Development and Validation of the Polish Version of the Female Sexual Function Index in the Polish Population of Femalesjsm_
|
|
- Emil Cannon
- 6 years ago
- Views:
Transcription
1 1 Development and Validation of the Polish Version of the Female Sexual Function Index in the Polish Population of Femalesjsm_ Krzysztof Nowosielski, MD, PhD,* Beata Wróbel, MD, PhD, Urszula Sioma-Markowska, MSc, PhD, and Ryszard Poręba, MD* *Department of Gynecology and Obstetrics, Specialist Teaching Hospital in Tychy, Tychy, Poland; Department of Health Science, Medical Collage in Sosnowiec, Sosnowiec, Poland; Center for Sexual Medicine, Da browa Górnicza, Poland; Department of Gynecology and Obstetrics, The School of Health Care, Medical University of Silesia, Katowice, Tychy, Poland DOI: /jsm ABSTRACT Introduction. Unlike male sexual function, which is relatively easy to assess, female sexual function is still a diagnostic challenge. Although numerous new measurements for female sexual dysfunction (FSD) have recently been developed, the Female Sexual Function Index (FSFI) remains the gold standard for screening. It has been validated in more than 30 countries. The FSFI has been used in several studies conducted in Poland, but it has never been standardized for Polish women. Aim. The aim of this study was to develop a Polish version of the FSFI (PL-FSFI). Materials and Methods. In total, 189 women aged years were included in the study. Eighty-five were diagnosed with FSD as per the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM IV-TR) criteria; 104 women did not have FSD. All subjects completed the PL-FSFI at baseline (day 0), day 7, and day 28. Main Outcome Measures. Test retest reliability was determined by Pearson s product moment correlations. Reliability was tested using Cronbach s a coefficient. Construct validity was evaluated by principal component analysis using varimax rotation and factor analysis. Discriminant validity was assessed with between-groups analysis of variance. Results. All domains of the PL-FSFI demonstrated satisfactory internal consistencies, with Cronbach s a value of >0.70 for the entire sample. The test retest reliability demonstrated good-to-excellent agreement between the assessment points. Based on principal component analysis, a 5-factor model was established that explained 83.62% of the total variance. Domain intercorrelations of the PL-FSFI ranged from The optimal PL-FSFI cutoff score was 27.50, with 87.1% sensitivity and 83.1% specificity. Conclusion. The PL-FSFI is a reliable questionnaire with good psychometric and discriminative validity. Therefore, it can be used as a tool for preliminary screening for FSD among Polish women. Nowosielski K, Wróbel B, Sioma-Markowska U, and Poręba R. Development and validation of the Polish version of the Female Sexual Function Index in the Polish Population of Females.. Key Words. Female Sexual Function Index; Polish Version; Validation; Development Introduction Female sexuality is a complex and multidimensional phenomenon. Many factors, including culture, social context, age, mental health, and interpersonal relations, may influence the sexual function of women. Thus, the prevalence of female sexual dysfunction (FSD) varies worldwide between 8 75% [1 6]. The few studies on FSD in Poland have shown that FSD may affect up to 17% of healthy women and up to 42% of the women with diabetes mellitus [7 9]. Unlike male sexual function, which is relatively easy to assess, female sexual function is still a diagnostic challenge [10,11]. The current concept of women s sexual function emphasizes the responsive 2012 International Society for Sexual Medicine
2 2 Nowosielski et al. component of women s sexuality. Based on the circular model of the sexual response research confirmed that women provide a variety of reasons and incentives for engaging in sexual activity [11]. Thus, many components associated with sexuality, which are integral to a sexual response, must be assessed when counseling women with sexual problems [11]. As observed in other countries, a number of sexual problems are highly prevalent in Poland. However, sexual health here is still unmentionable, and few women seek medical help for FSD. Although numerous new measurements for FSD have recently been developed, the Female Sexual Function Index (FSFI) remains the gold standard for screening [10]. It has been translated and validated in more than 30 countries and is used to assess FSD in women with different medical conditions, including vulvodynia, vulvar intraepithelial neoplasia, hemodialysis, diabetes, breast cancer, obesity, urinary incontinence, depression, and human immunodeficiency virus infection [11 19]. The most recent studies from Japan, Korea, Iran, Taiwan, Malaysia, China, United Kingdom, or the Netherlands have proved its reliability and psychometric validity in the assessment of dimensions of female sexual functioning in clinical and nonclinical samples [12,15 20]. Moreover, the applicability of the FSFI has been confirmed for women in various stages of life, such as pregnancy, postpartum, postmenopausal periods [21,22]. The FSFI has been used in a few studies conducted in Poland [7 9,23 25], but it has never been validated or standardized for Polish women. Such a validation would help medical professionals screen women for FSD and refer selected individuals for further counseling. Aim The aim of this study was to develop a Polish version of the FSFI (PL-FSFI) and to examine its psychometric reliability and validity. Main Outcome Measures Internal consistencies in the PL-FSFI were evaluated by Cronbach s a coefficient. Intraclass correlation coefficient was used to assess the test retest reliability. Principal component analysis using varimax rotation was used to evaluate the factor structure and construct validity. Discriminant validity was assessed with a between-groups analysis of variances (anova). The degree of association between the PL-FSFI scores and marital satisfaction (assessed on a 5-point Likert scale) was calculated by the Pearson product moment correlation. A receiver operating characteristic analysis was performed to determine the optimal cutoff values of the PL-FSFI. Methods Study Population A total of 300 women between the ages of years were eligible for this cross-sectional study conducted between June 2011 and February 2012; 150 women had sexual problems and 150 did not. The healthy