Response to Rosen et al. (2014) “Commentary on ‘Critical Flaws in the FSFI and IIEF’”

This is a response to the commentary by Rosen, Revicki, and Sand (2014 Rosen , R. C. , Revicki , D. A. , &; Sand , M. ( 2014 ). Commentary on “Critical flaws in the FSFI and the IIEF.” Journal of Sex Research , 51 , 492 – 497 . doi: 10.1080/00224499.2014.894491 [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) on our original article titled “Critical Flaws in the Female Sexual Function Index and the International Index of Erectile Function” (Forbes, Baillie, &; Schniering, 2014 Forbes , M. K. , Baillie , A. J. , &; Schniering , C. A. ( 2014 ). Critical flaws in the Female Sexual Function Index and the International Index of Erectile Function . Journal of Sex Research , 51 , 485 – 491 . doi: 10.1080/00224499.2013.876607 [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]). We address his criticisms and clarify our points further using existing research. We conclude that there are a number of evident limitations to these popular measures, and suggest that researchers and clinicians familiarize themselves with the aim and scope of each measure before use.     

Reply to Cameron et al.: Mistakes Were Made. Can They Be Corrected?

Cameron, Cameron, and Proctor (2017 Cameron, P., Cameron, K. M., &; Proctor, K. (2017). Children of homosexuals more apt to become homosexual and experience parental molestation: Surveys over three decades. Marriage &; Family Review, 53, 429–433. doi:10.1080/01494929.2017.1279942[Taylor &; Francis Online] , [Google Scholar]) have complained that Cameron and Cameron (1996 Cameron, P., &; Cameron, K. (1996). Homosexual parents. Adolescence, 31, 757–776.[PubMed], [Web of Science ®] , [Google Scholar]) were not cited in some articles authored by this journal’s editor. As part of this editor’s policy of welcoming critiques of the editor or articles published in Marriage &; Family Review, we are pleased to respond, as part of an assignment for a graduate course in statistics and research design. Although remarkable for its time in terms of sample design, Cameron and Cameron’s (1996 Cameron, P., &; Cameron, K. (1996). Homosexual parents. Adolescence, 31, 757–776.[PubMed], [Web of Science ®] , [Google Scholar]) research featured substantial limitations or ambiguity in sampling attrition, measurement of parental sexual orientation, and small sample size with respect to the number of children with same-sex parents. Although we cannot recall the exact reasons for which the editor neglected to cite Cameron and Cameron (1996 Cameron, P., &; Cameron, K. (1996). Homosexual parents. Adolescence, 31, 757–776.[PubMed], [Web of Science ®] , [Google Scholar]) in more frequency or detail, there were many scientifically reasonable possibilities. Cameron et al. (2017 Cameron, P., Cameron, K. M., &; Proctor, K. (2017). Children of homosexuals more apt to become homosexual and experience parental molestation: Surveys over three decades. Marriage &; Family Review, 53, 429–433. doi:10.1080/01494929.2017.1279942[Taylor &; Francis Online] , [Google Scholar]) are welcome to respond in detail to our concerns.     

Critical Flaws in the Female Sexual Function Index and the International Index of Erectile Function

The Female Sexual Function Index (FSFI; Rosen et al., 2000 Rosen , R. C. , Brown , C. , Heiman , J. , Leiblum , S. , Meston , C. , Shabsigh , R. , … D'Agostino , R. ( 2000 ). The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function . Journal of Sex and Marital Therapy , 26 , 191 – 208 . doi: 10.1080/009262300278597 [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) and International Index of Erectile Function (IIEF; Rosen et al., 1997 Rosen , R. C. , Riley , A. , Wagner , G. , Osterloh , I. H. , Kirkpatrick , J. , &; Mishra , A. ( 1997 ). The International Index of Erectile Dysfunction (IIEF): A multidimensional scale for assessment of erectile dysfunction . Urology , 49 , 822 – 830 . doi: 10.1016/S0090-4295(97)00238-0 [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) are two of the most widely used measures of sexual dysfunction. However, they have potential measurement and psychometric flaws that have not been addressed in the literature. This article examines the measurement capabilities of these measures based on data collected from an online study in 2010. A convenience sample of 518 sexually active adults (65% female) drawn from the general community were included in the analyses. Both measures displayed critical theoretical and measurement problems for the assessment of sexual problems beyond sexual arousal, and for the sexual desire domains in particular. Based on these results, we encourage clinicians and researchers to think critically about whether the FSFI and IIEF are appropriate measures for their practice and research. In particular, these measures are inappropriate for use among individuals who are not currently sexually active, and research with a focus other than sexual arousal should consider supplementary measures of sexual function. The psychometric properties of these measures should be reassessed in clinical samples, but the theoretical issues with the measures raised in this article are relevant across clinical and research contexts.     

