Sexuality & Culture

, Volume 21, Issue 4, pp 942–952 | Cite as

A Multidisciplinary Approach to Sexual Behavior Profiles: The SEX360 Model

  • Eduard García-CruzEmail author
  • Josep Maria Monguet
  • Diana Marre
  • Mònica González
  • Maria Fernanda Peraza
  • Carme Sánchez
  • Carlos Suso
  • Álex Trejo
  • Antonio Alcaraz
Original Paper


The diversity of sexual behaviors is driven by multiple determinants, including physiological, cultural, educational, and sociological factors. However, the definition of sexual behavior profiles has been barely addressed from a comprehensive point of view. We aimed to develop a multidisciplinary questionnaire for defining individual sexual behavior profiles. The questionnaire was developed by a panel of experts with research experience in the fields of urology, gynecology, psychology, anthropology, and sexology. The list of items was defined in a focus group session and was based on four categories—family-oriented, loving, recreational, and functional—resulting from the combination of two axes: traditional versus non-traditional and sexual benefit versus extra-sexual benefit. Real-time Delphi dynamics was used to assign a weight to each question and a bias to the corresponding responses. The final questionnaire included 50 items considered relevant for describing sexual profiles; the final questionnaire was named SEX360. Of the 50 items included in SEX360, 14 were considered essential for computing the final score; 9 of them were associated with 2 categories, 4 of them with 4 categories, and 1 of them with 3. Nine items referred to the category “family-oriented”, 10 to “loving”, 8 to “recreational”, and 9 to “functional”. The weights assigned to each question ranged from 3.00 to 4.33, and the centers of gravity ranged from 1 to 4. The questionnaire proposed shows the existence of a vast diversity of sexual behavior profiles and may serve as a tool for sexual behavior research.


Sexual behavior Sexology Anthropology Psychosexual development 



The authors would like to thank the whole team of i2e3 Research Institute for providing medical writing assistance during the preparation of this manuscript.

Compliance with Ethical Standards

Conflicts of interest

E. García, J. M. Monguet, M. F. Peraza, M. González, D. Marre, C. Sánchez, C. Suso, A. Trejo, and A. Alcaraz declare that they have no conflicts of interest regarding the content of this manuscript.


This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Human and Animal Rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Supplementary material

12119_2017_9448_MOESM1_ESM.pdf (448 kb)
Supplementary material 1 (PDF 448 kb)