women were recruited from three gynecological offices in Dąbrowa Górnicza, Sosnowiec, and Tychy in Poland when they visited the offices for a yearly routine gynecological check-up. The women with sexual problems were recruited from the Center for Sexual Medicine in Dąbrowa Górnicza, Poland. Thirty-five women with sexual problems and 20 healthy women declined to participate in the study, with refusal rates of 23% and 13%, respectively. During the screening phase of the study, the authors conducted the medical interviews. The following exclusion criteria were used: history of depression or other mental disorders, severe somatic diseases, thyroid dysfunction, diabetes mellitus, liver dysfunctions, unstable coronary heart disease, extreme kidney failure, addiction to psychoactive substances, consumption of >150 ml of alcohol daily, body mass index >30 kg/m 2, history of major gynecological operations (hysterectomy, oophorectomy, or mastectomy), use of medications affecting sexual function (antipsychotics, antihypertensives, antidepressants, antihistamines, benzodiazepines, or oral contraceptives), pregnancy or within 3 months postpartum, and no sexual initiation. The Beck Depression Inventory (BDI) was used as a screening tool for the presence of depressive symptoms. All patients who scored 12 in the BDI were excluded from the study, as depressive symptoms may influence sexual function in female patients [26]. Finally, 189 women were included in the study 85 women diagnosed with FSD on the basis of the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM IV-TR) [8] criteria and 104 healthy women. The clinical study was approved by the Bioethical Committee of the Medical University of Silesia. Study Design Recruitment During the screening phase of the study, all women who agreed to participate were explained
3 Development of the Polish Version of the FSFI 3 the project in brief, then they read and signed an informed consent form. A standard medical evaluation form was used to assess participants for the project, and the DSM IV-TR criteria [27] were used for diagnosing FSD. Of the 115 women seen at the Center for Sexual Medicine, 85 met the inclusion criteria for the study and the DSM IV-TR criteria for FSD; these women were included in the FSD group. Of the 130 healthy women, 24 did not pass the inclusion or exclusion criteria, and 2 were diagnosed with FSD based on DSM-IV-TR criteria. The control group comprised 104 healthy women. Linguistic Validation The Polish translation of the original FSFI was obtained from the Mapi Research Trust and is available at: female_sexual_function_index_fsfi. To test for clarity, intelligibility, and appropriateness of the PL-FSFI, the questionnaire was administered to a group of 25 female students. A face-to-face interview was conducted with these women to check for any difficulties in understanding and interpreting the individual questions; no major difficulties were noted. Subsequently, the PL-FSFI was administered to all 189 individuals participating in the study. Validation of the PL-FSFI On the first day (day 0) all participants were asked to fill out a 139-item self-prepared questionnaire assessing socioepidemiological parameters and sexual behavior including: age at first sexual intercourse, total number of sexual partners, whether having a regular partner, whether sexually active during the previous 4 weeks, sexual orientation, frequency of sexual intercourse, frequency of masturbation, marital satisfaction, and overall satisfaction with sex life assessed on 5-point Likert scale (where a higher score represented a better satisfaction), incidents of sexual harassment in the past (answer yes or no). The PL-FSFI was completed with a 30-day recall at the baseline (day 0), and then again on day 7 and day 28, but with a 7-day recall on these occasions. Measurements FSFI The FSFI is a self-administered questionnaire consisting of 19 items grouped in 6 subscales: sexual desire (2 items), arousal (4 items), lubrication (4 items), orgasm (3 items), satisfaction (3 items), and pain (3 items). The questionnaire was developed by Rosen et al. to assess sexual function in women over the prior 4 weeks [11]. The subscale scores ranged from 0 6, with higher scores indicating better sexual function. The questionnaire showed a high degree of internal consistency (Cronbach s a values 0.82) and high test retest reliability for each domain (r = ). It has been successfully cross-validated, and a diagnostic cutoff score of has been determined for classification of total FSD [5,28]. However, according to DSM-IV-TR and the American Urology Association Foundation (AUAF; formerly the American Foundation of Urologic Disease) both an FSFI score points and the presence of personal distress are required for FSD diagnosis [10]. Demographic and Sexual Activity Measurements Body mass index (kg/m 2 ) was calculated as body mass/height 2. Waist-to-hip ratio (WHR) was calculated as the ratio of the circumference of the waist to the circumference of the hips. Sexual activity was defined as any of the following: caressing, foreplay, masturbation, vaginal or anal intercourse, or oral sex. The marital satisfaction and overall satisfaction with sex life was evaluated on a 5-point Likert scale. Statistical Analysis The Statistica 9.0 Pl computer software (StatSoft, Kraków, Poland) was used for statistical analysis. The distribution of data was assessed with the Shapiro-Wilk W-test. Because of the non-normal distribution of the sample population and the lack of variance homogeneity, the nonparametric Mann-Whitney U-test was used for analysis of quantitative variables. The chi-square test, chisquare test with Yates correction, and Fisher s exact test (for sample sizes less 20) were used for analyzing qualitative variables. Although a number of possible sample-based criteria could be used to establish a PL-FSFI cutoff score, we used the score that minimized the sum of false-positive and false-negative error rates. This is an independent and more objective criterion for determining the optimal cutoff values based on a receiver operating characteristic (ROC) analysis. The area under the curve (AUC) was also calculated. P values less than 0.05 were considered statistically significant. Reliability Reliability was assessed by internal consistencies and the test retest reliability. Internal consistencies were evaluated by Cronbach s a coefficient.
