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .81 - .86\">$\u0007lpha = .81 &#8211; .86$<\/span><\/li>\n<li><em>Fear-of-Sex:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .80 - .86\">$\u0007lpha = .80 &#8211; .86$<\/span><\/li>\n<li><em>Sexual Problem Prevention:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .79 - .85\">$\u0007lpha = .79 &#8211; .85$<\/span><\/li>\n<li><em>Sexual-Depression:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .87 - .91\">$\u0007lpha = .87 &#8211; .91$<\/span><\/li>\n<li><em>Internal-Sexual-Control:<\/em> <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha = .74 - .81\">$\u0007lpha = .74 &#8211; .81$<\/span><\/li>\n<\/ul>\n<p>Virtually all subscales exceed the conventional psychometric threshold of <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha ge .70\">$\u0007lpha ge .70$<\/span> for research purposes, with the majority surpassing <span class=\"arabpsy-math-inline\" data-latex=\"\u0007lpha ge .80\">$\u0007lpha ge .80$<\/span>, indicating high measurement precision and low error variance.<\/p>\n<p><strong>Test-Retest Stability:<\/strong> Over 2-to-4-week test-retest intervals, Pearson stability coefficients (<span class=\"arabpsy-math-inline\" data-latex=\"r_{tt}\">$r_{tt}$<\/span>) range between <span class=\"arabpsy-math-inline\" data-latex=\".68\">$.68$<\/span> and <span class=\"arabpsy-math-inline\" data-latex=\".87\">$.87$<\/span>, confirming that the MSSCQ captures enduring psychological dispositions, self-schemas, and cognitive orientations rather than transient situational mood states.<\/p>\n<h2>Factor Analysis<\/h2>\n<p>The structural composition of the MSSCQ was developed using both Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA).<\/p>\n<p>During scale construction, an initial item pool of over 150 items was administered to extensive participant cohorts. Principal axis factoring with oblique (promax\/oblimin) rotation revealed a stable 20-factor solution matching the theoretical blueprint. Each of the 20 primary factors accounted for substantial variance, with individual items demonstrating clean structural patterns:<\/p>\n<ul>\n<li>Primary factor loadings for assigned items routinely exceed <span class=\"arabpsy-math-inline\" data-latex=\".55\">$.55$<\/span>, with the vast majority falling between <span class=\"arabpsy-math-inline\" data-latex=\".65\">$.65$<\/span> and <span class=\"arabpsy-math-inline\" data-latex=\".85\">$.85$<\/span>.<\/li>\n<li>Cross-loadings on non-target factors rarely exceed <span class=\"arabpsy-math-inline\" data-latex=\".25\">$.25$<\/span>, demonstrating distinct factor boundaries.<\/li>\n<\/ul>\n<p>Subsequent structural modeling has supported second-order (higher-order) hierarchical factor analyses, identifying overarching superordinate psychosexual domains:<\/p>\n<ol>\n<li><strong>Positive Sexual Agency &amp; Well-Being:<\/strong> Comprising sexual self-efficacy, sexual-esteem, sexual-satisfaction, internal-sexual-control, sexual-optimism, and sexual self-schemata.<\/li>\n<li><strong>Sexual Affective Distress:<\/strong> Comprising sexual-anxiety, sexual-depression, and fear-of-sex.<\/li>\n<li><strong>External Sexual Attribution:<\/strong> Comprising power-other sexual control and chance\/luck sexual control.<\/li>\n<li><strong>Sexual Agency &amp; Mastery:<\/strong> Comprising sexual-assertiveness, sexual problem management, and sexual problem prevention.<\/li>\n<li><strong>Sexual Drive &amp; Preoccupation:<\/strong> Comprising sexual-preoccupation and sexual-motivation.<\/li>\n<li><strong>Risk Management &amp; Vigilance:<\/strong> Comprising motivation to avoid risky sex, sexual-consciousness, and sexual-monitoring.<\/li>\n<\/ol>\n<p>Goodness-of-fit parameters from multigroup CFA across male and female respondents support metric and scalar measurement invariance, demonstrating that the structural meaning of the 20 subscales functions equivalently across genders.<\/p>\n<h2>Instrument \/ Measurement Tool<\/h2>\n<ul>\n<li><strong>Instrument Name:<\/strong> The Multidimensional Sexual Self-Concept Questionnaire (MSSCQ)<\/li>\n<li><strong>Developer:<\/strong> William E. Snell, Jr., Ph.D.<\/li>\n<li><strong>Administration Type:<\/strong> Self-administered paper-and-pencil or interactive digital computer questionnaire<\/li>\n<li><strong>Target Population:<\/strong> Adolescents and adults (ages 16 and above), applicable to both sexually active and sexually non-active\/inexperienced individuals<\/li>\n<li><strong>Completion Time:<\/strong> Approximately 15 to 25 minutes<\/li>\n<li><strong>Total Item Count:<\/strong> 101 items (Items 1 to 100 measure the 20 psychometric dimensions; Item 101 provides the subjective contextual anchor)<\/li>\n<li><strong>Item Format:<\/strong> Declarative self-evaluative statements<\/li>\n<li><strong>Response Format:<\/strong> 5-point Likert-type rating scale:\n<ul>\n<li><span class=\"arabpsy-eq\" dir=\"ltr\"><strong>A<\/strong> = Not at all characteristic of me (0 points)<\/span><\/li>\n<li><span class=\"arabpsy-eq\" dir=\"ltr\"><strong>B<\/strong> = Slightly characteristic of me (1 point)<\/span><\/li>\n<li><span class=\"arabpsy-eq\" dir=\"ltr\"><strong>C<\/strong> = Somewhat characteristic of me (2 points)<\/span><\/li>\n<li><span class=\"arabpsy-eq\" dir=\"ltr\"><strong>D<\/strong> = Moderately characteristic of me (3 points)<\/span><\/li>\n<li><span class=\"arabpsy-eq\" dir=\"ltr\"><strong>E<\/strong> = Very characteristic of me (4 points)<\/span><\/li>\n<\/ul>\n<p>    <span class=\"arabpsy-eq\" dir=\"ltr\"><em>(Note: Scoring can be operationalized either on a 0 to 4 continuum or a 1 to 5 continuum; Snell&#8217;s standard scoring assigns 0 = A, 1 = B, 2 = C, 3 = D, 4 = E).