Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2018-0056
Trends in Psychiatry and Psychotherapy
Original Article

Translation and cross-cultural adaptation of the Arizona Sexual Scale (ASEX) into Portuguese

Tradução e adaptação transcultural da Arizona Sexual Scale (ASEX) para a língua portuguesa

Henrique Prata Ribeiro; Inês Carreira Figueiredo; Joana Vitória-Silva; Pedro Barata; Eduardo Palha Fernandes; Tiago Reis Marques

http://dx.doi.org/10.1590/2237-6089-2018-0056 Trends Psychiatry Psychother, vol.41, n3, p.247-253, 2019
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Abstract

Abstract Introduction Sexual dysfunction is common in individuals with psychiatric disorders and under psychotropic medication such as antidepressants and antipsychotics. Several scales have been developed to assess sexual function in these patients. The Arizona Sexual Scale (ASEX) is a five-item rating scale that quantifies sex drive, arousal, vaginal lubrication/penile erection, ability to reach orgasm, and satisfaction from orgasm. We describe the translation and cross-cultural adaptation of the ASEX into the Portuguese language, with the goal of contributing to the assessment of sexual function in Portuguese-speaking psychiatric patients under treatment with psychotropic drugs. Methods The translation and cross-cultural adaptation process thoroughly followed the steps recommended by the Task Force of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR), namely: preparation, forward translation, reconciliation, back-translation, back-translation review, harmonization, cognitive debriefing, review of cognitive debriefing, finalization, proofreading, and final version. Results The process was successfully completed and no major differences were found between the translation, reconciliation and back-translation phases, with only small adjustments being made. Conclusion The translation of the ASEX was completed successfully, following international reference guidelines. The use of these guidelines is a guarantee of a Portuguese version that is qualitatively and semantically equivalent to the original scale. This availability of this new scale version will enable studies evaluating the sexual function of Portuguese-speaking psychiatric patients. Future studies may assess the validity of the scale for Portuguese-speaking populations.

Keywords

Sexual dysfunction, ASEX, psychopharmacology, antipsychotic agents, antidepressive agents, schizophrenia, depression

Resumo

Resumo Introdução A disfunção sexual é comum em indivíduos com doenças psiquiátricas e sob o uso de medicações como antidepressivos e antipsicóticos. Várias escalas foram desenvolvidas para avaliar a função sexual desses doentes. A Arizona Sexual Scale (ASEX) é uma escala de cinco itens de avaliação que quantifica desejo sexual, excitação, lubrificação vaginal/ereção peniana, capacidade para atingir o orgasmo e satisfação com o orgasmo. Este artigo descreve o processo de tradução e adaptação transcultural da escala ASEX para a língua portuguesa, com o objetivo de contribuir para a avaliação da função sexual dos doentes medicados com fármacos psicotrópicos nos vários países onde se utiliza essa língua. Métodos A tradução e a adaptação transcultural seguiram de forma detalhada os passos recomendados pelo grupo de trabalho da International Society for Pharmacoeconomics and Outcomes Research (ISPOR), nomeadamente: preparação, tradução inicial, reconciliação, retroversão, revisão da retroversão, harmonização, teste cognitivo, revisão do teste cognitivo, finalização, leitura final e versão final. Resultados O processo foi completado com sucesso, e não foram observadas diferenças grandes entre as fases de tradução, reconciliação e retroversão, tendo sido feitos apenas pequenos ajustes. Conclusão A tradução da escala ASEX foi bem-sucedida, seguindo orientações internacionais de referência. A aplicação dessas orientações é a garantia de uma versão em língua portuguesa que é qualitativa e semanticamente equivalente à versão original da escala. A existência desta nova versão da escala permitirá estudos que avaliem a função sexual dos doentes em países nos quais se fale a língua portuguesa. Estudos futuros poderão atestar a validade da escala para essas populações.

Palavras-chave

Disfunção sexual, ASEX, psicofarmacologia, antipsicóticos, antidepressivos, esquizofrenia, depressão

References

Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). 2013.