4 4 Nowosielski et al. An a coefficient of 0.70 was considered to indicate adequate to excellent reliability [12]. The intraclass correlation coefficient (ICC) was used to assess the test retest reliability, with ICC values of 0.40 representing poor to fair agreement, representing moderate agreement, representing good agreement, and >0.80 representing excellent agreement between the two assessments [12]. Validity To evaluate the factor structure and construct validity of the PL-FSFI, principal component analysis using varimax rotation was conducted for all 19 questionnaire items. The data from the entire sample group (N = 189) at day 0 were analyzed. Intercorrelations between the total and individual domain scores were calculated using Pearson s r coefficient. Discriminant validity was assessed by comparing the mean scores of the FSD group and control group in a between-groups anova. To measure concurrent validity, correlations between PL-FSFI total score and overall sexual satisfaction assessed on 5-point Likert scale were calculated using Pearson s r. Divergent Validity The degree of association between the PL-FSFI scores (domains and full scale) and marital satisfaction assessed on 5-point Likert scale were calculated by the Pearson product-moment correlation. Results The mean age of the studied population was years. The FSD and control groups did not differ significantly in regard with any socioeconomic parameters except: (i) the marital satisfaction, which was better among the control group than that among the FSD group (4.33 vs. 3.57, respectively); (ii) the overall sexual satisfaction with a current partner, which was better among the control group than that among the FSD group (3.69 vs. 2.63, respectively); and (iii) residency FSD group women were more likely than control group women to live in urban areas (62.7% vs. 44.9%) (Table 1). The evaluation of sexual function by the PL- FSFI revealed that the mean total score in the FSD group was 21.59, while it was in the control group. The largest differences between the groups were observed in the satisfaction domain and the smallest, in the desire domain (Table 2). In the FSD group, based on DSM-IV-TR criteria, the prevalence of desire, arousal, orgasm, and pain disorders were 76.5% (65/85), 56.5% (48/85), 56.5% (48/85), and 24.7% (21/85), respectively. Forty-two women were found to have only one dysfunction (49.4%). The rest reported at least two; combined arousal and desire disorder was the most prevalent at 60.5% (26/43). Reliability All domains of the PL-FSFI demonstrated satisfactory internal consistencies (Table 3), with a value of >0.70 for all subjects (FSD patients and the controls). The test retest reliability was examined in all 189 women, in FSD group and controls after 7 and 28 days (Table 4). All domains demonstrated good-to-excellent agreement between the questions. However, the test retest reliability of the total score between days 0 and 7 had higher ICC than between days 7 and 28 or days 0 and 28 for all groups. Validity All authors of this study agreed that the PL-FSFI had adequate content to evaluate female sexual function and that it could be used for assessing Polish women. To evaluate the factor structure of the PL-FSFI, principal component analysis using varimax rotation was performed. Based on this analysis, a 5-factor model was established with desire/ arousal, lubrication, orgasm, satisfaction, and pain domains (Table 5). This model explained 83.62% of the total variance of the PL-FSFI items. All items clustered in a predicted fashion and had relatively high factor loadings, supporting the factoral validity of the PL-FSFI. Domain intercorrelations of the PL-FSFI were significantly high, ranging from (Table 6). The highest positive correlation was observed between the desire and arousal domains (r = 0.77), which is consistent with the factor analysis results described in the previous section. The discriminant validity of the PL-FSFI was calculated using the between-groups anova analysis. It revealed significant differences in mean scores for all domains as well as in the total scores (Table 7). Thus, the PL-FSFI demonstrated good discriminant validity. The concurrent validity of the PL-FSFI as measured by the Pearson s correlation coefficient between the overall sexual satisfaction assessed on 5-point Likert scale and the PL-FSFI was significant for all domains, ranging from r = 0.27 to 0.72 (Table 7).
5 Development of the Polish Version of the FSFI 5 Table 1 The general characteristic of the study population Variable FSD (N = 85) No FSD (N = 104) Total (N = 189) P * (FSD vs. no FSD) Age years (mean, SD, range) ( ) ( ) ( ) BMI (kg/m 2 ) WHR Age of the first intercourse years (mean, SD) Nr of lifetime sexual partners (median, upper/lower quartile) 2.0 ( ) 1.0 ( ) 2.0 ( ) 0.28 Marital satisfaction (5-point Likert scale) (mean, SD) Overall sexual satisfaction with a current partner (5-point Likert scale) (mean, SD) Duration of marriage/relationship years (mean, SD) Education (N, %) Primary 2 (2.38) 2 (1.92) 4 (2.13) 0.30 Secondary 57 (67.86) 80 (76.92) 137 (72.87) Tertiary 25 (29.75) 22 (21.15) 47 (25.00) Regular participation in religious practices Yes 50 (47.62) 54 (51.92) 104 (55.32) 0.66 No 44 (52.38) 50 (48.08) 84 (44.68) Marital state N (%) Married/Partnership 74 (87.06) 95 (92.23) 168 (89.37) 0.36 Single 11 (12.94) 8 (7.77) 20 (10.63) Residency (N, %) Rural 28 (37.33) 54 (55.10) 82 (47.40) 0.02 City (urban area) 47 (62.67) 44 (44.90) 91 (52.60) Monthly incomes per one family member (N, %) Unemployed 3 (3.57) 3 (2.94) 6 (3.23) 0.33 Up to (59.52) 71 (69.61) 121 (65.05) Up to 1, (35.71) 25 (24.51) 55 (29.57) Over 1,200 1 (1.19) 3 (2.94) 4 (2.15) Having a regular sexual partner (N, %) Yes 80 (94.12) 102 (98.08) 182 (96.30) 0.14 No 5 (5.88) 2 (1.92) 7 (3.70) Having children Yes 66 (98.51) 89 (94.68) 155 (96.27) 0.32 No 1 (1.49) 5 (5.32) 6 (3.73) Sexually active during last 4 weeks (N, %) Yes 73 (86.90) 97 (93.27) 170 (90.43) 0.11 No 11 (13.10) 7 (6.73) 18 (9.57) Menstrual status (N, %) Regular 72 (84.71) 95 (91.35) 167 (88.36) 0.36 Irregular 9 (10.59) 6 (5.77) 15 (7.94) Postmenopausal 4 (4.71) 3 (2.88) 7 (3.70) *ch2 test/fisher s exact test for the qualitative variables; Mann-Whitney U-test for the quantitative variables Sexual activity defined as any of the following: caressing, foreplay, masturbation and vaginal intercourse FSD = female sexual dysfunction; BMI = Body Mass Index; WHR = waist-to-hip ratio; SD = standard deviation The degree of association between the PL-FSFI scores and marital satisfaction assessed on 5-point Likert scale was calculated by Pearson product moment correlation (Table 8). These correlations were performed on the sample of 168 individuals who were in stable relationships, 74 of whom were in the FSD group and 95 of whom were controls. The analysis demonstrated that the correlations Table 2 The general characteristic of the studied population sexual health Domain Full sample FSD No FSD (N = 189) (N = 85) (N = 104) Mean, SD Mean, SD Mean, SD Desire Arousal Lubrication Orgasm Satisfaction Pain Full score Mean difference between FSD and No FSD
6 6 Nowosielski et al. Table 3 Internal consistency (Cronbach s alpha) of the Polish version of the Female Sexual Function Index (PL-FSFI) Domain Internal consistency (Cronbach s alpha) Full sample (N = 189) FSD (N = 85) No FSD (N = 104) Desire (Items 1 2) Arousal (Items 3 6) Lubrication (Items 7 10) Orgasm (Items 11 13) Satisfaction (Items 15 16) Pain (Items 17 19) Total (Items 1 19) Table 4 Test retest reliability (intraclass correlation coefficient [ICC]) of the Polish version of the Female Sexual Function Index (PL-FSFI) Domain Day 0 7 Day 0 28 Day 7 28 Intraclass Correlation Coefficients for full sample Desire (Items 1 2) Arousal (Items 3 6) Lubrication (Items 7 10) Orgasm (Items 11 13) Satisfaction (Items 15 16) Pain (Items 17 19) Total (Items 1 19) Intraclass Correlation Coefficients for FSD Desire (Items 1 2) Arousal (Items 3 6) Lubrication (Items 7 10) Orgasm (Items 11 13) Satisfaction (Items 15 16) Pain (Items 17 19) Total (Items 1 19) Intraclass Correlation Coefficients for no FSD Desire (Items 1 2) Arousal (Items 3 6) Lubrication (Items 7 10) Orgasm (Items 11 13) Satisfaction (Items 15 16) Pain (Items 17 19) Total (Items 1 19) were statistically significant, though generally modest in magnitude (low-moderate to very-lowmoderate). In both groups, the strongest overlap with marital satisfaction was observed for the satisfaction domain of the PL-FSFI. ROC analysis of the PL-FSFI total score showed that the AUC was 0.93 (CI: ) on day 0 (Figure 1). The optimal PL-FSFI cutoff score was found to be 27.50, yielding a 87.1% sensitivity, a 83.1% specificity, and a positive predictive value (PPV) of 86.3%. The suggested cutoff scores for individual domains are presented in Table 9. Discussion This study illustrated that the PL-FSFI has sufficient reliability and validity for use in screening for sexual problems in Polish women. To the authors knowledge, this study is the first to evaluate the psychometric validity of PL-FSFI in a population of Polish women. It should be emphasized that owing to the personal nature of the questionnaire, the present study was difficult to perform. In Poland, similar to other conservative countries like Iran, Taiwan, Malaysia, and Japan, sexuality is rarely a subject of scientific debate [12,15 17]. Most people consider sexual topics to be extremely private and are not willing to discuss them, neither with general practitioners nor with sexual health care professionals. Because studies on sexual function in Polish individuals are lacking, the authors research is of great importance, shedding new light on the sexual issues of Polish women [29,30]. The PL-FSFI showed only modest correlations with a measure of marital satisfaction that was Table 5 Principal component analysis with varimax rotation of the Polish version of the Female Sexual Function Index Factors Items F1 F2 F3 F4 F5 Desire: frequency 0.84* Desire: level 0.85* Arousal: frequency 0.67* Arousal: level 0.71* Arousal: confidence 0.64* Arousal: satisfaction 0.64* Lubrication: frequency * Lubrication: difficulty * Lubrication: frequency of * maintaining Lubrication: difficulty in * maintaining Orgasm: frequency * 0.26 Orgasm: difficulty * 0.45 Orgasm: satisfaction * 0.38 Satisfaction: with amount of * closeness with partner Satisfaction: with sexual * relationship Satisfaction: with overall * sex life Pain: frequency during * vaginal penetration Pain: frequency following * vaginal penetration Pain: level during or * following vaginal penetration Eigenvalue % of explained variance The highest factor loading in each principal component is shown with asterisk and shadings. F1 = desire/arousal; F2 = pain; F3 = satisfaction; F4 = orgasm; F5 = lubrication
