Table of Contents
Abstract
The Attitudes Toward Masturbation Scale (ATMS) is a complex, multi-dimensional psychological scale developed by Young and Muehlenhard (2009) to measure individuals’ nuanced thoughts, feelings, and behavioral motivations regarding masturbation. Unlike previous instruments which yielded only a single global score, the ATMS provides 28 specific subscale scores across three major domains: reasons for wanting (or being tempted) to masturbate, reasons for avoiding (or trying to avoid) masturbating, and feelings related to masturbating. The scale consists of 179 items, developed through a rigorous multi-step process including a pilot study using open-ended responses from undergraduate students, followed by item reduction based on principal components analysis and psychometric criteria such as Cronbach’s alphas. The ATMS is suitable for use with both individuals who masturbate and those who do not, offering a comprehensive assessment of internal attitudes toward this behavior.
Keywords
Attitudes Toward Masturbation Scale (ATMS), Sexual Attitudes, Masturbation, Sexual Behavior, Psychological Measurement, Sexual Health, Gender Differences, Scale Development, Sexual Guilt
Authors
Chantal D. Young, Charlene L. Muehlenhard
Purpose
The primary purpose of the Attitudes Toward Masturbation Scale (ATMS) is to provide a detailed, multi-faceted measurement of an individual’s attitudes and motivations concerning masturbation. The developers sought to move beyond older instruments, such as the Negative Attitudes Toward Masturbation Inventory (Abramson & Mosher, 1975) and the Masturbation Attitude Scale (Miller & Lief, 1976), which were outdated, yielded only a single score, and focused on general attitudes rather than the respondent’s personal experience or motivation.
Specifically, the ATMS aims to quantify three distinct, yet related, dimensions of personal experience: 1) the specific reasons why an individual might want or feel tempted to masturbate; 2) the specific reasons why an individual avoids or attempts to avoid masturbating; and 3) the range and intensity of positive and negative feelings experienced in relation to masturbating.
Construct
The ATMS measures the psychological construct of Attitudes Toward Masturbation, conceptualizing it not as a monolithic construct, but as a complex interplay of cognitive, behavioral, and affective components. This construct is broken down into 28 discrete subscales organized under three main categories:
- Reasons for Wanting to Masturbate (13 Subscales): These assess motivational themes such as pleasure, stress relief, mood improvement, self-exploration, and compulsion.
- Reasons for Avoiding Masturbation (10 Subscales): These assess inhibitory themes such as immorality, lack of interest, preference for partner sex, and fear of negative social evaluation.
- Feelings Related to Masturbation (5 Subscales): These assess affective outcomes, including satisfaction, guilt, anger, anxiety, and indifference.
Validity
Evidence for the validity of the ATMS was derived from a sample of 518 undergraduate men and women, demonstrating strong criterion and construct validity. Significant differences were observed between participants who masturbated and those who did not, even when controlling for gender.
Specifically, masturbators reported significantly higher scores on 9 of the 13 reasons-for-wanting subscales and the Satisfaction subscale, while scoring significantly lower on 5 of the 10 reasons-for-avoiding subscales, as well as the Guilt, Anger, Anxiety, and Indifference subscales. Furthermore, gender differences were noted on 18 of the 28 subscales, consistent with existing literature (Oliver & Hyde, 1993; Petersen & Hyde, 2007), showing men generally reported stronger positive attitudes and weaker avoidance reasons. A separate study involving 210 undergraduate women (Stroupe, 2008) further confirmed that masturbators scored higher on the Wanting and Positive-Feelings Composites and lower on the Avoiding and Negative-Feelings Composites.
Reliability
The internal consistency of the Attitudes Toward Masturbation Scale subscales was evaluated using Cronbach’s alphas based on the development sample of 518 undergraduate participants (Young & Muehlenhard, 2009). The Cronbach’s alpha values ranged from .71 to .97 across the 28 subscales, providing robust evidence that the subscales possess good to excellent internal consistency and reliability for research purposes.
Factor Analysis
The development of the ATMS relied on a structured, empirical methodology. After compiling 223 preliminary items derived from open-ended participant responses and existing literature, the items were subjected to principal components analysis (PCA) using data from 518 undergraduates. This statistical technique, combined with conceptual considerations and psychometric criteria (including Cronbach’s alphas and factor loadings), led to the final structure of 179 items divided into 28 conceptually distinct subscales across three primary categories.