Somebody's Fetish: Self-Objectification and Body Satisfaction Among Consensual Sadomasochists

Considering that sexuality scholars claim consensual sadomasochists experience sexual objectification differently from the general population (Califia, 1994 Califia, P. (1994). Public sex: The culture of radical sex. Pittsburgh, PA: Cleis Press. [Google Scholar]; Connell, 2002 Connell, R. W. (2002). Gender. Malden, MA: Blackwell. [Google Scholar]; Nussbaum, 1995 Nussbaum, M. C. (1995). Objectification. Philosophy and Public Affairs, 24(4), 249–291. doi:10.1111/j.1088-4963.1995.tb00032.x[Crossref], [Web of Science ®] , [Google Scholar]), this study explored self-objectification (Fredrickson &; Roberts, 1997 Fredrickson, B. L. &; Roberts, T. (1997). Objectification theory: Toward understanding women's lived experiences and mental health risks. Psychology of Women Quarterly, 21(2), 173–206. doi:10.1111/j.1471-6402.1997.tb00108.x[Crossref], [Web of Science ®] , [Google Scholar]) and body satisfaction among 121 self-identified consensual sadomasochists, 67 of whom also self-identified as women. Participants responded to an online survey and reported their self-objectification, self-surveillance, body shame, and body satisfaction measures, along with their body mass index (BMI) and identification as dominant, submissive, or switch. The data revealed that the study participants’ differed greatly in their sexual objectification experiences according to their genders, sexual orientations, and sadomasochistic identities, suggesting that consensual sadomasochism offers participants an environment partially free of the negative consequences resulting from Western beauty ideals.     

Gender Role,Gender Identity and Sexual Orientation in CAIS (“XY-Women”) Compared With Subfertile and Infertile 46,XX Women

The perception of gender development of individuals with complete androgen insensitivity syndrome (CAIS) as unambiguously female has recently been challenged in both qualitative data and case reports of male gender identity. The aim of the mixed-method study presented was to examine the self-perception of CAIS individuals regarding different aspects of gender and to identify commonalities and differences in comparison with subfertile and infertile XX-chromosomal women with diagnoses of Mayer-Rokitansky-Küster-Hauser syndrome (MRKHS) and polycystic ovary syndrome (PCOS). The study sample comprised 11 participants with CAIS, 49 with MRKHS, and 55 with PCOS. Gender identity was assessed by means of a multidimensional instrument, which showed significant differences between the CAIS group and the XX-chromosomal women. Other-than-female gender roles and neither-female-nor-male sexes/genders were reported only by individuals with CAIS. The percentage with a not exclusively androphile sexual orientation was unexceptionally high in the CAIS group compared to the prevalence in “normative” women and the clinical groups. The findings support the assumption made by Meyer-Bahlburg (2010 Meyer-Bahlburg, H. F. L. (2010). Gender outcome in 46,XY complete androgen insensitivity syndrome: Comment on T'Sjoen et al. (2010). Archives of Sexual Behavior, 39, 1221–1224.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) that gender outcome in people with CAIS is more variable than generally stated. Parents and professionals should thus be open to courses of gender development other than typically female in individuals with CAIS.     

Researchers Deserve a Better Critique: Response to Larzelere,Gunnoe, Roberts,and Ferguson (2017)

This commentary addresses the critique by Larzelere, Gunnoe, Roberts, and Ferguson (2017 Larzelere, R. E., Gunnoe, M. L., Roberts, M. W., &; Ferguson, C. J. (2017). Children and parents deserve better parental discipline research: Critiquing the evidence for exclusively “positive” parenting. Marriage &; Family Review, 53, 24–35. doi:10.1080/01494929.2016.1145613[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]: Marriage &; Family Review, 53, 24–35) ostensibly concerning the quality of research on “positive parenting” but actually critiquing physical punishment research. The critique revealed that the authors have a poor understanding of positive parenting. After explicating the different meanings of that term and describing what positive parenting is, we then address each of their four critiques of the physical punishment research. Each critique was flawed in multiple ways. After identifying their errors and correcting misinformation, we then raise broader issues about children’s right not to be hit and how professional organizations are increasingly recognizing the need and calling for an end to all physical punishment of children.     