7 Development of the Polish Version of the FSFI 7 Table 6 Domain intercorrelation (Pearson s r) Full sample Desire Arousal Lubrication Orgasm Satisfaction Pain Desire 1.00 Arousal 0.77* 1.00 Lubrication 0.51* 0.75* 1.00 Orgasm 0.48* 0.71* 0.74* 1.00 Satisfaction 0.59* 0.75* 0.65* 0.73* 1.,00 Pain 0.37* 0.59* 0.70* 0.62* 0.61* 1.00 No FSD Desire 1.00 Arousal 0.56* 1.00 Lubrication 0.29* 0.48* 1.00 Orgasm 0.24* 0.42* 0.52* 1.00 Satisfaction 0.35* 0.52* 0.33* 0.32* 1.00 Pain * 0.23* FSD Desire 1.00 Arousal 0.75* 1.00 Lubrication 0.47* 0.71* 1.00 Orgasm 0.31* 0.63* 0.71* 1.00 Satisfaction 0.46* 0.62* 0.56* 0.65* 1.00 Pain 0.024* 0.49* 0.67* 0.52* 0.43* 1.00 *P < 0.05 assessed by a single question. Divergence of the PL-FSFI from the marital satisfaction scores was greater for the FSD group than for the control group, for whom a moderately high correlation was noted between marital satisfaction and the global sexual satisfaction domain. Thus, for women with FSD, PL-FSFI scores seem to be independent of the influence of marital satisfaction and adjustment. Similar results were presented in the original validation of the FSFI [11]. Similarly to papers by Takahashi et al. and Fakhri et al. [12,17], the results of the authors research showed the strong correlations between the PL-FSFI domain scores and the overall sexual Table 7 PL-FSFI Discriminant validity FSD (N = 85) No FSD(N = 104) Items and domains Mean, SD Mean, SD P * Desire < Desire: frequency Desire: level Arousal < Arousal: frequency Arousal: level Arousal: confidence Arousal: satisfaction Lubrication < Lubrication: frequency Lubrication: difficulty Lubrication: frequency of maintaining Lubrication: difficulty in maintaining Orgasm < Orgasm: frequency Orgasm: difficulty Orgasm: satisfaction Satisfaction < Satisfaction: with amount of closeness with partner Satisfaction: with sexual relationship Satisfaction: with overall sex life Pain < Pain: frequency during vaginal penetration Pain: frequency following vaginal penetration Pain: level during or following vaginal penetration Full score < *P values for domain scores and full score were assessed by using between-group analysis of variances.
8 8 Nowosielski et al. Table 8 PL-FSFI domain characteristics: divergent and concurrent validity Full sample FSD No FSD Domain Pearson r P value Pearson r P value Pearson r P value Divergent validity with marital satisfaction Desire Arousal Lubrication Orgasm Satisfaction Pain Full scale Concurrent validity with overall sexual satisfaction Desire Arousal Lubrication Orgasm Satisfaction Pain Full scale Table 9 Suggested cutoff scores for individual domains of the Polish version of Female Sexual Function Index Domain Cutoff Sensitivity (%) Specificity (%) PPV (%) AUC Desire ( ) Arousal ( ) Lubrication ( ) Orgasm ( ) Satisfaction ( ) Pain ( ) satisfaction assessed on 5-point Likert scale indicating a sufficient concurrent validity of the PL-FSFI. The results demonstrated satisfactory internal consistencies of the PL-FSFI for all domains, with all Cronbach s a values over the threshold of 0.70, which is considered to be adequate-to-excellent reliability. The test retest reliability showed goodto-excellent ICC values, with the highest value between days 0 and 7 with a 30-day recall period. Similar results have been presented in recent studies on the FSFI validation in other countries [15 18] and in the original validation of the FSFI [11]. The strongest correlation value in the study sample was seen between the desire and arousal domains, consistent with the factor analysis results. Similar correlations were shown in the validation of the Malayan version of the FSFI and in the original validation of the FSFI for women with arousal disorders [10,16]. In contrast, Takahasi et al. in Japan and Fakhri et al. in Iran showed that in those countries the strongest correlations were between the lubrication and desire domains [12,17]. The PL-FSFI demonstrated the ability to discriminate between FSD subjects and healthy subjects. This indicates the satisfactory discriminant validity of the questionnaire, consistent with those of other publications [10,15 18]. The analysis of construct validity enabled the authors to establish a 5-factor model that incor- Sensitivity 1,0 0,8 0,6 0,4 0,2 0,0 0,0 0,2 0,4 0,6 0,8 1,0 1-Specificity Figure 1 ROC curve for total score of the PL-FSFI. PL-FSFI = Polish version of the Female Sexual Function Index; ROC = receiver operating characteristic
9 Development of the Polish Version of the FSFI 9 porates desire/arousal, lubrication, orgasm, satisfaction, and pain domains. The model explained 83.62% of the total variance in the PL-FSFI items. The described model is not in accordance with the clinical classification of FSD, which includes desire, arousal, lubrication, orgasm, pain, and satisfaction. However, the results do support the original 5-factor model proposed by Rosen et al. in their initial validation study [10]. A literature review reveals inconsistencies regarding models of factorial FSFI. Two recent validation studies conducted in Japan and the United Kingdom proposed best-fitting 5-factor models for the FSFI [17,31], whereas a Chinese study proposed a 6-factor model [18] and a Taiwanese study proposed a 3-factor model [15]. The nature of these discrepancies remains unknown. A possible explanation may be the influence of cultural differences in