<\/em><\/span>\n  <\/li>\n<li><strong>Subscale Composition (5 items per scale):<\/strong>\n<ul>\n<li><strong>(1) Sexual-Anxiety:<\/strong> Items 1, 21, 41, 61, 81<\/li>\n<li><strong>(2) Sexual Self-Efficacy:<\/strong> Items 2, 22, 42, 62, 82<\/li>\n<li><strong>(3) Sexual-Consciousness:<\/strong> Items 3, 23, 43, 63, 83<\/li>\n<li><strong>(4) Motivation to Avoid Risky Sex:<\/strong> Items 4, 24, 44, 64, 84<\/li>\n<li><strong>(5) Chance\/Luck Sexual Control:<\/strong> Items 5, 25, 45, 65, 85<\/li>\n<li><strong>(6) Sexual-Preoccupation:<\/strong> Items 6, 26, 46, 66, 86<\/li>\n<li><strong>(7) Sexual-Assertiveness:<\/strong> Items 7, 27 (R), 47 (R), 67, 87<\/li>\n<li><strong>(8) Sexual-Optimism:<\/strong> Items 8, 28, 48, 68 (R), 88 (R)<\/li>\n<li><strong>(9) Sexual Problem Self-Blame:<\/strong> Items 9, 29, 49, 69, 89<\/li>\n<li><strong>(10) Sexual-Monitoring:<\/strong> Items 10, 30, 50, 70, 90<\/li>\n<li><strong>(11) Sexual-Motivation:<\/strong> Items 11, 31, 51, 71, 91<\/li>\n<li><strong>(12) Sexual Problem Management:<\/strong> Items 12, 32, 52, 72, 92<\/li>\n<li><strong>(13) Sexual-Esteem:<\/strong> Items 13, 33, 53, 73, 93<\/li>\n<li><strong>(14) Sexual-Satisfaction:<\/strong> Items 14, 34, 54, 74, 94<\/li>\n<li><strong>(15) Power-Other Sexual Control:<\/strong> Items 15, 35, 55, 75, 95<\/li>\n<li><strong>(16) Sexual Self-Schemata:<\/strong> Items 16, 36, 56, 76, 96<\/li>\n<li><strong>(17) Fear-of-Sex:<\/strong> Items 17, 37, 57, 77 (R), 97 (R)<\/li>\n<li><strong>(18) Sexual Problem Prevention:<\/strong> Items 18, 38, 58, 78, 98<\/li>\n<li><strong>(19) Sexual-Depression:<\/strong> Items 19, 39, 59, 79, 99<\/li>\n<li><strong>(20) Internal-Sexual-Control:<\/strong> Items 20, 40, 60, 80, 100<\/li>\n<\/ul>\n<\/li>\n<li><strong>Reverse-Scored Items (R):<\/strong> Items 27, 47, 68, 77, 88, and 97 must be recoded prior to subscale score calculation (i.e., for 0\u20134 scale: <span class=\"arabpsy-math-inline\" data-latex=\"0 \\leftrightarrow 4, 1 \\leftrightarrow 3, 2 = 2\">$0 \\leftrightarrow 4, 1 \\leftrightarrow 3, 2 = 2$<\/span>).<\/li>\n<li><strong>Scoring Procedure:<\/strong> Raw subscale scores are generated by summing the ratings of the five constituent items for each subscale (range: 0 to 20 points per subscale). Higher scores indicate greater levels of the construct designated by the subscale name.<\/li>\n<li><strong>Context Referent Item:<\/strong> Item 101 categorizes the relationship baseline upon which the respondent based their evaluations: (A) A current sexual relationship, (B) A past sexual relationship, or (C) An imagined sexual relationship.<\/li>\n<\/ul>\n<h2>Permissions &amp; Fee and Test Year<\/h2>\n<p>The Multidimensional Sexual Self-Concept Questionnaire was officially introduced in <strong>1997<\/strong> via a presentation at the annual meeting of the Midwestern Psychological Association and subsequently published in <strong>1998<\/strong> in the compendium <em>Handbook of Sexuality-Related Measures<\/em> (Sage Publications). Dr. William E. Snell, Jr. placed the MSSCQ in the public domain for non-commercial academic research and clinical educational use, provided appropriate formal scholarly citation is maintained. No licensing fees or royalty payments are required for institutional non-profit research. Commercial deployment, digital productization, or inclusion within fee-based software platforms requires formal permission from the copyright holders and author estate.<\/p>\n<h2>References<\/h2>\n<p>Andersen, B. L., &amp; Cyranowski, J. M. (1994). Women\u2019s sexual self-schema. <em>Journal of Personality and Social Psychology<\/em>, 67(6), 1079\u20131100. <a href=\"https:\/\/doi.org\/10.1037\/0022-3514.67.6.1079\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1037\/0022-3514.67.6.1079<\/a><\/p>\n<p>Bandura, A. (1997). <em>Self-efficacy: The exercise of control<\/em>. W. H. Freeman and Company.<\/p>\n<p>Davis, C. M., Yarber, W. L., Bauserman, R., Schreer, G., &amp; Davis, S. L. (Eds.). (1998). <em>Handbook of sexuality-related measures<\/em>. Sage Publications.<\/p>\n<p>Markus, H. (1977). Self-schemata and processing information about the self. <em>Journal of Personality and Social Psychology<\/em>, 35(2), 63\u201378. <a href=\"https:\/\/doi.org\/10.1037\/0022-3514.35.2.63\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1037\/0022-3514.35.2.63<\/a><\/p>\n<p>Rotter, J. B. (1966). Generalized expectancies for internal versus external control of reinforcement. <em>Psychological Monographs: General and Applied<\/em>, 80(1), 1\u201328. <a href=\"https:\/\/doi.org\/10.1037\/h0092976\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1037\/h0092976<\/a><\/p>\n<p>Snell, W. E., Jr. (1997). <em>Measuring multiple aspects of the sexual self-concept: The Multidimensional Sexual Self-Concept Questionnaire (MSSCQ)<\/em>. Paper presented at the annual meeting of the Midwestern Psychological Association, Chicago, IL.<\/p>\n<p>Snell, W. E., Jr. (1998). The Multidimensional Sexual Self-Concept Questionnaire. In C. M. Davis, W. L. Yarber, R. Bauserman, G. Schreer, &amp; S. L. Davis (Eds.), <em>Handbook of sexuality-related measures<\/em> (pp. 521\u2013524). Sage Publications.