Department of Psychiatry, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, the Thai Red Cross Society, Bangkok, 10330, Thailand.
Center of Excellence in Transgender Health (CETH), Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand.
F1000Res. 2022 May 9;11:503. doi: 10.12688/f1000research.111051.2. eCollection 2022.
Sexual dysfunction is common among patients with mental disorders but receives less clinical attention, especially in Thailand and other Asian countries. The Arizona Sexual Experiences Scale-the Thai Translation (ASEX-Thai), a self-rated, brief, questionnaire is a potential tool for screening for sexual dysfunction in this population. Our study aimed to assess the reliability and validity of ASEX-Thai in Thai patients with mental disorders. We enrolled 202 patients from an outpatient psychiatric department at a tertiary hospital in Bangkok, Thailand. Demographic data, clinical data, and diagnosis of sexual dysfunction were assessed. ASEX-Thai was done, and we analyzed the test's psychometric properties. Most participants were diagnosed with major depressive disorder (48%). There was a positive correlation between the ASEX-Thai and sexual dysfunction diagnosis (r = 0.402, p < 0.001). The KMO coefficient was 0.77 and Barlett's sphericity test was significant (χ = 409.76, p<0.001). A score of ≥ 17 points of the ASEX-Thai was the most suitable for sexual dysfunction screening (sensitivity 77.23 %, and specificity 58.42 %). For reliability, the Cronbach's alpha coefficient (0.831) showed good internal consistency. The ASEX-Thai is a valid and reliable self-rated questionnaire for screening for sexual dysfunction among Thai patients with mental disorders. The test could help clinicians to evaluate this undetected condition and deliver proper interventions.
性障碍在精神障碍患者中很常见，但临床关注度较低，尤其是在泰国和其他亚洲国家。亚利桑那性体验量表-泰语翻译版（ASEX-Thai）是一种自评、简短的问卷，是筛查该人群性障碍的潜在工具。我们的研究旨在评估 ASEX-Thai 在泰国精神障碍患者中的信度和效度。我们招募了 202 名来自曼谷一家三级医院门诊精神科的患者。评估了人口统计学数据、临床数据和性障碍诊断。进行了 ASEX-Thai 测试，并分析了测试的心理测量特性。大多数参与者被诊断为重度抑郁症（48%）。ASEX-Thai 与性障碍诊断呈正相关（r = 0.402，p < 0.001）。KMO 系数为 0.77，巴特利特球形检验显著（χ = 409.76，p<0.001）。ASEX-Thai 得分为≥17 分最适合用于性障碍筛查（敏感性 77.23%，特异性 58.42%）。对于可靠性，Cronbach's alpha 系数（0.831）显示出良好的内部一致性。ASEX-Thai 是一种有效且可靠的自评问卷，可用于筛查泰国精神障碍患者的性障碍。该测试可以帮助临床医生评估这种未被发现的情况，并提供适当的干预措施。