the perception of desire or arousal problems. Further studies are needed to investigate this issue. Based on the AUC analysis, the authors established a cutoff score for the PL-FSFI (27.50) that has a sensitivity of 87.1%, a specificity of 83.1%, and a PPV of 86.3%. Previous studies have suggested different cutoff values. Wiegel et al. [8] proposed a total score of to differentiate between FSD and healthy women. Safarinejad et al. suggested that scores <65% of the maximum achievable scores in each domain (scores below 3.9) and full-scale scores (scores below 23.4) were indicative of FSD [7], whereas the cutoff proposed in an Iranian study was In the authors opinion, these differences might be caused by a low level of knowledge regarding sexual function as well as the mentality of Polish women. Because sexual knowledge in Poland is poor, many women do not consider some sexual problems to be bothersome, and they might even perceive these problems to be part of normal sexual function. Additionally, sexuality is still unmentionable in Poland and most people are not willing to either discuss it or admit to having sexual problems [29,30]. Concerning single-domain cutoff values, a study by Sidi et al. in Malaysia [16] described different values, but they did not use the original scoring system published by Rosen et al. [10]. On the other hand, Gerstenberger et al. suggested a 5-point scale for women with hypoactive sexual desire disorders [20]. The authors did propose cutoff values for single domains of the FSFI, however, the small sample size of the study group did recommend these for use in Polish women. Further studies on a larger group are needed to cross-validate these cutoff values for single domains of the FSFI. Finally, this study had the following limitations. Firstly, the study sample was homogenous; only healthy women not taking any medications, including antihypertensive drugs or oral contraceptives (OCs), were included. Therefore, we should be cautious while applying the PL-FSFI to women with diseases or those taking OCs. Second, the study sample was too small to recommend the calculated cutoff values for single domains of the PL-FSFI in screening for FSD in Polish women. Thirdly, although the authors verified the degree of association between the PL-FSFI scores and marital adjustment (divergent validity), marital satisfaction was assessed using 5-point Likert scale but not with a validated questionnaire. Despite these limitations, the findings are in agreement with numerous previous validation studies on the FSFI. However, the authors suggest that further cross-validation studies of the PL-FSFI be conducted in women of different backgrounds and health conditions. Conclusions The PL-FSFI is a reliable questionnaire with good psychometric and discriminative validity. Therefore, it can be used as a tool for preliminary screening for FSD among Polish women. Funding None. Acknowledgments None. Corresponding Author: Krzysztof Nowosielski, MD, PhD, Department of Gynecology and Obstetrics, Specialist Teaching Hospital in Tychy, ul. Edukacji 102, Tychy, Poland. Tel: ; Fax: ; krzysnowosilcow@yahoo.com Disclosure of Interests: None. Statement of Authorship Category 1 (a) Conception and Design Krzysztof Nowosielski; Beata Wróbel; Urszula Sioma-Markowska; Ryszard Poręba (b) Acquisition of Data Krzysztof Nowosielski; Beata Wróbel; Urszula Sioma-Markowska; Ryszard Poręba
10 10 Nowosielski et al. (c) Analysis and Interpretation of Data Krzysztof Nowosielski; Beata Wróbel; Urszula Sioma-Markowska; Ryszard Poręba Category 2 (a) Drafting the Article Krzysztof Nowosielski; Beata Wróbel; Urszula Sioma-Markowska; Ryszard Poręba (b) Revising It for Intellectual Content Krzysztof Nowosielski; Ryszard Poręba Category 3 (a) Final Approval of the Completed Article Krzysztof Nowosielski; Beata Wróbel; Urszula Sioma-Markowska; Ryszard Poręba References 1 Laumann EO, Nicolosi A, Glasser DB, Paik A, Gingell C, Moreira E, Wang T; GSSAB Investigators Group. Sexual problems among women and men aged y: Prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 2005;17: Laumann EO, Glasser DB, Neves RC, Moreira ED Jr; GSSAB Investigators Group. A population-based survey of sexual activity, sexual problems and associated help-seeking behavior patterns in mature adults in the United States of America. Int J Impot Res 2009;21: Lewis RW, Fugl-Meyer KS, Corona G, Hayes RD, Laumann EO, Moreira ED Jr, Rellini AH, Segraves T. Definitions/ epidemiology/risk factors for sexual dysfunction. J Sex Med 2010;7(4 Pt 2): Laumann EO, Waite LJ. Sexual dysfunction among older adults: Prevalence and risk factors from a nationally representative U.S. probability sample of men and women years of age. J Sex Med 2008;5: Ferenidou F, Kapoteli V, Moisidis K, Koutsogiannis I, Giakoumelos A, Hatzichristou D. Presence of a sexual problem may not affect women s satisfaction from their sexual function. J Sex Med 2008;5: Hayes RD, Dennerstein L, Bennett CM, Fairley CK. What is the true prevalence of female sexual dysfunctions and does the way we assess these conditions have an impact? J Sex Med 2008;4: Nowosielski K, Drosdzol A, Sipiński A, Kowalczyk R, Skrzypulec V. Diabetes mellitus and sexuality does it really matter? J Sex Med 2010;7(2 Pt 1): Drosdzol A, Skrzypulec V. Evaluation of marital and sexual interactions of Polish infertile couples. J Sex Med 2009;6: Skrzypulec V, Drosdzol