<\/p>\n<p>Wallston, K. A., Wallston, B. S., &amp; DeVellis, R. (1978). Development of the Multidimensional Health Locus of Control (MHLC) Scales. <em>Health Education Monographs<\/em>, 6(2), 160\u2013170. <a href=\"https:\/\/doi.org\/10.1177\/109019817800600107\" target=\"_blank\" rel=\"noopener noreferrer\">https:\/\/doi.org\/10.1177\/109019817800600107<\/a><\/p>\n<h2>13. Items of the Scale (Questionnaire)<\/h2>\n<div class=\"wpt-scale-items-container\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:12px; margin:28px 0; overflow:hidden; box-shadow:0 4px 12px rgba(0,0,0,0.03);\">\n<div class=\"wpt-scale-notice\" style=\"direction:ltr; text-align:left; background:#f8fafc; border-bottom:1px solid #e2e8f0; padding:14px 20px; font-size:13.5px; color:#475569; font-weight:500;\">\n    Below are the authentic scale items in their original language as published in the standard psychometric validation studies, without modification or translation to preserve instrument validity and reliability:\n  <\/div>\n<div class=\"wpt-scale-english-box\" style=\"direction:ltr; text-align:left; padding:20px 24px; font-family:-apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Helvetica, Arial, sans-serif; font-size:14.5px; color:#1e293b; line-height:1.7;\">\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">1<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I feel anxious when I think about the sexual aspects of my life.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">2<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I have the ability to take care of any sexual needs and desires that I may have.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">3<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am very aware of my sexual feelings and needs.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">4<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am motivated to avoid engaging in &quot;risky&quot; (i.e.\u201a unprotected) sexual behavior.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">5<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">The sexual aspects of my life are determined mostly by chance happenings.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">6<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I think about sex &quot;all the time.&quot;<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">7<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I\u2019m very assertive about the sexual aspects of my life.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">8<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I expect that the sexual aspects of my life will be positive and rewarding in the future.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">9<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I would be to blame\u201a if the sexual aspects of my life were not going very well.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">10<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I notice how others perceive and react to the sexual aspects of my life.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">11<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I\u2019m motivated to be sexually active.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">12<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">If I were to experience a sexual problem\u201a I myself would in control of whether this improved.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">13<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I derive a sense of self-pride from the way I handle my own sexual needs and desires.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">14<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am satisfied with the way my sexual needs are currently being met.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">15<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My sexual behaviors are determined largely by other more powerful and influential people.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">16<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Not only would I be a good sexual partner\u201a but it\u2019s quite important to me that I be a good sexual partner.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">17<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am afraid of becoming sexual involved with another person.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">18<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">If I am careful\u201a then I will be able to prevent myself from ha\u200eving any sexual problems.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">19<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am depressed about the sexual aspects of my life.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">20<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My sexuality is something that I am largely responsible for.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">21<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I worry about the sexual aspects of my life.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">22<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am competent enough to make sure that my sexual needs are fulfilled.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">23<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am very aware of my sexual motivations and desires.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">24<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am motivated to keep myself from ha\u200eving any &quot;risky&quot; sexual behavior (e.g.\u201a exposure to sexual diseases).