Montejo L, Angel L, Navarro-Cremades F. Sexual side-effects of antidepressant and antipsychotic drugs. Curr Opin Psychiatr. 2015;28:418-23.

La Torre A, Giupponi G, Duff DM, Pompili M, Grözinger M, Kapfhammer HP. Sexual dysfunction related to psychotropic drugs: a critical review. Part III: mood stabilizers and anxiolytic drugs. Pharmacopsychiatry. 2014;47:1-6.

La Torre A, Giupponi G, Duff DM, Pompili M, Grözinger M, Kapfhammer HP. Sexual dysfunction related to psychotropic drugs: a critical review part II: antipsychotics. Pharmacopsychiatry. 2013;46:201-8.

Zink M, Englisch S. Schizophrenia treatment: an obstacle course. Lancet Psychiatry. 2016;3(4):310-2.

Otte C, Gold SM, Penninx BW, Pariante CM, Etkin A, Fava M. Major depressive disorder. Nat Rev Dis Primers. 2016;2.

Montejo AL, Majadas S, Rico-Villademoros F, Llorca G, De La Gándara J, Franco M. Frequency of sexual dysfunction in patients with a psychotic disorder receiving antipsychotics. J Sex Med. 2010;7:3404-13.

Serretti A, Chiesa A. A meta-analysis of sexual dysfunction in psychiatric patients taking antipsychotics. Int Clin Psychopharmacol. 2011;26:130-40.

McGahuey CA, Gelenberg AJ, Laukes CA, Moreno FA, Delgado PL, McKnight KM. The Arizona Sexual Experience Scale (ASEX): reliability and validity. J Sex Marital Ther. 2000;26:25-40.

De Boer M, Castelein S, Wiersma D, Schoevers RA, Knegtering H. A systematic review of instruments to measure sexual functioning in patients using antipsychotics. J Sex Res. 2014;51:383-9.

Kaya Y, Ozer F, Benli E, Yilmaz NH, Aydemir T, Demir EY. Evaluation of sexual dysfunction in Parkinson’s disease between two different regions of Turkey. Clin Neurol Neurosurg. 2017;161:117-20.

Ogunjimi L, Yaria J, Makanjuola A, Ogunniyi A. Sexual dysfunction among Nigerian women with epilepsy. Epilepsy Behav. 2018;83:108-12.

Hekmat R, Maghsudloo F, Mohebi M, Rezaee SA, Vakili R, Panah HR. A study of the main determinants of sexual dysfunction in women aged 15-45 years on chronic hemodialysis. Saudi J Kidney Dis Transpl. 2016;27:916-20.

Uçok A, Incesu C, Aker T, Erkoç S. Sexual dysfunction in patients with schizophrenia on antipsychotic medication. Eur Psychiatry. 2007;22:328-33.

Jitkritsadakul O, Jagota P, Bhidayasiri R. The Arizona sexual experiences scale: a validity and reliability assessment of the Thai translation (ASEX-Thai) in Parkinson’s disease. J Parkinsons Dis. 2014;4:205-10.

Briki M, Haffen E, Monnin J, Tio G, Nicolier M, Sechter D, Vandel P. Sexual dysfunction and depression: Validity of a French version of the ASEX scale. Encephale. 2014;40:114-22.

Nakhli J, El Kissi Y, Bouhlel S, Amamou B, Nabli TA, Nasr SB. Reliability and validity of the Arizona Sexual Experiences Scale-Arabic version in Tunisian patients with schizophrenia. Compr Psychiatry. 2014;55:1473-7.

Lapa CO, Rocha GP, Marques TR, Howes O, Smith S, Monteiro RT. Translation and cross-cultural adaptation of the Sexual Function Questionnaire (SFQ) into Brazilian Portuguese. Trends Psychiatry Psychother. 2017;39:110-5.

Prisant LM, Carr AA, Bottini PB, Pharm D. Sexual dysfunction with antihypertensive drugs. Arch Intern Med. 1994;154:730-6.

Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A. ISPOR Task Force for Translation and Cultural Adaptation. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health. 2005;8:94-104.

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