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The reliability and validity of Arizona sexual experiences scale in Turkish ESRD patients undergoing hemodialysis

International Journal of Impotence Research volume 16, pages 531–534 (2004)Cite this article

Abstract

Although sexuality was the fifth most important life stressor cited by dialysis patients, sexual dysfunctions (SD) receive a very limited attention in the follow-up of these patients. The main aim of the present study was to investigate the reliability and validity of the Arizona Sexual Experiences Scale (ASEX) for end-stage renal disease (ESRD) patients undergoing hemodialysis (HD) in Turkey. The instrument's reliability and validity were assessed in 43 ESRD outpatients undergoing dialysis. All patients were assessed at baseline and at 6 months. ASEX showed good internal consistency (Cronbach's α's 0.89 and 0.90) and test–retest reliability (r=0.88, P<0.001). Convergent validity of ASEX was measured by means of the scales' correlation with the psychiatrists' assessment for the presence of SD (r=0.53, P<0.001). The results of receiver operating characteristics analysis for criterion validity revealed that ASEX scores could discriminate well (0.85±0.06 (95% confidence interval, 0.73–0.90), P<0.001) between patients with ‘no SD (n=26)’ and ‘with SD (n=17)’. A total ASEX score of ≤11 was found to be the best cutoff point (sensitivity=100%, specificity=52%) for screening in this group of patients. The findings of this study indicate that the ASEX is a valid and reliable instrument for use in clinical trials on sexual functioning of ESRD patients undergoing HD.

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References

  1. Diemont WL et al. Sexual dysfunction after renal replacement therapy. Am J Kidney Dis 2000; 35: 845–851.

    Article  CAS  Google Scholar 

  2. Calaluce M . Better education and care of sexual health of ESRD patients may positively affect quality of life. PD Today 1998; 4: 17.

    Google Scholar 

  3. Milde FK, Hart LK, Fearing MO . Sexuality and fertility concerns of dialysis patients. ANNA J 1996; 23: 307–315.

    CAS  PubMed  Google Scholar 

  4. Camsari T et al. Psychosexual function in CAPD and hemodialysis patients. Perit Dial Int 1999; 19: 585–588.

    CAS  PubMed  Google Scholar 

  5. McGahuey CA, Delgado LP, Geleberg AJ . Assessment of sexual dysfunction using the Arizona Sexual Experience Scale (ASEX) and implications for the treatment of depression. Psychiatric Ann 1999; 29: 39–45.

    Article  Google Scholar 

  6. Hamilton M . A rating scale for depression. J Neurol Neurosurg Psychiatry 1960; 23: 56–62.

    Article  CAS  Google Scholar 

  7. Akdemir A et al. Reliability and validity of the Turkish version of the Hamilton Depression Rating Scale. Compr Psychiatry 2001; 42: 161–165.

    Article  CAS  Google Scholar 

  8. Arslan D et al. Sexual dysfunction in male patients on hemodialysis: assessment with the International Index of Erectile Function (IIEF). Int J Impot Res 2002; 14: 539–542.

    Article  CAS  Google Scholar 

  9. Ulrich BT . Sexual knowledge of nephrology personnel. ANNA J 1987; 14: 179–183.

    CAS  PubMed  Google Scholar 

  10. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, 4th Edition (DSM-IV). Washington, DC: American Psychiatric Association, 1994.

Download references

Acknowledgements

I thank Hamid Boztaş MD, Sim Kutlay MD, Elmas İnce BA, Gökhan Nergizoğlu MD, Bahire Yalçın MSW for their help for patient selection and data collection for this study.

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  1. Department of Psychiatry, Division of Consultation Liaison Psychiatry, Ankara University, School of Medicine, Ankara, Turkey

    A Soykan

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  1. A Soykan
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Soykan, A. The reliability and validity of Arizona sexual experiences scale in Turkish ESRD patients undergoing hemodialysis. Int J Impot Res 16, 531–534 (2004). https://doi.org/10.1038/sj.ijir.3901249

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