Sexual Orientation Scale 2020
Sexual Orientation Scale 2020
Sexual Orientation Scale 2020
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Abstract
Background: Sexual orientation is a continuing amorous pattern of attraction toward the opposite sex (heterosexual),
same sex (homosexual), or both sexes (bisexual) or it is lack of sexual desire toward anyone (asexual). Psychosocial and
biological explanations regarding the development of an individual’s sexual orientation are related to life incidents, parenting
patterns, psychological attributes of the individual, or may also be related to an imbalance in sex hormones. There is no
strong evidence-based scientific research revealing the exact causes for one’s sexual orientation for it is not static but
dynamic in nature.
Aim: The purpose of the study is to develop a psychological assessment scale which identifies an individual’s sexual orientation,
particularly when he/she denies to reveal his/her sexual preference in the marital life.
Methodology: A tool with 32 items was developed by conducting focus group discussion, interviewing the experts in
the relevant fields and reviewing the literature. Test-retest and split half reliability were established with Cronbach’s alpha
to analyze the internal consistency. Both logical-based validity (face, content, and focus group) and empirical-based validity
(criterion, concurrent, convergent, and divergent) were established. These methodologies were standardized by a sample of
506 participants (217 males and 289 females) between the age range of 18 and 50 years.
Results: The test-retest reliability was found to be r = 0.96, Spearman-Brown and Guttman split half reliability was 0.73, and
Cronbach’s alpha ranged from (α) 0.71 to 0.88.
Implications: This scale would be beneficial for premarital counselors and mental health professionals to understand the
sexual orientation of their clients explicitly.
Keywords
Asexual, bisexual, heterosexual, homosexual, LGBTQ, sexual orientation
Introduction and Background different from gender identity. Gender identity is defined as a
personal impression of oneself as a male or female. It can be
The term orientation is widely referred as having relation the same as the sex assigned at birth or it can differ from it. It
with something or with someone. Sexual orientation is said to is not completely identified that why somebody may be
be the continuing amorous pattern of attraction toward the lesbian, gay, straight, or bisexual;2-4 however, analysis does
opposite sex or same sex or to both sexes. The psychological show that sexual orientation can be probably caused by
and social aspects on these pattern of attractions are majorly biological factors.5 Coleman proposed that one’s sexual
categorized under heterosexuality (attraction toward opposite
sex), homosexuality (attraction toward same sex), bisexuality 1
Counseling Psychology, Faculty of Allied Health Sciences, Chettinad
(attraction toward both sex), and asexuality (lack of sexual Academy of Research and Education, Chennai, Tamil Nadu, India
attraction to anyone) by the American Psychological
Corresponding author:
Association, 2008.1 Sexual orientation is about the following: K. Sagayaraj, Counseling Psychology, Faculty of Allied Health Sciences, Chettinad
with whom you are attracted to and toward whom you feel Academy of Research and Education, Chennai, Tamil Nadu 603103, India.
drawn to romantically, emotionally, and sexually. It is E-mail: [email protected]
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Sagayaraj and Gopal 225
orientation is primarily determined by the objects of one’s preliminary 45 items scale was sent to 22 different university
sexual fantasies and desires.6 After a decade of research in professors, research scholars, and psychology graduates in
human sexual behavior, Alfred Kinsey quoted that there have India for content analysis and feedback. Their suggestions
not been sufficient answers to the questions regarding human and modification were noted for further development of the
sexual behavior and orientation that itself is represented as scale. Focus group validity was established by conducting a
one of the least explored segments of biology, psychology, focus group discussion with various experts in the sexual
and sociology.7 In his research, Alfred had also developed the medicine field.
heterosexual-homosexual rating scale which later influenced
the multidimensional scale of sexuality,8 sell-assessment of
sexual orientation,9 and Klein sexual orientation grid.10 These Selection of Items
scales are in the form of direct questions, are easily predictable, After the logical-based validation, the items were cut down
and applicable in the Western context. Hence, developing a from 45 to 32 items and principal component analysis
new standardized scale which is suitable and relevant in the computation was done. As a rule of thumb any item with the
Asia Pacific context, specifically for Indian culture, is much extraction value of above 0.5 could be included in the final
needed in the sexual medicine field. scale. The extraction values for the developed scale ranged
In diverse countries like India, it had been considered from 0.501 to 0.900 and also no 2 items had similar correlation;
that lesbian, gay, and bisexual are taboo subjects in the civil hence, all the 32 items were included for the final assessment.
