“Sexuality Assessment Beyond Sexual Function: an Integrative Review of the Available Instruments in Brazilian Portuguese”
摘要
A biopsychosocial approach to sexuality requires the comprehension of sexual experiences beyond the function-dysfunction and normal-pathological dichotomies.
AimThe goal of this integrative review was to evaluate psychometric instruments that measure sexual behaviour, satisfaction, and beliefs among the Brazilian population, and present a summary of the existing tools, emphasising areas that require enhancement regarding psychometric properties, research methods that hold relevance for clinical practice and sexuality research.
MethodsA thorough search was conducted using electronic databases including PubMed (NCBI), SciELO, PsycArticles, American Psychiatry Online, Scopus, and other sources. Additional records were obtained through manual searches.
ResultsThe research was done between April first and eighth, 2023 and yielded 21 instruments that have been developed, transculturally adapted, and/or validated for Brazilian Portuguese, encompassing a broad spectrum of sexuality-related constructs.
ConclusionAlthough progress has been made in the development, adaptation, and validation of these instruments, there remains a pressing need for enhanced psychometric and sampling methodologies, as well as standardised norms for clinical interpretation of test outcomes. Ecological validity is another area that warrants attention. Sexual assessments in Brazil provide beneficial data, yet extending their use to the practical clinical domain remains a considerable challenge.
Policy ImplicationsThis study positively impacts public policies by enabling informed choices of treatment and evaluation protocols for sexuality, fostering effective and evidence-based treatments, as well as precise epidemiological studies, thereby improving the sexual health of the population.