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Italian validation of Arizona Sexual Experience (ASEX) on patients suffering from psychotic spectrum disorders

Published online by Cambridge University Press:  01 September 2022

T. Jannini*
Affiliation:
University of Rome Tor Vergata, Department Of Systems Medicine, Rome, Italy
R. Rossi
Affiliation:
University of Rome Tor Vergata, Department Of Systems Medicine, Rome, Italy
V. Sconci
Affiliation:
Azienda Sanitaria Locale 01, Department Of Mental Health, L’Aquila, Italy
R. Bonanni
Affiliation:
Azienda Sanitaria Locale 01, Department Of Mental Health, L’Aquila, Italy
F. De Michele
Affiliation:
Azienda Sanitaria Locale 01, Department Of Mental Health, L’Aquila, Italy
G. Cavallo
Affiliation:
Azienda Sanitaria Locale 01, Department Of Mental Health, L’Aquila, Italy
A. Siracusano
Affiliation:
University of Rome Tor Vergata, Department Of Systems Medicine, Rome, Italy
A. Rossi
Affiliation:
University of Rome Tor Vergata, Department Of Systems Medicine, Rome, Italy
G. Di Lorenzo
Affiliation:
University of Rome Tor Vergata, Department Of Systems Medicine, Rome, Italy
E. Jannini
Affiliation:
University of Rome Tor Vergata, Department Of Systems Medicine, Rome, Italy
G. Ciocca
Affiliation:
Sapienza University of Rome, Department Of Dynamic And Clinical Psychology, And Health Studies, Rome, Italy
*
*Corresponding author.

Abstract

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Introduction

Many forms of mental disorders, especially psychotic disorders are characterized also by a worsening of sexual functioning. Sexual dysfunction has been shown to significantly correlate with a longer duration of untreated psychosis and with heavier psychotic symptomatology.

Objectives

The aim of this study is to validate the Italian version of the Arizona Sexual Experience (ASEX), a very handy and reliable tool to assess sexual dysfunction, in a population of people suffering from psychotic spectrum disorders.

Methods

Seventy-three psychiatric patients were recruited and assessed for mental illness and sexual functioning. We administered the Italian version of ASEX, adequately translated by two expert bilinguals. After 15 days we administered once again the test for test-retest reliability.

Results

Validation of ASEX revealed Cronbach’s coefficients >0.70 in both single items as in the total score. In addition, the test-retest reliability revealed Pearson’s coefficients >0.50 in the various domains. Confirmatory factor analysis revealed good fit indexes for the two factors model of ASEX (SRMR=0.54; CFI=0.974; RMSEA=0.135).

Conclusions

This study represents the first validation in the Italian psychiatric context of a very useful specific tool for the sexual assessment in people suffering from mental illness. Our analysis revealed good psychometric characteristics in terms of confirmatory factor analysis, internal consistency, and test-retest reliability.

Disclosure

No significant relationships.

Type
Abstract
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2022. Published by Cambridge University Press on behalf of the European Psychiatric Association
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