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Assessment of Sexuality Following Traumatic Brain Injury: Validation of the Brain Injury Questionnaire of Sexuality

Stolwyk, Renerus J. DPsych; Downing, Marina G. PhD; Taffe, John PhD; Kreutzer, Jeffrey S. PhD; Zasler, Nathan D. PhD; Ponsford, Jennie L. PhD

Section Editor(s): Sander, Angelle M. PhD

Journal of Head Trauma Rehabilitation: May/June 2013 - Volume 28 - Issue 3 - p 164–170
doi: 10.1097/HTR.0b013e31828197d1
Original Articles

Background: The importance of effectively identifying and managing sexuality issues following acquired brain injury is being increasingly recognized within clinical and research domains. However, a tool specifically developed to measure sexuality following brain injury is yet to be validated.

Objectives: In this study, the reliability and validity of the Brain Injury Questionnaire of Sexuality (BIQS) was evaluated.

Method: Eight hundred and sixty-five people who had sustained traumatic brain injury participated in this study. All participants completed the BIQS, and a subsample also completed the Derogatis Interview for Sexual Functioning—Self-Report version (DISF-SR).

Results: Exploratory factor analysis supported a 3-subscale structure of the BIQS, which aligns with contemporary conceptual models of sexuality in chronic disease. All subscales of the BIQS demonstrated very good internal consistency. Convergent and divergent validity of all BIQS subscales was also demonstrated.

Conclusions: Results from the study support the reliability and validity of the BIQS, which shows promise as a measurement tool for future traumatic brain injury sexuality research. Further validation work including evaluation for potential clinical applications is encouraged.

School of Psychology and Psychiatry, Monash University (Drs Stolwyk, Downing, Taffe, and Ponsford), Monash-Epworth Rehabilitation Research Centre (Drs Downing and Ponsford), and National Trauma Research Institute (Dr Ponsford), Melbourne, Victoria, Australia; and Virginia Commonwealth University Medical Center (Dr Kreutzer), Concussion Care Centre of Virginia, Ltd (Dr Zasler), Tree of Life Services, Inc (Dr Zasler), and Department of Physical Medicine and Rehabilitation, Virginia Commonwealth University (Dr Zasler), Richmond, Virginia.

Corresponding Author: Renerus J. Stolwyk, DPsych, School of Psychology and Psychiatry, Monash University, Bldg 17, Clayton Campus, Melbourne, Victoria, Australia 3800 (

This project was funded by the Transport Accident Commission through the Institute for Safety, Compensation and Recovery Research.

The authors thank all participants involved in this project who generously gave their time.

The authors declare no conflicts of interest.

Copyright © 2013 Wolters Kluwer Health, Inc. All rights reserved.