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

Henrique Prata Ribeiro et al · Associação de Psiquiatria do Rio Grande do Sul

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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.

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APA 7

al, H. P. R. E. (s. f.). Translation and cross-cultural adaptation of the Arizona Sexual Scale (ASEX) into Portuguese. https://doi.org/10.1590/2237-6089-2018-0056

MLA

al, Henrique Prata Ribeiro et. "Translation and cross-cultural adaptation of the Arizona Sexual Scale (ASEX) into Portuguese.". https://doi.org/10.1590/2237-6089-2018-0056.

Chicago

al, Henrique Prata Ribeiro et. s. f. "Translation and cross-cultural adaptation of the Arizona Sexual Scale (ASEX) into Portuguese.". https://doi.org/10.1590/2237-6089-2018-0056.

Harvard

al, H. P. R. E. s. f, Translation and cross-cultural adaptation of the Arizona Sexual Scale (ASEX) into Portuguese, Associação de Psiquiatria do Rio Grande do Sul, available at: https://doi.org/10.1590/2237-6089-2018-0056 [Accessed 29 Jun. 2026].

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Título
Translation and cross-cultural adaptation of the Arizona Sexual Scale (ASEX) into Portuguese
Autor / colaboradores
Henrique Prata Ribeiro et al
Editorial
Associação de Psiquiatria do Rio Grande do Sul
ISSN
2238-0019
ISSN
2238-0019
Idioma
eng

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