A. Evaluation of the quality of life and sexual functioning of women using a 30-mg ethinyloestradiol and 3-mg drospirenone combined oral contraceptive. Eur J Contracept Reprod Health Care 2008;13: Basson R, Wierman ME, van Lankveld J, Brotto L. Summary of the recommendations on sexual dysfunctions in women. J Sex Med 2010;7: Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D Agostino R. The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000;26: Fakhri A, Pakpour AH, Burri A, Morshedi H, Zeidi IM. The Female Sexual Function Index: Translation and validation of an Iranian version. J Sex Med 2012;9: Baser RE, Li Y, Carter J. Psychometric validation of the Female Sexual Function Index (FSFI) in cancer survivors. Cancer 2012;118: Verit FF, Verit A. Validation of the female sexual function index in women with chronic pelvic pain. J Sex Med 2007;4: Chang SR, Chang TC, Chen KH, Lin HH. Developing and validating a Taiwan version of the female sexual function index for pregnant women. J Sex Med 2009;6: Sidi H, Abdullah N, Puteh SE, Midin M. The Female Sexual Function Index (FSFI): Validation of the Malay version. J Sex Med 2007;4: Takahashi M, Inokuchi T, Watanabe C, Saito T, Kai I. The Female Sexual Function Index (FSFI): Development of a Japanese version. J Sex Med 2011;8: Sun X, Li C, Jin L, Fan Y, Wang D. Development and validation of Chinese version of female sexual function index in a Chinese population a pilot study. J Sex Med 2011;8: ter Kuile MM, Brauer M, Laan E. The Female Sexual Function Index (FSFI) and the Female Sexual Distress Scale (FSDS): Psychometric properties within a Dutch population. J Sex Marital Ther 2006;32: Gerstenberger EP, Rosen RC, Brewer JV, Meston CM, Brotto LA, Wiegel M, Sand M. Sexual desire and the female sexual function index (FSFI): A sexual desire cutpoint for clinical interpretation of the FSFI in women with and without hypoactive sexual desire disorder. J Sex Med 2010;7: Revicki DA, Margolis MK, Bush EN, DeRogatis LR, Hanes V. Content validity of the Female Sexual Function Index (FSFI) in pre- and postmenopausal women with hypoactive sexual desire disorder. J Sex Med 2011;8: Pauls RN, Occhino JA, Dryfhout VL. Effects of pregnancy on female sexual function and body image: A prospective study. J Sex Med 2008;5: Drosdzol A, Skrzypulec V, Celt D, Nowosielski K. The influence of endometriosis on the quality of sexual life. Ann Acad Med Siles 2006;60: Skrzypulec V, Olejek A, Drosdzol A, Nowosielski K, Kozak- Darmas I, Wloch S. Sexual functions and depressive symptoms after photodynamic therapy for vulvar lichen sclerosus in postmenopausal women from the Upper Silesian Region of Poland. J Sex Med 2009;6: Dąbrowska J, Drosdzol A, Skrzypulec V, Plinta R. Physical activity and sexuality in perimenopausal women. Eur J Contracept Reprod Health Care 2010;15: Drózdz W, Wojnar M, Araszkiewicz A, Nawacka-Pawlaczyk D, Urbański R, Cwiklińska-Jurkowska M, Rybakowski J. The study of the prevalence of depressive disorders in primary care patients in Poland. Wiad Lek 2007;60: American Psychiatric Association. DSM-IV-TR: Diagnostic and statistical manual of mental disorders. 4th edition. Text revision. Washington, DC: American Psychiatric Association; Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): Cross-validation and development of clinical cutoff scores. J Sex Marital Ther 2005;31: Izdebski Z. Polpharma report on sexuality of Polish people in the Internet Available at: assets/files/seks_polakow_w_internecie_materialy.pdf (accessed May 10, 2012). 30 Izdebski Z. Sexuality of Poles in the early 21st century. Research analysis. Krakow: Jagiellonian University Press; 2012: Burri A, Cherkas L, Spector T. Replication of psychometric properties of the FSFI and validation of a modified version (FSFI-LL) assessing lifelong sexual function in an unselected sample of females. J Sex Med 2010;7:
Development and Validation of the Korean Version of the Female Sexual Function Index-6 (FSFI-6K)
Original Article http://dx.doi.org/10.3349/ymj.2014.55.5.1442 pissn: 0513-5796, eissn: 1976-2437 Yonsei Med J 55(5):1442-1446, 2014 Development and Validation of the Korean Version of the Female Sexual
More informationSexuality of Disabled Athletes Depending on the Form of Locomotion
Journal of Human Kinetics volume 48/2015, 79-86 DOI: 10.1515/hukin-2015-0094 79 Sport and Disabled Individuals Theory and Practice Sexuality of Disabled Athletes Depending on the Form of Locomotion by
More informationKyle Richard Stephenson a & Cindy M. Meston a a The University of Texas at Austin, Psychology, Austin, Texas, USA
This article was downloaded by: [University of Texas at Austin] On: 16 January 2013, At: 11:58 Publisher: Routledge Informa Ltd Registered in England and Wales Registered Number: 1072954 Registered office:
More informationAssessment of sexual function by DSFI among the Iranian married individuals
Basic Research Journal of Medicine and Clinical Sciences ISSN 2315-6864 Vol. 4(2) pp. 68-74 February 2015 Available online http//www.basicresearchjournals.org Copyright 2015 Basic Research Journal Full
More informationAssessment of female sexual dysfunction: review of validated methods
FERTILITY AND STERILITY VOL. 77, NO. 4, SUPPL 4, APRIL 2002 Copyright 2002 American Society for Reproductive Medicine Published by Elsevier Science Inc. Printed on acid-free paper in U.S.A. Assessment
More informationFemale Sexuality Sheryl A. Kingsberg, Ph.D.
