{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T10:42:52Z","timestamp":1760784172588},"reference-count":0,"publisher":"Ordem dos Medicos","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Med Port"],"abstract":"<jats:p>Introduction: The increasing survivor population of breast cancer has shifted research and practice interests into the impacts of the\u00a0disease and treatment in quality of life aspects. The lack of tools available in Portuguese to objectively evaluate sexual function led to\u00a0the development of this study, which aimed to cross-culturally adapt and validate the Sexual Activity Questionnaire for use in Portugal.Material and Methods: The questionnaire was translated and back-translated, refined following face-to-face interviews with seven\u00a0breast cancer survivors, and then self-administered by a larger sample at baseline and a fortnight later to test validity and reliability.Results: Following cognitive debriefing (n = 7), minor changes were made and the Sexual Activity Questionnaire was then tested\u00a0with 134 breast cancer survivors. A 3-factor structure explained 75.5% of the variance, comprising the Pleasure, Habit and Discomfort\u00a0scales, all yielding good internal consistency (Cronbach\u2019s \u03b1 &gt; 0.70). Concurrent validity with the FACt-An and the BCPT checklist was\u00a0good (Spearman\u2019s r &gt; 0.65; p-value &lt; 0.001) and reliability acceptable (Cohen\u2019s k &gt; 0.444). The Sexual Activity Questionnaire allowed\u00a0the identification of 23.9% of sexually inactive women, for whom the main reasons were lack of interest or motivation and not having\u00a0a partner.Discussion: Patient-reported outcomes led to a more comprehensive and improved approach to cancer, tackling areas previously\u00a0abandoned. Future research should focus on the validation of this scale in samples with different characteristics and even in the overall\u00a0population to enable generalizability of the findings.Conclusion: The adapted Sexual Activity Questionnaire is a valid tool for assessing sexual function in breast cancer survivors in\u00a0Portugal.<\/jats:p>","DOI":"10.20344\/amp.7389","type":"journal-article","created":{"date-parts":[[2016,10,3]],"date-time":"2016-10-03T23:38:22Z","timestamp":1475537902000},"page":"533-541","source":"Crossref","is-referenced-by-count":7,"title":["Sexual Dysfunction in Breast Cancer Survivors: Cross-Cultural Adaptation of the Sexual Activity Questionnaire for Use in Portugal"],"prefix":"10.20344","volume":"29","author":[{"given":"Filipa Alves","family":"Da Costa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel Castro","family":"Ribeiro","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sofia","family":"Braga","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elisabete","family":"Carvalho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F\u00e1tima","family":"Francisco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana da Costa","family":"Miranda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ant\u00f3nio","family":"Moreira","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lesley","family":"Fallowfield","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"8464","published-online":{"date-parts":[[2016,9,30]]},"container-title":["Acta M\u00e9dica Portuguesa"],"original-title":[],"link":[{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/7389\/4763","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/download\/7389\/4763","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,10,25]],"date-time":"2022-10-25T21:09:47Z","timestamp":1666732187000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.actamedicaportuguesa.com\/revista\/index.php\/amp\/article\/view\/7389"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,9,30]]},"references-count":0,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2016,9,30]]}},"URL":"https:\/\/doi.org\/10.20344\/amp.7389","relation":{},"ISSN":["1646-0758","0870-399X"],"issn-type":[{"value":"1646-0758","type":"electronic"},{"value":"0870-399X","type":"print"}],"subject":[],"published":{"date-parts":[[2016,9,30]]}}}