Assessment instruments of sexuality in men and women after spinal cord injury: a systematic review
DOI:
https://doi.org/10.11606/issn.2317-0190.v26i1a163789Keywords:
Spinal Cord Injuries, Disability Evaluation, Sexuality, Sex CounselingAbstract
The availability of tools for sexual health assessment is very important for good clinical practice as it enables health professionals to evaluate and intervene effectively, achieving the best standards of assessment and intervention, and thus improving sex life of this population. Objective: To systematically review the instruments for assessing sexuality in men and women after spinal cord injury available in the literature regarding their use and measurement properties. Methods: This is a systematic literature review of the Pubmed, Lilacs, Scielo and Cinahl databases from all studies up to May 2019, in which the search strategy consisted of using the keywords: sexuality, spinal cord injury, evaluation, assessment and questionnaires. The articles identified by the initial search strategy were evaluated according to the pre-established inclusion criteria. Outcomes were sexual mechanisms (arousal, ejaculation, erection and orgasm), desire, satisfaction, sexual frequency, adjustment, sex education and relationship with the partner. Data were organized into tables were presented through a descriptive analysis of the results of the included studies. Results: Eighteen studies met the eligibility criteria and were included. We found seven validated instruments for assessing sexuality in individuals with spinal cord injury, nine generic and twelve instruments for assessing factors possibly related to sexuality. Two evaluated the measurement properties, and both were adequate. Conclusion: This review identified a total of 28 instruments that were used to assess sexuality in individuals with spinal cord injury, however, only seven of these instruments were validated.
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