society. There is no official data available for lesbian, gay,
bisexual, transgender, queer (LGBTQ) population in India;
however, the administration of India submitted figures to the Sampling Technique
Supreme Court in 2012, as indicated by which, there were
Convenient sampling method was opted for the study, to
about 2.5 million gay individuals recorded in India. These
figures are just founded on those people who have self- collect the required samples. The participants were selected
proclaimed to the Ministry of Health.11 International human across India by the willingness and voluntary consent to the
rights law indicates that all human beings are persons before study. The corresponding author collected hard copy of
the law, regardless of their sexual orientation or gender samples in and around Chennai and soft copy of data was
identity, entitled to freedoms deriving from the inherent collected by using Google forms from major cities such as
dignity of the human person (universal declaration of human Pondicherry, Cochin, Bangalore, Mysore, Hyderabad,
rights; article 26 of the ICCPR).12 Mumbai, and Delhi-NCR. A formal telephonic discussion
To annihilate the myths and misconceptions about sexual was made for the further clarification on the study.
orientation in India, it is important to have evidence-based
research in the sexual orientation which is lacking in the Sample Selection Criteria
area of psychological assessment. Hence, the purpose of the
study is to develop the psychological assessment scale which To standardize the scale in the Indian context, the following
identifies the individual sexual orientation, especially when inclusion and exclusion criteria were followed.
they deny to reveal their sexual preference in the marital life.
It will be useful in the field of sexual medicine and marital Inclusion Criteria
counseling for proper diagnosis and further management. It
Both males and females with age between 18 and 50 years,
will assess an individual’s predominate sexual orientation in
who could speak and write in English, were included.
the aspects of being heterosexual, homosexual, bisexual, and
asexual. The aim of the study is to develop a psychological
Exclusion Criteria
scale to identify the sexual orientation of the individual and
statistically standardize the reliability and validity of the Transgenders, people aged below 18 years and who could not
developed sexual orientation scale. understand English were excluded.
Administration 21, 26; (b) Homosexual: 1, 5, 10, 13, 18, 22, 25; (c) Bisexual:
3, 7, 11, 15, 19, 23, 27; (d) Asexual: 4, 8, 12, 16, 20, 24, 28.
The participants who took part in this study were from For part II, item numbers 29, 30, 31, 32 scoring need to
different workplaces such as colleges, universities, and be done, as done for the male population. By adding part I and
corporate offices. They were approached individually and in part II scores together the final score can be calculated.
group form. An introduction about the background and need For Item numbers 29, 30, 31, 32, sexual orientation
for the study were addressed by the researcher. Also, details dimensions as follows: (a) Option A indicates homosexual;
regarding voluntary participation and the right to withdraw (b) Option B indicates heterosexual; (c) Option C indicates
from the study were informed. Anonymity and confidentiality bisexual; (d) Option D indicates asexual.
were assured for all the participants. After building the rapport The maximum possible score for each dimension is as
the instructions were given. follows: Heterosexual, 29; Homosexual, 37; Bisexual, 45;
Asexual, 53.
Ethical Considerations
As sexual orientation is a sensitive topic which may create Statistical Analysis
misunderstanding of the study, the researcher ensured about Descriptive statistics was used to find out the mean (M),
giving the introduction including explanations of the standard deviation (SD) of the data; Pearson’s correlation was
procedures involved and its corresponding benefits to the used to find out the relationships between the variables;
society. The participants were included in the study after Cronbach’s alpha was used to test the internal consistency of
obtaining informed consent from them. This research study the tool; principal component analysis was done to find out
was approved with modifications suggested by Institutional the factors that emerge out of the variables; and independent
Human Ethics Committee of Chettinad Academy of Research t test was used to find out the significant difference in
and Education, Kelambakkam, Chennai, Tamil Nadu, India. demographic variables.