Disability,pain and love in Jewish cosmology?

Individuals with disabilities face numerous barriers that limit their inclusion within the Jewish community (Trieschmann 2001 Trieschmann, R. B. 2001. “Spirituality and Energy Medicine.” Journal of Rehabilitation 67 (1): 26–32.[Web of Science ®] , [Google Scholar]). While many Jewish communities have progressed and moved towards an attitude of ‘acceptance’ and ‘tolerance’ for people with disabilities out of religious obligation, it is often a practice without the spiritual ethical governing force and guiding principles of respect, equality, and human rights (Shatz and Wolowelsky 2004 Shatz, D., and J. B. Wolowelsky. 2004. Mind, Body, and Judaism: The Interaction of Jewish Law with Psychology and Biology. Ktav Publishing House: Yeshiva University Press. [Google Scholar]). People with disabilities are stereotyped as dependent, draining, incompetent, pitiful, victims, freaks, angels, embarrassments, innocent, pathetic, and asexual social burdens (Nario-Redmond 2010 Nario-Redmond, M. R. 2010. “Cultural Stereotypes of Disabled and Non-Disabled Men and Women: Consensus for Global Category Representations and Diagnostic Domains.” British Journal of Social Psychology 49: 471–488.10.1348/014466609X468411 [Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). What is lacking is the consideration of people with disabilities as human beings. This injustice is most evident, painful, and damaging at an individual and communal level when it comes to Jewish singles and their pursuit of intimate relationships. A central Jewish value, right, and goal, one that is strongly promoted in Israeli society, is that of committed intimate relationships. However, this value does not apply to people with disabilities     

Children of Homosexuals More Apt to Become Homosexual and Experience Parental Molestation: Surveys Over Three Decades

In 1996 (Cameron &; Cameron), we reported that adult children of homosexuals more frequently reported homosexual desires and sex with their parent(s). Schumm (2015 Schumm, W. R. (2015). Sarantakos’s research on same-sex parenting in Australia and New Zealand: Importance, substance, and corroboration with research from the United States. Comprehensive Psychology, 4(16), 1–29. doi:10.2466/17.cp.4.16[Crossref] , [Google Scholar]) stated he would focus on “the multifaceted research of Sarantakos (1996 Cameron, P., &; Cameron, K. (1996). Homosexual parents. Adolescence, 31(124), 757–776.[PubMed] , [Google Scholar]) and any research that has corroborated his findings,” but neglected to include ours, though published contemporaneously with Sarantakos.     

Commentary on “Critical Flaws in the FSFI and IIEF”

This invited commentary responds to recent criticisms of two validated and widely used sexual function questionnaires, the Female Sexual Function Index (FSFI) and the International Index of Erectile Function (IIEF) (Forbes, Baillie, &; Schniering, 2014 Forbes , M. K. , Baillie , A. J. , &; Schniering , C. A. ( 2014 ). Critical flaws in the Female Sexual Function Index and the International Index of Erectile Function . Journal of Sex Research , 51 , 485 – 491 . doi: 10.1080/00224499.2013.876607 [Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]). We take issue with the conceptual arguments presented, selective review of published literature on both instruments, and conclusions drawn from methodologically flawed findings from an Internet-based study in a nonrepresentative group of Australian men and women. Alternative perspectives on the IIEF and FSFI are presented.     