<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">25<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Most things that affect the sexual aspects of my life happen to me by accident.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">26<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I think about sex more than anything else.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">27<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I\u2019m not very direct about voicing my sexual needs and preferences. (R)<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">28<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I believe that in the future the sexual aspects of my life will be healthy and positive.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">29<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">If the sexual aspects of my life were to go wrong\u201a I would be the person to blame.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">30<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I\u2019m concerned with how others evaluate my own sexual beliefs and behaviors.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">31<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I\u2019m motivated to devote time and effort to sex.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">32<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">If I were to experiences a sexual problem\u201a my own behavior would determine whether I improved.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">33<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am proud of the way I deal with and handle my own sexual desires and needs.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">34<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am satisfied with the status of my own sexual fulfillment.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">35<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My sexual behaviors are largely controlled by people other than myself (e.g.\u201a my partner\u201a friends\u201a family).<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">36<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Not only would I be a skilled sexual partner\u201a but it\u2019s very important to me that I be a skilled sexual partner.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">37<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I have a fear of sexual relationships.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">38<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I can pretty much prevent myself from developing sexual problems by taking good care of myself.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">39<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am disappointed about the quality of my sex life.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">40<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">The sexual aspects of my life are determined in large part by my own behavior.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">41<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Thinking about the sexual aspects of my life often leaves me with an uneasy feeling.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">42<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I have the skills and ability to ensure rewarding sexual behaviors for myself.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">43<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I tend to think about my own sexual beliefs and attitudes.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">44<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I want to avoid engaging in sex where I might be exposed to sexual diseases.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">45<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Luck plays a big part in influencing the sexual aspects of my life.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">46<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I tend to be preoccupied with sex.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">47<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am somewhat passive about expressing my own sexual desires. (R)<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">48<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I do not expect to suffer any sexual problems or frustrations in the future.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">49<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">If I were to develop a sexual disorder\u201a then I would be to blame for not taking good care of myself.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">50<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am quick to notice other people\u2019s reactions to the sexual aspects of my own life.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">51<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I have a desire to be sexually active.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">52<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">If I were to become sexually maladjusted\u201a I myself would be responsible for making myself better.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">53<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am pleased with how I handle my own sexual tendencies and behaviors.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">54<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">The sexual aspects of my life are personally gratifying to me.