From item numbers 1 to 28 (part I) are Likert types which are Cronbach’s
rated in 4-point scale as follows: Always, 3; Sometimes, 2; S. No. Dimensions No. of Items Alpha
Rarely, 1; Never, 0. 1 Male heterosexual 7 0.77
The respective dimensions for female participants for 2 Male homosexual 7 0.88
part 1 scoring are as follows: (a) Heterosexual: 2, 6, 9, 14, 17, (Table 1 Continued)
Sagayaraj and Gopal 227
Q. No. 1 2 3 4 5 6
Q 22 –0.678 0.611 0.078 –0.014 0.139 0.154
Q 10 –0.666 0.636 0.074 –0.009 0.128 0.144
Q9 0.641 –0.637 0.039 –0.040 –0.166 –0.131
Q 18 –0.594 0.562 0.203 –0.054 0.073 0.161
Q 17 0.583 –0.562 0.201 –0.121 –0.188 –0.120
Q 14 0.579 –0.331 0.313 –0.173 –0.237 –0.025
Q 21 0.570 –0.488 0.142 –0.003 –0.076 0.004
Q 13 –0.551 0.087 0.319 –0.079 0.014 0.161
Q 26 0.076 –0.526 0.087 0.231 –0.397 0.045
Q5 –0.135 0.653 0.159 0.058 0.065 0.187
Q 25 –0.204 0.607 0.202 0.013 0.282 0.184
Q1 –0.431 0.576 0.267 0.029 0.025 0.130
Q6 0.560 –0.375 0.732 –0.087 –0.186 –0.144
Q2 0.487 –0.222 0.722 –0.145 –0.289 –0.045
Q7 –0.243 –0.022 0.641 0.086 –0.100 0.060
Q 15 0.154 0.027 0.575 –0.164 –0.131 0.004
Q 23 0.196 0.254 0.149 –0.673 –0.048 0.058
Q3 0.080 0.291 0.215 0.647 0.070 0.034
Q 19 –0.061 –0.223 0.641 0.503 0.014 0.202
Q 11 –0.202 –0.222 0.575 0.647 0.122 0.203
Q8 –0.015 0.121 –0.035 0.503 –0.624 –0.050
Q 20 –0.117 –0.089 0.166 0.087 0.576 –0.172
Q4 0.211 0.112 –0.101 0.047 0.457 –0.034
Q 12 –0.163 –0.454 0.127 0.060 0.787 0.230
Q 16 0.143 –0.117 0.004 0.137 0.624 0.416
Q 28 0.036 0.075 –0.033 0.049 0.132 –0.516
Q 24 0.002 –0.007 0.034 0.134 0.062 –0.859
Q 27 0.317 0.317 0.425 0.031 0.081 0.449
Note: Extraction method: Principal component analysis; Rotation method: Equamax with Kaiser normalization.
justifies the measured outcome which will be used for 2. Content Validity
betterment of individuals. The validation of the sexual Content validity is a form of validation that measures all
orientation scale was done by logical and empirical based the facts that need to be addressed in a particular administration.
(Figure 1) methods proposed by Cronbach and Meehl in the A 45 items scale was developed on sexual orientation and was
year 1955.13 given out to 22 different colleges and universities across India.
1. Face Validity Comments, suggestions, and feedback were collected from
The sexual orientation 32 items scale’s face validity graduates, postgraduates, research scholars, and professors
was found to be good. The participants found it easy to from psychology and psychiatric social work background. It
comprehend and respond. The words and sentences have was also circulated to 5 different institutionalized counseling
been made it in a simple way to benefit even the moderately psychologists and special educators. From the obtained
educated people. The scale items can be applicable to urban, responses, a modified version of the scale with 32 items was
semi-urban, and rural lifestyle of the population. developed, which also had high reliability.
Sagayaraj and Gopal 229
3. Focus Group Validity Table 5 shows the comparison of the gender difference in the
Focus group validation involves people who are required 4 dimensions. The heterosexual and homosexual dimensions
to be unfamiliar with each other and from a homogeneous were found to be significantly different between male and
population, with whom a social-orientated procedure is female population at 0.01 confidence level. The bisexual and
conducted and further evaluated for qualitative research. asexual dimensions were found to be nonsignificant at 0.01
Along with the team of 10 panel experts from the fields of confidence level.