  1. Akasheh, G., Sirati, L., Noshad Kamran, A. R., & Sepehrmanesh, Z. (2014). Comparison of the effect of sertraline with behavioral therapy on semen parameters in men with primary premature ejaculation. Urology, 83, 800–804. doi: 10.1016/j.urology.2013.12.004.CrossRefGoogle Scholar
  2. Andersson, E., Walén, C., Hallberg, J., et al. (2011). A randomized controlled trial of guided internet-delivered cognitive behavioral therapy for erectile dysfunction. The Journal of Sexual Medicine, 8, 2800–2809. doi: 10.1111/j.1743-6109.2011.02391.x.CrossRefGoogle Scholar
  3. Boddi, V., Castellini, G., Casale, H., et al. (2015). An integrated approach with vardenafil orodispersible tablet and cognitive behavioral sex therapy for treatment of erectile dysfunction: A randomized controlled pilot study. Andrology, 3, 909–918. doi: 10.1111/andr.12079.CrossRefGoogle Scholar
  4. Gilbert, F. S., & Gamache, M. P. (1984). The sexual opinion survey: Structure and use. Journal of Sex Research, 20, 293–309. doi: 10.1080/00224498409551227.CrossRefGoogle Scholar
  5. Green, K. C., Armstrong, J. S., & Graefe, A. (2007). Methods to elicit forecasts from groups: Delphi and prediction markets compared. Foresight: The International Journal of Applied Forecasting (forthcoming), Munich Personal RePEc Archive. MPRA Paper, 4663.Google Scholar
  6. Gwee, K. P., Lim, L. E. C., & Woo, M. (2002). The sexual profile of rapists in Singapore. Medicine, Science and the Law, 42, 51–57.CrossRefGoogle Scholar
  7. Hatzimouratidis, K., Amar, E., Eardley, I., et al. (2010). Guidelines on male sexual dysfunction: Erectile dysfunction and premature ejaculation. European Urology, 57, 804–814. doi: 10.1016/j.eururo.2010.02.020.CrossRefGoogle Scholar
  8. Hawkes, S. (2014). Sexual health: A post-2015 palimpsest in global health? The Lancet Global Health, 2, e377–e378.CrossRefGoogle Scholar
  9. Hayes, R. D., Dennerstein, L., Bennett, C. M., et al. (2008). Risk factors for female sexual dysfunction in the general population: Exploring factors associated with low sexual function and sexual distress. The Journal of Sexual Medicine, 5, 1681–1693. doi: 10.1111/j.1743-6109.2008.00838.x.CrossRefGoogle Scholar
  10. Jannini, E. A., McCabe, M. P., Salonia, A., et al. (2010). Organic vs. psychogenic? The manichean diagnosis in sexual medicine. The Journal of Sexual Medicine, 7, 1726–1733. doi: 10.1111/j.1743-6109.2010.01824.x.CrossRefGoogle Scholar
  11. Johnson, A. M., Wadsworth, J., Wellings, K., & Field, J. (1994). Sexual attitudes and lifestyles. Oxford: Blackwell Scientific Publications.Google Scholar
  12. Ku, L., Sonenstein, F. L., Lindberg, L. D., et al. (1998). Understanding changes in sexual activity among young metropolitan men: 1979–1995. Family Planning Perspectives, 30, 256–262. doi: 10.2307/2991500.CrossRefGoogle Scholar
  13. Leiblum, S., Seehuus, M., & Brown, C. (2007). Persistent genital arousal: Disordered or normative aspect of female sexual response? The Journal of Sexual Medicine, 4, 680–689. doi: 10.1111/j.1743-6109.2007.00495.x.CrossRefGoogle Scholar
  14. Masters, W. H., Johnson, V. E., & Kolodny, R. C. (1995). Human sexuality. New York: Harper Collins College Publishers.Google Scholar
  15. Masters, W. H., & Masters, V. J. (1980). Human sexual inadequacy. New York: Bantam Books.Google Scholar
  16. Mathers, M. J., Klotz, T., Roth, S., et al. (2009). Safety and efficacy of vardenafil versus sertraline in the treatment of premature ejaculation: A randomised, prospective and crossover study. Andrologia, 41, 169–175. doi: 10.1111/j.1439-0272.2008.00910.x.CrossRefGoogle Scholar
  17. McCabe, M. P. (1997). Intimacy and quality of life among sexually dysfunctional men and women. Journal of Sex and Marital Therapy, 23, 276–290.CrossRefGoogle Scholar
  18. Melnik, T., Abdo, C. H. N., de Moraes, J. F., & Riera, R. (2012). Satisfaction with the treatment, confidence and “naturalness” in engaging in sexual activity in men with psychogenic erectile dysfunction: Preliminary results of a randomized controlled trial of three therapeutic approaches. BJU International, 109, 1213–1219. doi: 10.1111/j.1464-410X.2011.10516.x.CrossRefGoogle Scholar
  19. Monguet, J. M., Trejo, A., Martí, T., et al. (2016). Assessment of chronic health care through an internet consensus tool. In Handbook of research on trends in the diagnosis and treatment of chronic conditions (pp. 424–443). IGI Global Publisher.Google Scholar
  20. Montorsi, F., Adaikan, G., Becher, E., et al. (2010). Summary of the recommendations on sexual dysfunctions in men. The Journal of Sexual Medicine, 7, 3572–3588. doi: 10.1111/j.1743-6109.2010.02062.x.CrossRefGoogle Scholar
  21. Namiki, S., Carlile, R. G., Namiki, T. S., et al. (2011). Racial differences in sexuality profiles among American, Japanese, and Japanese American Men with localized prostate cancer. The Journal of Sexual Medicine, 8, 2625–2631. doi: 10.1111/j.1743-6109.2011.02362.x.CrossRefGoogle Scholar
  22. Popovic, M. (2006). Psychosexual diversity as the best representation of human normality across cultures. Sexual and Relationship Therapy, 21, 171–186. doi: 10.1080/14681990500358469.CrossRefGoogle Scholar
  23. Robinson, K., Cutler, J. B. R., & Carris, N. W. (2016). First pharmacological therapy for hypoactive sexual desire disorder in premenopausal women: Flibanserin. Annals of Pharmacotherapy, 50, 125–132. doi: 10.1177/1060028015622182.CrossRefGoogle Scholar
  24. Rowe, G., & Wright, G. (2001). Expert opinions in forecasting: The role of the Delphi technique. In Principles of forecasting (pp. 125–144). Springer US.
  25. Trudel, G., Landry, L., & Larose, Y. (1997). Low sexual desire: The role of anxiety, depression and marital adjustment. Sexual and Marital Therapy, 12, 95–99.CrossRefGoogle Scholar
  26. Tuzin, D. (1991). Sex, culture and the anthropologist. Social Science and Medicine, 33, 867–874. doi: 10.1016/0277-9536(91)90258-E.CrossRefGoogle Scholar
  27. Waldinger, M. D. (2015). Pharmacotherapy for premature ejaculation. Expert Opinion on Pharmacotherapy, 16, 2615–2624. doi: 10.1517/14656566.2015.1096928.CrossRefGoogle Scholar
  28. Williams, C. J., & Weinberg, M. S. (2003). Zoophilia in men: A study of sexual interest in animals. Archives of Sexual Behavior, 32, 523–535. doi: 10.1023/A:1026085410617.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Eduard García-Cruz
    • 1
    • 2
    • 3
    Email author
  • Josep Maria Monguet
    • 4
  • Diana Marre
    • 5
  • Mònica González
    • 6
  • Maria Fernanda Peraza
    • 6
  • Carme Sánchez
    • 7
  • Carlos Suso
    • 8
  • Álex Trejo
    • 9
  • Antonio Alcaraz
    • 2
  1. 1.Department of UrologyHospital PlatóBarcelonaSpain
  2. 2.Department of UrologyHospital Clínic de BarcelonaBarcelonaSpain
  3. 3.European Association of Urology, Young Academic Urologist’s Men’s Health Group MemberBarcelonaSpain
  4. 4.Universitat Politècnica de CatalunyaBarcelonaSpain
  5. 5.Department of Social and Cultural AnthropologyUniversitat Autònoma de BarcelonaBarcelonaSpain
  6. 6.Andrology DepartmentFundació PuigvertBarcelonaSpain
  7. 7.Institut de Sexologia de BarcelonaBarcelonaSpain
  8. 8.Universitat Jaume ICastelló de la PlanaSpain
  9. 9.Onsanity Solutions, S.L.BarcelonaSpain

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