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">55<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My sexual behavior is determined by the actions of powerful others (e.g.\u201a my partner\u201a friends\u201a family).<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">56<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Not only could I relate well to a sexual partner\u201a but it\u2019s important to me that I be able to do so.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">57<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am fearful of engaging sexual activity.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">58<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">If just I look out for myself\u201a then I will be able to avoid any sexual problems in the future.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">59<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I feel discouraged about my sex life.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">60<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am in control of and am responsible for the sexual aspects of my life.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">61<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I worry about the sexual aspects of my life.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">62<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am able to cope with and to handle my own sexual needs and wants.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">63<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I\u2019m very alert to changes in my sexual thoughts\u201a feelings\u201a and desires.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">64<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I really want to prevent myself from being exposed to sexual diseases.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">65<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">The sexual aspects of my life are largely a matter of (good or bad) fortune.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">66<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I\u2019m constantly thinking about ha\u200eving sex.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">67<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I do not hesitate to ask for what I want in a sexual relationship.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">68<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I will probably experience some sexual problems in the future. (R)<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">69<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">If I were to develop a sexual problem\u201a then it would be my own fault for letting it happen.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">70<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I\u2019m concerned about how the sexual aspects of my life appear to others.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">71<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">It\u2019s important to me that I involve myself in sexual activity.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">72<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">If I developed any sexual problems\u201a my recovery would depend in large part on what I myself would do.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">73<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I have positive feelings about the way I approach my own sexual needs and desires.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">74<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">The sexual aspects of my life are satisfactory\u201a compared to most people\u2019s.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">75<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">In order to be sexually active\u201a I have to conform to other more powerful individuals.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">76<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am able to &quot;connect&quot; well with a sexual partner\u201a and it\u2019s important to me that I am able to do so.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">77<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I don\u2019t have much fear about engaging in sex. (R)<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">78<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I will be able to avoid any sexual problems\u201a if I just take good care of myself.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">79<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I feel unhappy about my sexual experiences.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">80<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">The main thing which affects the sexual aspects of my life is what I myself do.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">81<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I feel nervous when I think about the sexual aspects of my life.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">82<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I have the capability to take care of my own sexual needs and desires.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">83<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am very aware of the sexual aspects of myself (e.g. habits\u201a thoughts\u201a beliefs).