Establishing dimensionality of sexual behaviours in patients with regional brain dysfunction
| Autor: | Edward D. Huey, Deirdre M. O’Shea, Jordan Grafman, Masood Manoochehri, Hannah Silverman, Robert A. Fieo |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Psychometrics Traumatic brain injury Sexual Behavior Neuroscience (miscellaneous) Human sexuality behavioral disciplines and activities Article 03 medical and health sciences 0302 clinical medicine Adaptation Psychological Brain Injuries Traumatic Developmental and Educational Psychology Head Injuries Penetrating Humans Medicine Dementia In patient 030212 general & internal medicine business.industry Brain dysfunction Reproducibility of Results Construct validity Neurodegenerative Diseases Middle Aged medicine.disease Caregivers nervous system Female sense organs Neurology (clinical) business 030217 neurology & neurosurgery Clinical psychology |
| Zdroj: | Brain Injury. 32:1455-1464 |
| ISSN: | 1362-301X 0269-9052 |
| Popis: | OBJECTIVE: To develop a validated, caregiver-based measurement scale to assess sexual changes across several domains in a sample of 86 patients with penetrating traumatic brain injury (TBI) and 65 patients with neurodegeneration due to frontotemporal dementia and corticobasal syndrome. METHODS: A new measure, the Sexual Symptoms in Neurological Illness and Injury Questionnaire (SNIQ), was constructed. Dimensionality, monotonicity, item discrimination power, and scalability were evaluated using nonparametric Mokken item response theory (IRT) methodology. RESULTS: Three primary domains were established. The domains presented with sufficient reliability (rho .70 to .80), while meeting the Mokken IRT criteria of medium scalability. The domains were labeled ‘Prosocial sexual behaviour’ (H=.42), ‘Sexual interest’ (H=.50), and ‘Inappropriate sexual behaviour’ (H=.41). A fourth dimension emerged, ‘Detachment’ (H=.47), but with very few items. CONCLUSIONS: Construct validity was established for groups of items pertaining to three unique aspects of sexuality. These findings support further use of the SNIQ in assessing and researching sexual behaviours in patients with dementia and brain injury. |
| Databáze: | OpenAIRE |
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