Additionally, Young and Muehlenhard (2009) performed a cluster analysis on participants’ subscale scores, identifying four distinct attitudinal profiles toward masturbation: 1) the enthusiastic cluster (high Wanting, low Avoiding); 2) the lukewarm cluster (low Wanting, even lower Avoiding); 3) the high-guilt cluster (low Wanting, high Avoiding); and 4) the ambivalent cluster (highest Wanting, highest Avoiding). These clusters demonstrated significant differences in reported masturbation frequency and demographic composition, providing further validation of the scale’s ability to differentiate complex attitudes.
Instrument
Test Type: Self-report Psychological Questionnaire / Multi-dimensional Attitudes Scale
Format: Paper-and-pencil questionnaire
Language Available: English (Original)
Population Group: Clinical and Non-clinical populations
Age Group: Typically college students (developed on undergraduates), but applicable to other adult populations.
Population Details: Developed and tested primarily on undergraduate men and women (N=518) at the University of Kansas.
Test Methodology: Respondents rate items on a 7-point Likert scale (0 to 6). Scoring involves calculating 28 individual subscale means, which are then averaged to form four composite scores: the Wanting Composite, the Avoiding Composite, the Negative-Feelings Composite, and the Positive-Feelings Composite.
Keywords
Psychometrics, Factor Analysis, Sexual Satisfaction, Self-Exploration, Sexual Anxiety, Guilt, Cluster Analysis
Authors
Author ORCID Identifier: Not provided in source material.
Affiliation Email addresses: [email protected] (for Charlene L. Muehlenhard)
Correspondence Address: Charlene Muehlenhard, Department of Psychology, 426 Fraser Hall, University of Kansas, 1415 Jayhawk Blvd, Lawrence, KS 66045–7556
Permissions & Fee and Test Year
Permissions: The ATMS may be copied and used for educational, research, and clinical purposes without formal permission, provided appropriate citation is given. The authors request a summary of any resulting research.
Fee: No fee specified for use in educational, research, or clinical settings.
Test Year: 2009 (Based on the manuscript date for the scale’s full development and testing).
Reference’s
Abramson, P., & Mosher, D. (1975). Development of a measure of negative attitudes toward masturbation. Journal of Counseling and Clinical Psychology, 43, 485–490.
Clifford, R. (1978). Development of masturbation in college women. Archives of Sexual Behavior, 7, 559–573.
Elliott, L., & Brantley, C. (1997). Sex on campus: The naked truth about the real sex lives of college students. New York: Random House.
Miller, W. R., & Lief, H. I. (1976). Masturbatory attitudes, knowledge, and experience: Data from the sex knowledge and attitude test (SKAT). Archives of Sexual Behavior, 5, 447–467.
Oliver, M. B., & Hyde, J. S. (1993). Gender differences in sexuality: A meta-analysis. Psychological Bulletin, 114, 29–51.
Petersen, J., & Hyde, J. S. (2007, November). A meta-analytic review of gender differences in sexuality: 1990–2007. Paper presented at the 50th Anniversary Meeting of the Society for the Scientific Study of Sexuality, Indianapolis, IN.
Stroupe, N. (2008). How difficult is too difficult? The relationships among women’s sexual experience and attitudes, difficulty with orgasm, and perception of themselves as orgasmic or anorgasmic. Unpublished master’s thesis, University of Kansas, Lawrence.
Young, C. D., & Muehlenhard, C. L. (2009). The meanings of masturbation. Manuscript in preparation.
Items of the Attitudes Toward Masturbation Scale
Reasons for Wanting to Masturbate
Whether they masturbate or not, people may want to masturbate (or be tempted to masturbate) for many different reasons. Below is a list of possible reasons. Please rate how strong each of the reasons is for your wanting to masturbate or being tempted to masturbate, regardless of whether or not you actually masturbate.
0 | 1 | 2 | 3 | 4 | 5 | 6 |
Not a | A Moderately | A Very | ||||
Reason | Important | Important | ||||
Reason | Reason |
For you, how strong are the following reasons for wanting to (or being tempted to) masturbate?