The Psychometric Properties of the Sexual Excitation/Sexual Inhibition Inventory for Women (SESII-W) Within a Dutch Population

According to the dual control model, sexual arousal is dependent on the disposition for both sexual excitation (SE) and sexual inhibition (SI; Bancroft, 1999 Bancroft , J. ( 1999 ). Central inhibition of sexual response in the male: A theoretical perspective . Neuroscience and Biobehavioral Reviews , 23 , 763 – 784 .[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). Individual variability in sexual inhibition and sexual excitation could partly explain individual differences in sexual arousability and the likelihood of experiencing sexual problems (Bancroft, Graham, Janssen, &; Sanders, 2009 Bancroft , J. , Graham , C. A. , Janssen , E. , &; Sanders , S. A. ( 2009 ). The dual control model: Current status and future directions . Journal of Sex Research , 46 , 121 – 142 .[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]). The Sexual Excitation/Sexual Inhibition Inventory for Women (SESII-W) is a questionnaire developed to measure the factors sexual excitation and sexual inhibition (Graham, Sanders, &; Milhausen, 2006 Graham , C. A. , Sanders , S. A. , &; Milhausen , R. R. ( 2006 ). The Sexual Excitation/Sexual Inhibition Inventory for Women: Psychometric properties . Archives of Sexual Behavior , 35 , 397 – 409 .[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]). This study describes the validation of the Dutch version of the SESII-W in a sample of 445 women. Using confirmatory factor analysis, we determined that the eight lower-order factor model achieved adequate fit to the data. A decrement in fit was noted when the two higher-order factors SE and SI were included in the model. The measure demonstrated good construct validity, internal consistency, and test-retest reliability. Furthermore, the scores of women with sexual problems differed from those without sexual problems, providing evidence for the discriminant validity of the SESII-W.     

Development of the Virginity Beliefs Scale

Past research on first sexual intercourse experiences and virginity has largely focused on using demographics such as age at first intercourse as predictors of future sexual behaviors and beliefs. Carpenter (2002 Carpenter , L. M. ( 2002 ). Gender and the meaning and experience of virginity loss in the contemporary United States . Gender and Society , 16 , 345 – 365 . doi: 10.1177/0891243202016003005 [Crossref], [Web of Science ®] , [Google Scholar], 2005 Carpenter , L. M. ( 2005 ). Virginity lost: An intimate portrait of first sexual experiences . New York , NY : New York University Press . [Google Scholar]) suggested a model of three virginity metaphors that describe how individuals perceive their virginity: gift, stigma, and process. Using Carpenter's framework as a starting point, scale items were developed based on the conceptual understanding of the three metaphors. In Study 1 (N = 223, mean age = 19.9, SD = 2.4), 50 items were factor analyzed, yielding 22 items found to be strong indicators of the three metaphors; ten items for gift, eight for stigma, and four for process. The three subscales were validated using measures of gender-role beliefs and affective reactions to first intercourse. In Study 2 (N = 359, mean age = 19.7, SD = 2.4), confirmatory factor analysis was used to confirm the 22-item factor breakdown. The resulting Virginity Beliefs Scale is discussed in terms of how it applies to Carpenter's original framework and its future research potential.     

Personalization,gender, and social media: gubernatorial candidates’ social media strategies

This study focuses on the ‘self-personalization’ of campaign politics, marked by candidates highlighting their personal lives over their policy positions. The rise of social media may be accelerating this shift. Applying Strategic Stereotype Theory [Fridkin, K. L., &; Kenney, P. J. (2014 Fridkin, K. L., &; Kenney, P. J. (2014). The changing face of representation: The gender of U.S. senators and constituent communications. Ann Arbor: University of Michigan Press.[Crossref] , [Google Scholar]). The changing face of representation: The gender of U.S. senators and constituent communications. Ann Arbor: University of Michigan Press.], which holds that women politicians try to deactivate stereotypes that associate men with agentic leadership traits while capitalizing on stereotypes that associate them with warmth, we assess what role gender plays in candidate self-personalization on social media. A large-scale computerized content analysis of social media posts by gubernatorial candidates in 2014 suggests that male candidates may see more and female candidates see less strategic benefits in personalizing, but this effect does not persist in the face of electoral contextual variables like competitiveness. We also find qualitative differences in the ways male versus female candidates personalize through social media.     

