Attitudes Toward Masturbation Scale

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Masturbation Inventory (Abramson & Mosher, 1975) and the Masturbation Attitude Scale (Miller & Lief, 1976), which were outdated, yielded only a single score, and focused on general attitudes rather than the respondent’s personal experience or motivation.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?

  1. If I’m feeling horny

  2. I find it pleasurable

  3. If there is nothing else to do

  4. If I’m not getting as much sex as I want

  5. If I’m bored

  6. To relieve stress

  7. If I’m anxious

  8. Because—even though I try—I just can’t stop myself

  9. Because it’s a substitute for sex with a partner

  10. Out of sexual frustration

  11. I hope that masturbating will help me reach orgasm with a partner

  12. Someone else thinks I should (e.g., a friend or a dating partner)

  13. To explore my own sexuality

  14. So I could say that I’ve done it (it’s something to talk about)

  15. My partner wants to watch me do it

  16. It’s a good way to take a break (e.g., a break from studying, etc.)

  17. I’m curious about it

  18. If I want to avoid unwanted arousal later

  19. My friends have masturbated, and I want to be able to talk with them about it

  20. “Everyone” does it, and I want to feel “sexually normal”

  21. If I’m so sexually aroused that it’s interfering with other things I want or need to do

  22. If I don’t have a partner to have sex with

  23. 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)

  24. Masturbating helps me keep my mind off sex with a partner

  25. It’s a compulsive sexual behavior

  26. Masturbating helps me remain a virgin

  27. I just do it without really thinking about it

  28. 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)

  29. 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)

  30. 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)

  31. If I have a partner, but my partner refuses to have sex

  32. I feel an uncontrollable urge to do it

  33. If I want to decrease my sexual arousal so I can focus on something else

  34. It’s more moral to masturbate than to have sex with a partner

  35. If I want to have an orgasm

  36. I get aroused by sexual activities that are not socially acceptable, so I fantasize about them during masturbation

  37. 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.)

  38. Because I hear about it from TV, movies, magazines, etc.

  39. Masturbating improves my sexual health

  40. To help me fall asleep

  41. Because it’s fun

  42. Because I know exactly how to stimulate myself and maximize my pleasure

  43. It’s a habit

  44. If I am already sexually aroused (e.g., from watching a movie, reading a magazine)

  45. Because I feel like no one is attracted to me

  46. If I want to relax

  47. If I’m angry

  48. If I want to exercise my imagination

  49. So that I can focus my concentration on a task after masturbating

  50. Because I deserve to experience pleasure

  51. If I see someone or something that is arousing

  52. If I have an urge to do something sexual

  53. Because I’m not comfortable enough with my body to be sexual with someone else

  54. To learn how to give myself pleasure

  55. To gain more sexual confidence

  56. Because it’s good exercise

  57. Because my friends masturbate

  58. To calm myself down

  59. So that I can stop thinking about masturbating

  60. If I feel frustrated about something else

  61. It makes me feel peaceful

  62. It distracts me when I’m feeling down

  63. To try a new method (e.g., sex toys, pornography)

  64. It’s an escape

  65. To avoid using another person for sex

  66. Because it arouses my partner when he/she knows that I masturbated

  67. If I’m in a bad mood

  68. To learn how to have better orgasms

  69. If I’m already sexually aroused, and I want to decrease my level of sexual arousal

  70. Because it arouses my partner when I masturbate in front of him/her

  71. If I’m feeling unattractive

  72. 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?

  1. It’s against my religion

  2. It’s against my morals or values

  3. It’s against my parents’ morals or values

  4. I’m just not interested

  5. It just doesn’t appeal to me

  6. I am uncomfortable with any sexual behavior

  7. It would make me feel cheap

  8. If I am committed to someone

  9. I would feel guilty about it

  10. I am anxious about sexual behavior

  11. I know I’d regret it

  12. I fear it will damage my reputation

  13. I feel uncomfortable or embarrassed about my body

  14. I think it would be physically uncomfortable

  15. It seems weird to me

  16. I feel strange doing it

  17. I think I should have more self-control

  18. If I’m currently sexually satisfied

  19. Society says it’s wrong

  20. If I’m stressed

  21. I’m afraid of someone knowing I masturbate

  22. It makes me feel lonely

  23. If I’m afraid of being caught

  24. It makes me feel sexually inadequate

  25. It’s bad for my health

  26. If I’m in a committed relationship

  27. I like to feel in control of my urges

  28. I’m not sure how to masturbate

  29. I don’t like how it feels

  30. It’s embarrassing to me

  31. Because I like intercourse better

  32. Because I like any sexual contact with a partner better

  33. I feel bad about myself afterwards

  34. If I’m depressed

  35. Orgasms are better with a partner

  36. My partner doesn’t want me to do it

  37. If I’m worried about something else

  38. If I’ve recently had sex

  39. It makes me less able to orgasm during sex

  40. It makes me less horny during sex

  41. I want to improve my self-discipline

  42. It’s boring

  43. I feel like I’m cheating on my partner

  44. My fantasies during masturbation bother me

  45. If I’ve had a bad day

  46. It’s a waste of time

  47. It seems pointless

  48. I don’t find it sexually arousing

  49. Other people might find me gross

  50. My family is against it

  51. My friends are against it

  52. It makes me feel empty inside

  53. I was raised to believe it’s wrong

  54. It makes me feel ashamed

  55. It’s disrespectful to myself

  56. If I’m satisfied with the quantity of the sex I’m having

  57. If I’m satisfied with the quality of the sex I’m having

  58. My sexual thoughts during masturbation bother me

  59. Masturbation in an adult is immature

  60. It makes me feel like I’m sinning against myself

  61. It’s not as good as sex

  62. 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.

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