If I’m feeling horny
I find it pleasurable
If there is nothing else to do
If I’m not getting as much sex as I want
If I’m bored
To relieve stress
If I’m anxious
Because—even though I try—I just can’t stop myself
Because it’s a substitute for sex with a partner
Out of sexual frustration
I hope that masturbating will help me reach orgasm with a partner
Someone else thinks I should (e.g., a friend or a dating partner)
To explore my own sexuality
So I could say that I’ve done it (it’s something to talk about)
My partner wants to watch me do it
It’s a good way to take a break (e.g., a break from studying, etc.)
I’m curious about it
If I want to avoid unwanted arousal later
My friends have masturbated, and I want to be able to talk with them about it
“Everyone” does it, and I want to feel “sexually normal”
If I’m so sexually aroused that it’s interfering with other things I want or need to do
If I don’t have a partner to have sex with
To make myself a better sexual partner (e.g., to figure out how to achieve orgasm or to become more comfortable having orgasms with my partner)
Masturbating helps me keep my mind off sex with a partner
It’s a compulsive sexual behavior
Masturbating helps me remain a virgin
I just do it without really thinking about it
Masturbating makes it easier to avoid sex with a partner, and I don’t want to have sex with a partner for moral reasons (e.g., I don’t want to have sex before marriage)
Masturbating makes it easier to avoid sex with a partner, and I don’t want to have sex with a partner for health reasons (e.g., I don’t want to risk sexually transmitted diseases or pregnancy)
Masturbating makes it easier to avoid sex with a partner, and I don’t want to have sex with a partner for self-esteem reasons (e.g., I don’t feel comfortable being sexual with someone else)
If I have a partner, but my partner refuses to have sex
I feel an uncontrollable urge to do it
If I want to decrease my sexual arousal so I can focus on something else
It’s more moral to masturbate than to have sex with a partner
If I want to have an orgasm
I get aroused by sexual activities that are not socially acceptable, so I fantasize about them during masturbation
I get aroused by sexual activities that are not possible in real life, so I fantasize about them during masturbation (e.g., sex with a movie star, sex on a beach, etc.)
Because I hear about it from TV, movies, magazines, etc.
Masturbating improves my sexual health
To help me fall asleep
Because it’s fun
Because I know exactly how to stimulate myself and maximize my pleasure
It’s a habit
If I am already sexually aroused (e.g., from watching a movie, reading a magazine)
Because I feel like no one is attracted to me
If I want to relax
If I’m angry
If I want to exercise my imagination
So that I can focus my concentration on a task after masturbating
Because I deserve to experience pleasure
If I see someone or something that is arousing
If I have an urge to do something sexual
Because I’m not comfortable enough with my body to be sexual with someone else
To learn how to give myself pleasure
To gain more sexual confidence
Because it’s good exercise
Because my friends masturbate
To calm myself down
So that I can stop thinking about masturbating
If I feel frustrated about something else
It makes me feel peaceful
It distracts me when I’m feeling down
To try a new method (e.g., sex toys, pornography)
It’s an escape
To avoid using another person for sex
Because it arouses my partner when he/she knows that I masturbated
If I’m in a bad mood
To learn how to have better orgasms
If I’m already sexually aroused, and I want to decrease my level of sexual arousal
Because it arouses my partner when I masturbate in front of him/her
If I’m feeling unattractive
I enjoy my fantasies during masturbation
Reasons for Avoiding (or for Trying to Avoid) Masturbating
Whether they masturbate or not, people might avoid (or try to avoid) masturbating for many different reasons. Below is a list of possible reasons. Please rate how strong each of the reasons is for you avoiding (or trying to avoid) masturbating, regardless of whether or not you actually masturbate.
0 | 1 | 2 | 3 | 4 | 5 | 6 |
Not a | A Moderately | A Very | ||||
Reason | Important | Important | ||||
Reason | Reason |
For you, how strong are the following reasons for avoiding (or trying to avoid) masturbating?