Religious Orthodoxy and Entrepreneurial Risk-Taking

The relationship between entrepreneurship and religion is complex (Dana 2010 Dana, Leo Paul. 2010. “Entrepreneurship and Religion”. In ed, Northampton, MA: Edward Elgar Publishing.  [Google Scholar]), and religion can help or hamper the entrepreneurial process, depending on the context and culture (Dana 2009 Dana, Leo and Paul. 2009. Religion as an Explanatory Variable for Entrepreneurship. International Journal of Entrepreneurship and Innovation, 10(2): 87–100. [Crossref] , [Google Scholar]; Dodd and Gotsis 2007 Dodd, Sarah Drakopoulou and George, Gotsis. 2007. The Interrelationships between Entrepreneurship and Religion. International Journal of Entrepreneurship and Innovation, 8(2): 93–104. [Crossref] , [Google Scholar]). This article examines religious orthodoxy and its connection to one aspect of the entrepreneurial process—risk-taking within existing organizations. Using multinomial logistic regression to analyze data from the 2010 Baylor Religion Survey, the researchers find that religious orthodoxy is negatively associated with entrepreneurial risk-taking, even after controlling for traditional variables associated with entrepreneurism. It supports the idea that beliefs—and not just adherence or behaviors—are important to understanding the connection between entrepreneurial processes and religion.     

Factors Influencing University Students’ Explicit and Implicit Sexual Double Standards

Quantitative research has resulted in inconsistent evidence for the existence of a sexual double standard, leading Crawford and Popp (2003 Crawford , M. , &; Popp , D. ( 2003 ). Sexual double standards: A review and methodological critique of two decades of research . Journal of Sex Research , 40 , 13 – 26 .[Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]) to issue a call for methodological innovation. The Implicit Association Test (IAT; Greenwald, McGhee, &; Schwartz, 1998 Greenwald , A. G. , McGhee , D. E. , &; Schwartz , J. L. K. ( 1998 ). Measuring individual differences in implicit cognition: The Implicit Association Test . Journal of Personality and Social Psychology , 74 , 1464 – 1480 .[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]) is a measure that may provide a means to examine the double standard without the contamination of the demand characteristics and social desirability biases that plague self-report research (Marks &; Fraley, 2005 Marks , M. J. , &; Fraley , R. C. ( 2005 ). The sexual double standard: Fact or fiction? Sex Roles , 52 , 175 – 186 .[Crossref], [Web of Science ®] , [Google Scholar]). The purpose of this study was to examine the factors influencing explicit and implicit double standards, and to examine the relationship between these explicit and implicit double standards, and levels of socially desirable responding. One hundred and three university students completed a sexual double standard IAT, an explicit measure of the double standard, and measures of socially desirable responding. Hierarchical regression analysis indicated that levels of socially desirable responding were not related to implicit or explicit double standards. Men endorsed a stronger explicit traditional double standard than women, whereas for implicit sexual standards, men demonstrated a relatively gender-neutral evaluation and women demonstrated a strong reverse double standard. These results suggest the existence of a complex double standard, and indicate that more research of sexual attitudes should include implicit measures.     

Response: Avuncularity and Kin Selection in Homosexuals: A Problematic Test or a Problematic Hypothesis?

Here we respond to Vasey et al.'s critical comments regarding our article, “Societal norms rather than sexual orientation influence kin altruism and avuncularity in tribal Urak-Lawoi, Italian, and Spanish adult males” (Camperio Ciani, Battaglia, &; Liotta, 2015 Camperio Ciani, A., Battaglia, U., &; Liotta, M. (2015). Societal norms rather than sexual orientation influence kin altruism and avuncularity in tribal Urak-Lawoi, Italian, and Spanish adult males. Journal of Sex Research. Advance online publication. doi:10.1080/00224499.2014.993748[Taylor &; Francis Online] , [Google Scholar], JSR doi:10.1080/00224499.2014.993748). The first regards the selection of the Urak-Lawoi population of Ko Lipeh, which is considered too modern and touristic to be adequate to test the kin selection and avuncular hypothesis for homosexuality. We provide historical evidence of the contrary, and show that the population at the inception of our 10 years research was indeed primitive and tribal, and probands actually grew and lived in such a society. Only a few years after the 2004 tsunami, the island was developed and invaded by mass tourism. The second comment regarded the statistical analysis and interpretation of data. We show that we consistently and conservatively considered the effects of all confounding variables, both with comparative tests, and by a series of multivariate regression analyses. This was the orthodox procedure approved by all other reviewers. In conclusion, even addressing these comments, we maintain that the kin selection and avuncularity hypothesis for homosexuality is not supported by empirical data even in this primitive and tribal society.     

