International Journal of Travel Medicine and Global Health

International Journal of Travel Medicine and Global Health

Translation, Cultural Adaptation, and Psychometric Evaluation of the Persian Version of the Sexual Shame Inventory in an Iranian Sample

Document Type : Original Article

Authors
1 1. Department of Clinical Psychology, Science and Culture University, Tehran, Iran
2 Neuroscience Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
10.30491/ijtmgh.2026.595410.1544
Abstract
Introduction: Sexual shame develops through socialization, including negative cultural and familial messages, moral judgments, and inadequate sexuality education. Validated Persian-language instruments are lacking. This study aimed to translate, culturally adapt, and evaluate the psychometric properties of the Persian Sexual Shame Inventory (P-SSI) in an Iranian sample.
Methods:The 10-item Sexual Shame Inventory was translated and back-translated following cross-cultural adaptation procedures. A total of 410 Iranian adults (203 women, 207 men) completed the questionnaire and were randomly divided into training (n=205) and testing (n=205) subsamples. Dimensionality was examined using parallel analysis, Velicer's MAP, bootstrap exploratory graph analysis (EGA), DETECT clustering, and exploratory factor analysis (WLSMV, GEOMIN). Candidate structures were cross-validated using confirmatory factor analysis. Reliability and within-model convergent and discriminant validity were assessed using composite reliability, average variance extracted (AVE), and the heterotrait-monotrait ratio (HTMT).
Results: Internal consistency of the total inventory was acceptable (alpha=0.81; men=0.82, women=0.79). The original three-factor model showed CFI, TLI, and SRMR, although RMSEA exceeded the prespecified threshold (CFI=0.957, TLI=0.939, RMSEA=0.090, SRMR=0.061). Bootstrap EGA favored a two-factor solution in 78.0% of resamples (vs. 21.2% for three), while two original subscales showed limited internal consistency (alpha=0.54–0.66). A second-order model with one general and two specific factors fit comparably (CFI=0.951, RMSEA=0.093; omega-hierarchical=0.540, omega-total=0.856).
Conclusion:The Persian SSI demonstrated acceptable internal consistency and preliminary support for a general sexual-shame score. A two-factor representation appeared stable and parsimonious, although competing structures showed comparable fit and substantial factor overlap. The dimensional structure remains provisional, warranting further validation with external measures and samples.
Keywords


Articles in Press, Accepted Manuscript
Available Online from 06 September 2026

  • Receive Date 04 August 2026
  • Revise Date 10 August 2026
  • Accept Date 12 August 2026