clinical, counseling, marital, and corporate psychological
services, external view-based focus group validation was
done. The session lasted for about 150 min. The influencing Discussion
modern trends, social factors, cultural changes, individual
freedom of choices, and related topics were covered and There are many scales available to assess one’s sexual
key points were noted down and modified accordingly in the disorder but very few notable tools exist to assess sexual
32-item tool. orientation in the Western context. Sexual orientation is a
4. Criterion Validity (Concurrent Validity) culture-related concept and hence developing and
Concurrent validity is an evidence-based method that
confirms the existing outcome. It is demonstrated when Table 5. Comparison Between Male and Female Samples (Males
the results of the current outcome correlate well with the 217, Females 289)
previously measured outcome. A group of 15 people who were
found to be heterosexual were administrated with the Kinsey Mean SD df t-Value
scale (1948)7 and all individuals were found to be exclusively Heterosexual
or predominantly heterosexual. The same population was Male 23.2 4.26 216 5.45**
assessed by using the 32 items sexual orientation scale and
Female 20.9 4.91 287
found to have heterosexual orientation. The results were well
correlated with the existing results, and hence, evidence- Homosexual
based validation was obtained. Male 2.6 4.51 216 2.84**
5. Construct Validity Female 3.8 4.37 287
a. Convergent Validity (correlating the developed
Bisexual
tool with the exiting standardized tool that
measures the same construct) Male 4.2 4.64 216 –0.97NS
The developed 32 items sexual orientation Female 4.7 6.26 287
scale’s convergent validity was examined by Asexual
correlating the results with sell assessment
of sexual orientation scale developed by Male 7.3 3.68 216 –2.27NS
Randall L. Sell.9 The test-retest reliability of Female 8.1 4.91 287
the heterosexual dimension of sell assessment Note: ** denotes that the result is significant at P < .01; NS refers to not
scale was found to be r = 0.93 and this is highly significant.
230 Journal of Psychosexual Health 2(3-4)
standardizing a tool for the Indian perspective is much scale. In empirical-based validity, the convergent validity
needed. The items for this scale were developed by reviewing correlation value is r = 0.94, and the divergent validity
the supportive literature and existing scales in Western interitem correlation is 0.53.
context. The preliminary items were sent out to 22 different
university professors, research scholars, and psychology
graduates for content analysis. Their suggestions and Conclusion
modification are noted for further development. Focus group
The developed tool on sexual orientation is found to be highly
validity was established by conducting focus group discussion
reliable and valid. It concisely measures the individual’s
with various experts in the sexual medicine field. A pilot
study was done on a group of 40 people using the test-retest sexual orientation and categorizes them into heterosexual,
method with a gap of 20 days. 506 participants (217 males homosexual, bisexual, and asexual categories. The tool can
and 289 females) took part in the survey across India between be used by psychologists, counselors, and educationalists,
the age of 18 and 50 years. Gender, educational qualification, especially by clinical psychologists, rehabilitation
and current relationship status were the major demographic psychologists, and psychiatrists for the clinical assessment of
details collected. The test-retest reliability of the tool was one’s sexual orientation.
found to be r = 0.945, which indicates the high reliability of
the scale. Split half reliability value was found to be (λ3) 0.73 Suggestions for Future Research
and Cronbach’s alpha ranged from (α) 0.71 to 0.88; both
these values represent the high reliability and internal Further research can be done to standardize the tool in
consistency of the scale. The principal factor analysis different populations, especially in the LGBTQ community
(equamax rotation) emerged from the 32 items that were people. It is suggested to study in specific cultural settings
tabulated and each emerged values as per the dimension of and it can also be extended to specific age groups and
highest relevance were labeled accordingly. sociodemographic (socioeconomic, rural, and urban)
Logical- and empirical-based validities were established. background for the vast comparison.
The face and content validities of the scale were found
to be good and easily comprehendible. The developed 32
items sexual orientation scale’s convergent and divergent Limitation
validities were also established. From the gender comparison
analysis, the heterosexual and homosexual dimensions were This scale will not provide the causes for one’s sexual
found to be significantly different between male and female orientation and it is only administrable for people who are
population. The bisexual and asexual dimensions were found above the age of 18 years. It is not applicable for transgender/
to be nonsignificant. third gender population.
Appendix
Choose Your Gender Preference Man Woman Both Men & Women Neither
29 I am interested in
30 I see my future life with
31 I would like to sleep with
32 My socially acceptable partner is
232 Journal of Psychosexual Health 2(3-4)