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Structured review of the use of the Arizona Sexual Experiences scale (ASEX) in clinical settings

Structured review of the use of the Arizona Sexual Experiences scale (ASEX) in clinical settings
Structured review of the use of the Arizona Sexual Experiences scale (ASEX) in clinical settings
Background. Approximately 40% of women and 30% of men describe sexual dysfunction, although recognition in medical settings is sub-optimal, due to problems in reporting and eliciting concerns relating to sexual function and satisfaction. Screening questionnaires may help to support this aspect of clinical practice. The Arizona Sexual Experiences Scale (ASEX) includes items that quantify sex drive, arousal, vaginal lubrication or penile erection, ability to reach orgasm, and satisfaction from orgasm. Method. We investigated the validity and other psychometric properties of the ASEX, and the findings from the populations in which it has been employed, by searching MEDLINE, EMBASE and Google Scholar using the terms, Arizona Sexual Experiences Scale, Arizona Sexual Experience Questionnaire and ASEX. We eliminated duplications, letters and papers not available in English, and grouped the remaining papers into the categories of psychometric, epidemiological, and outcome-based studies. Results. After elimination of letters and duplicates, papers not in English, and pre-clinical and irrelevant studies, 104 papers were analysed. The ASEX has excellent internal consistency and scale reliability (Cronbach α=0.9055) and strong test–retest reliability (patients, r=0.801, p<0.01; controls, r=0.892, p<0.01). Analyses of variance revealed significant differences in total ASEX scores between patients and controls (males F=18.1, p<0.000; females F=31.71, p<0.000) and between females and males (patients F=5.22, p=0.026; controls F=5.05, p=0.031). ASEX appears useful in a range of clinical situations including patients with primary sexual dysfunction, specific psychiatric disorders, specific physical illnesses, and treatment emergent sexual dysfunction. Discussion. The ASEX appears to be a reliable instrument for identifying and quantifying sexual dysfunction across a range of populations in various clinical settings. Little is known about its utility in patients with anxiety disorders or relationships between ASEX scores and biological parameters.
ASEX, Arizona sexual experiences scale, sexual dysfunction, sexual function
0885-6222
Elnazer, Hesham, Yousry
7e2eb3eb-0f00-455c-95b5-3c2e50f04b33
Baldwin, David
1beaa192-0ef1-4914-897a-3a49fc2ed15e
Elnazer, Hesham, Yousry
7e2eb3eb-0f00-455c-95b5-3c2e50f04b33
Baldwin, David
1beaa192-0ef1-4914-897a-3a49fc2ed15e

Elnazer, Hesham, Yousry and Baldwin, David (2020) Structured review of the use of the Arizona Sexual Experiences scale (ASEX) in clinical settings. Human Psychopharmacology: Clinical and Experimental, 35 (3), [e2730]. (doi:10.1002/hup.2730).

Record type: Article

Abstract

Background. Approximately 40% of women and 30% of men describe sexual dysfunction, although recognition in medical settings is sub-optimal, due to problems in reporting and eliciting concerns relating to sexual function and satisfaction. Screening questionnaires may help to support this aspect of clinical practice. The Arizona Sexual Experiences Scale (ASEX) includes items that quantify sex drive, arousal, vaginal lubrication or penile erection, ability to reach orgasm, and satisfaction from orgasm. Method. We investigated the validity and other psychometric properties of the ASEX, and the findings from the populations in which it has been employed, by searching MEDLINE, EMBASE and Google Scholar using the terms, Arizona Sexual Experiences Scale, Arizona Sexual Experience Questionnaire and ASEX. We eliminated duplications, letters and papers not available in English, and grouped the remaining papers into the categories of psychometric, epidemiological, and outcome-based studies. Results. After elimination of letters and duplicates, papers not in English, and pre-clinical and irrelevant studies, 104 papers were analysed. The ASEX has excellent internal consistency and scale reliability (Cronbach α=0.9055) and strong test–retest reliability (patients, r=0.801, p<0.01; controls, r=0.892, p<0.01). Analyses of variance revealed significant differences in total ASEX scores between patients and controls (males F=18.1, p<0.000; females F=31.71, p<0.000) and between females and males (patients F=5.22, p=0.026; controls F=5.05, p=0.031). ASEX appears useful in a range of clinical situations including patients with primary sexual dysfunction, specific psychiatric disorders, specific physical illnesses, and treatment emergent sexual dysfunction. Discussion. The ASEX appears to be a reliable instrument for identifying and quantifying sexual dysfunction across a range of populations in various clinical settings. Little is known about its utility in patients with anxiety disorders or relationships between ASEX scores and biological parameters.

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HUP-ASEX-revision-HYE-DSB-accepted - Accepted Manuscript
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More information

Accepted/In Press date: 4 March 2020
e-pub ahead of print date: 31 March 2020
Keywords: ASEX, Arizona sexual experiences scale, sexual dysfunction, sexual function

Identifiers

Local EPrints ID: 438494
URI: http://eprints.soton.ac.uk/id/eprint/438494
ISSN: 0885-6222
PURE UUID: e374a0b7-03c2-443e-ba16-4b63de12ec1b
ORCID for David Baldwin: ORCID iD orcid.org/0000-0003-3343-0907

Catalogue record

Date deposited: 11 Mar 2020 17:31
Last modified: 26 Nov 2021 06:55

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Contributors

Author: Hesham, Yousry Elnazer
Author: David Baldwin ORCID iD

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