The Effects of Importance of Religion and Church Attendance on Adolescents' Moral Beliefs

Drawing on the work of Emile Durkheim ([1912] 1995) and Rodney Stark (2001 Stark, Rodney. 2001. Gods, Rituals, and the Moral Order. Journal for the Scientific Study of Religion, 40(4): 619–636. [Crossref], [Web of Science ®] , [Google Scholar]) as well as research on the anti-ascetic thesis and reference group theory, we formulate a series of hypotheses regarding the effects of church attendance and importance of religion on adolescents' moral beliefs about marijuana use, getting drunk, hitting, and property offenses. The results of our study suggest that moral beliefs are more consistently and strongly related to importance of religion than to church attendance. Furthermore, much of the effect of church attendance on moral beliefs is mediated by importance of religion. Finally, we find evidence that importance of religion moderates (interaction) the effect of church attendance on moral beliefs. When adolescents believe religion is important, frequent church attendance further strengthens their moral beliefs. On the other hand, when adolescents believe religion is not important, frequent church attendance may actually reduce moral beliefs.     

Online Religion and Religion Online: Reform Judaism and Web-Based Communication

This study examines the online communication practices of American congregations associated with the Union for Reform Judaism (URJ), the governing body of American and Canadian Reform congregations, through a content analysis of 252 American URJ congregational Web sites. Web site content was grouped into two categories, “religion online” and “online religion.” Religion online content promotes the organization and provides organizational information, including information related to organizational identity building, community outreach, and encouraging civic and social action. Online religion content allows the user to engage in spiritual activity via the Internet (Helland, 2000 Helland, C. (2000). Religion online/online religion and virtual communitas. In J. Hadden &; D. Cowan (Eds.), Religion on the Internet: Research prospects and promises (pp. 205–224). New York, NY: Elsevier Science. [Google Scholar]; Farrell, 2011 Farrell, J. (2011). The divine online: Civic organizing, identity building, and Internet fluency among different religious groups. Journal of Media &; Religion, 10, 73–90. doi:10.1080/15348423.2011.572438.[Taylor &; Francis Online] , [Google Scholar]). ANOVA and MANOVA analyses were used to determine significant differences in content based on congregation size. Results revealed larger congregations were more likely to use Web sites for organizational identity building, mobilization of civic and social action, and the practice of “online religion,” lending support to the existence of a size-based digital divide among URJ congregations.     

(Un)Making home at the borderlands of the rural and the urban: Chinese migrant women’s narratives

This study examines the discourses collected in interviews with second-generation Chinese rural migrant women in Chongqing to unpack how they make sense of home. Guided by Blunt and Dowling’s (2006 Blunt, A., & Dowling, R. (2006). Home. New York, NY: Routledge.[Crossref] , [Google Scholar]) critical geography of home and Anzaldúa’s concept of borderlands, we interpret three overlapping themes: (a) constantly (re)making “home” that is neither here nor there; (b) bordering in-between aging parents and young child(ren); (c) social and political changes (un)making home in migration. Our findings endorse approaching “home” as a verb to better capture complex experiences with homing at borderlands.     

A DSM-5-Based Online Mental Health Referral Inventory: A Large-Scale Validation Study

In 2007, a comprehensive mental health referral inventory based on the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) was posted online as an alternative to the informal tests the public now uses to self-diagnose mental health problems. A validation study was published in 2011 (Epstein &; Muzzatti, 2011 Epstein, R., &; Muzzatti, L. (2011). Preliminary validation of an online DSM-based mental health referral inventory. Journal of Technology in Human Services, 29, 284–295. doi:10.1080/15228835.2011.638421[Taylor &; Francis Online] , [Google Scholar]). In 2013, a revision of that inventory that was consistent with the DSM-5 was posted. The present study evaluates the new inventory with a diverse sample of 201,625 people from 184 countries (mainly the United States, Canada, and the United Kingdom). The 63-item inventory screens for 21 common problems and typically takes about 5?min to complete. Test scores proved to be good predictors of a variety of self-reported criterion measures, including happiness, personal and professional success, history of hospitalization, history of therapy, current participation in therapy, and employment. Females were found to have slightly more mental health problems than males, and effects were also found for education and race/ethnicity. The revised test is more accessible than the original, reducing the reading level from grade 10.2 to 6.6. It is not designed to diagnose; rather, its primary purpose is to refer people to mental health professionals for further evaluation. It can also be used in clinical settings for quick screening purposes.