It’s against my religion
It’s against my morals or values
It’s against my parents’ morals or values
I’m just not interested
It just doesn’t appeal to me
I am uncomfortable with any sexual behavior
It would make me feel cheap
If I am committed to someone
I would feel guilty about it
I am anxious about sexual behavior
I know I’d regret it
I fear it will damage my reputation
I feel uncomfortable or embarrassed about my body
I think it would be physically uncomfortable
It seems weird to me
I feel strange doing it
I think I should have more self-control
If I’m currently sexually satisfied
Society says it’s wrong
If I’m stressed
I’m afraid of someone knowing I masturbate
It makes me feel lonely
If I’m afraid of being caught
It makes me feel sexually inadequate
It’s bad for my health
If I’m in a committed relationship
I like to feel in control of my urges
I’m not sure how to masturbate
I don’t like how it feels
It’s embarrassing to me
Because I like intercourse better
Because I like any sexual contact with a partner better
I feel bad about myself afterwards
If I’m depressed
Orgasms are better with a partner
My partner doesn’t want me to do it
If I’m worried about something else
If I’ve recently had sex
It makes me less able to orgasm during sex
It makes me less horny during sex
I want to improve my self-discipline
It’s boring
I feel like I’m cheating on my partner
My fantasies during masturbation bother me
If I’ve had a bad day
It’s a waste of time
It seems pointless
I don’t find it sexually arousing
Other people might find me gross
My family is against it
My friends are against it
It makes me feel empty inside
I was raised to believe it’s wrong
It makes me feel ashamed
It’s disrespectful to myself
If I’m satisfied with the quantity of the sex I’m having
If I’m satisfied with the quality of the sex I’m having
My sexual thoughts during masturbation bother me
Masturbation in an adult is immature
It makes me feel like I’m sinning against myself
It’s not as good as sex
It does not fit with my religious views
Feelings About Masturbation
Check which set of directions applies to you:
If you masturbate: People feel many different things when they masturbate. Below is a list of possible feelings. How strongly, if at all, do you usually experience these feelings when you masturbate?
If you don’t masturbate: People feel many different things when they masturbate. Below is a list of possible feelings. How strongly, if at all, do you think you would usually experience these feelings if you did masturbate?
0 | 1 | 2 | 3 | 4 | 5 | 6 |
Not at all | Somewhat | Very Strongly |
How strongly do you experience this feeling when you masturbate?
OR
How strongly would you experience this feeling if you did masturbate?
135. happy | 158. | refreshed |
136. guilty | 159. | frustrated |
137. empty | 160. | aggressive |
138. pathetic | 161. | angry |
139. healthy | 162. | nervous |
140. indifferent | 163. | content |
141. nothing | 164. | unemotional |
142. strange | 165. | stressed |
143. embarrassed | 166. | attractive |
144. anxious | 167. | immoral |
145. tense | 168. | remorseful |
146. horny | 169. | disgusted |
147. focused | 170. | thrilled |
148. awkward | 171. | disappointed |
149. good | 172. | detached |
150. calm | 173. | aroused |
151. relieved | 174. | relaxed |
152. in control | 175. | passive |
153. ashamed | 176. | comfortable |
154. regretful | 177. | satisfied |
155. degraded | 178. | invigorated |
156. pleased | 179. | sinful |
157. connected to myself |
Cite this article
Mohammed looti (2025). Attitudes Toward Masturbation Scale. Psychological Scales & Instruments Database. Retrieved from https://db.arabpsychology.com/scales/attitudes-toward-masturbation-scale/
Mohammed looti. "Attitudes Toward Masturbation Scale." Psychological Scales & Instruments Database, 24 Oct. 2025, https://db.arabpsychology.com/scales/attitudes-toward-masturbation-scale/.
Mohammed looti. "Attitudes Toward Masturbation Scale." Psychological Scales & Instruments Database, 2025. https://db.arabpsychology.com/scales/attitudes-toward-masturbation-scale/.
Mohammed looti (2025) 'Attitudes Toward Masturbation Scale', Psychological Scales & Instruments Database. Available at: https://db.arabpsychology.com/scales/attitudes-toward-masturbation-scale/.
[1] Mohammed looti, "Attitudes Toward Masturbation Scale," Psychological Scales & Instruments Database, vol. X, no. Y, ص Z-Z, October, 2025.
Mohammed looti. Attitudes Toward Masturbation Scale. Psychological Scales & Instruments Database. 2025;vol(issue):pages.