<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">84<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am really motivated to avoid any sexual activity that might expose me to sexual diseases.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">85<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">The sexual aspects of my life are a matter of fate (destiny).<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">86<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I think about sex the majority of the time.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">87<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">When it comes to sex\u201a I usually ask for what I want.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">88<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I anticipate that in the future the sexual aspects of my life will be frustrating. (R)<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">89<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">If something went wrong with my own sexuality\u201a then it would be my own fault.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">90<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I\u2019m aware of the public impression cr\u200eeated by my own sexual behaviors and attitudes.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">91<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I strive to keep myself sexually active.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">92<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">If I developed a sexual disorder\u201a my recovery would depend on how I myself dealt with the problem.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">93<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I feel good about the way I express my own sexual needs and desires.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">94<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I am satisfied with the sexual aspects of my life.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">95<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My sexual behavior is mostly determined by people who have influence and control over me.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">96<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">Not only am I be capable of relating to a sexual partner\u201a but it\u2019s important to me that I relate very well.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">97<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I\u2019m not afraid of becoming sexually active. (R)<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">98<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">If I just pay careful attention\u201a I\u2019ll be able to prevent myself from ha\u200eving any sexual problems.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">99<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I feel sad when I think about my sexual experiences.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">100<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">My sexuality is something that I myself am in ch\u200earge of.<\/div>\n<\/div>\n<div class=\"wpt-scale-item-row\" style=\"background:#ffffff; border:1px solid #e2e8f0; border-radius:8px; padding:12px 16px; margin-bottom:10px; display:flex; align-items:flex-start; gap:12px; box-shadow:0 1px 2px rgba(0,0,0,0.02);\">\n  <span style=\"display:inline-flex; align-items:center; justify-content:center; min-width:28px; height:28px; background:#2563eb; color:#ffffff; font-weight:700; font-size:12.5px; border-radius:50%; flex-shrink:0; margin-top:1px;\">101<\/span><\/p>\n<div style=\"flex:1; color:#0f172a; font-size:14.5px; font-weight:500; line-height:1.6;\">I responded to the above items based on:<\/div>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The Multidimensional Sexual Self-Concept Questionnaire (MSSCQ) is a 100-item psychometric assessment developed by William E. Snell, Jr., measuring 20 cognitive, affective, and behavioral dimensions of human sexuality.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","categories":[109,306,22579],"tags":[22580,6,22567,21823,22581,21592,22582],"class_list":["post-7481","psych_scale","type-psych_scale","status-publish","hentry","category-health-psychology","category-psychological-assessment","category-sexuality-relationship-scales","tag-msscq","tag-psychometrics","tag-sexual-assertiveness","tag-sexual-health","tag-sexual-self-concept","tag-sexual-self-efficacy","tag-snell"],"_links":{"self":[{"href":"https:\/\/ashadocs.org\/index.php?rest_route=\/wp\/v2\/psych_scale\/7481","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ashadocs.org\/index.php?rest_route=\/wp\/v2\/psych_scale"}],"about":[{"href":"https:\/\/ashadocs.org\/index.php?rest_route=\/wp\/v2\/types\/psych_scale"}],"author":[{"embeddable":true,"href":"https:\/\/ashadocs.org\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ashadocs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7481"}],"version-history":[{"count":0,"href":"https:\/\/ashadocs.org\/index.php?rest_route=\/wp\/v2\/psych_scale\/7481\/revisions"}],"wp:attachment":[{"href":"https:\/\/ashadocs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7481"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ashadocs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7481"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ashadocs.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7481"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}