Female Sexuality Sheryl A. Kingsberg, Ph.D. Professor of Reproductive Biology Case Western Reserve University School of Medicine Chief, Division of Behavioral Medicine Department of OB/GYN University Hospitals
More informationBibliotherapy for Low Sexual Desire among Women: Evidence for Effectiveness. Laurie Mintz, Alexandra Balzer, & Hannah Bush. University of Missouri
Bibliotherapy for Low Sexual Desire among Women: Evidence for Effectiveness Laurie Mintz, Alexandra Balzer, & Hannah Bush University of Missouri Presented at the 118 th Convention of the American Psychological
More informationPrevalence of Women s Sexual Desire Problems: What Criteria Do We Use?
Arch Sex Behav (2013) 42:1073 1078 DOI 10.1007/s10508-013-0107-z ORIGINAL PAPER Prevalence of Women s Sexual Desire Problems: What Criteria Do We Use? Marita P. McCabe Denisa L. Goldhammer Received: 19
More informationCognitive-Behavioral Assessment of Depression: Clinical Validation of the Automatic Thoughts Questionnaire
Journal of Consulting and Clinical Psychology 1983, Vol. 51, No. 5, 721-725 Copyright 1983 by the American Psychological Association, Inc. Cognitive-Behavioral Assessment of Depression: Clinical Validation
More informationDATA GATHERING METHOD
DATA GATHERING METHOD Dr. Sevil Hakimi Msm. PhD. THE NECESSITY OF INSTRUMENTS DEVELOPMENT Good researches in health sciences depends on good measurement. The foundation of all rigorous research designs
More informationINTERNATIONAL JOURNAL OF WOMEN'S HEALTH AND REPRODUCTION SCIENCES
Original Article INTERNATIONAL JOURNAL OF WOMEN'S HEALTH AND REPRODUCTION SCIENCES http://www.ijwhr.net doi: 10.15296/ijwhr.2013.07 The Relationship Between Sexual Satisfaction and Education Levels in
More informationThe International Index of Erectile Function: A Methodological Critique and Suggestions for Improvement
Journal of Sex & Marital Therapy, 31:255 269, 2011 Copyright Taylor & Francis Group, LLC ISSN: 0092-623X print / 1521-0715 online DOI: 10.1080/0092623X.2011.582431 The International Index of Erectile Function:
More informationUsing an FSDS-R Item to Screen for Sexually Related
Using an FSDS-R Item to Screen for Sexually Related Distress: A MsFLASH Analysis The Harvard community has made this article openly available. Please share how this access benefits you. Your story matters
More informationSEXUAL DESIRE AND SEXUAL AROUSAL IN MALAYSIAN WOMEN: ARE THEY OF THE SAME ENTITY?
ORIGINAL ARTICLE SEXUAL DESIRE AND SEXUAL AROUSAL IN MALAYSIAN WOMEN: ARE THEY OF THE SAME ENTITY? Nik Ruzyanei Nik Jaafar*, Marhani Midin*, Sharifah Ezat Wan Puteh**, Ramli Musa***, Hatta Sidi* *Department
More informationConsequences of impaired female sexual functioning: Individual differences and associations with sexual distress
Sexual and Relationship Therapy Vol. 27, No. 4, November 2012, 344 357 Consequences of impaired female sexual functioning: Individual differences and associations with sexual distress Kyle R. Stephenson*
More informationPatient reported outcomes in the assessment of premature ejaculation
Review Article Patient reported outcomes in the assessment of premature ejaculation Stanley E. Althof 1,2 1 Center for Marital and Sexual Health of South Florida, West Palm Beach, FL 33401, USA; 2 Case
More informationPSYCHOLOGICAL TREATMENT FOR HYPOACTIVE SEXUAL DESIRE DISORDER (HSDD) IN MEN AND WOMEN
PSYCHOLOGICAL TREATMENT FOR HYPOACTIVE SEXUAL DESIRE DISORDER (HSDD) IN MEN AND WOMEN MARITA McCABE PhD FAPS DIRECTOR INSTITUTE FOR HEALTH AND AGEING SMSNA 207 Annual Scientific Meeting May 2, 207 Boston,
More informationDownloaded from jhs.mazums.ac.ir at 21: on Thursday November 1st 2018 [ DOI: /acadpub.jhs ]
Iranian Journal of Health Sciences 2014; 2(4): 46-51 Original Article http://jhs.mazums.ac.ir Comparison of Sexual Dysfunctions Among Employed Women and Housewives Attending s to Tabriz Counseling Crescent
More informationFemale&sexual& dysfunction&and& Interstitial&cystitis& Urology Grand Rounds November 14, 2012 Momoe Hyakutake, Urogynecology Fellow.
Female&sexual& dysfunction&and& Interstitial&cystitis& Urology Grand Rounds November 14, 2012 Momoe Hyakutake, Urogynecology Fellow Objectives& 1) Overview of female sexual dysfunction 2) Explore the relationship
More informationEpidemiology/Risk Factors of Sexual Dysfunction
35 Epidemiology/Risk Factors of Sexual Dysfunction Ronald W. Lewis, MD, a Kersten S. Fugl-Meyer, PhD, b R. Bosch, MD, c Axel R. Fugl-Meyer, PhD, b Edward O. Laumann, PhD, d E. Lizza, MD, e and Antonio
More informationORIGINAL RESEARCH ANATOMY/PHYSIOLOGY
2111 ORIGINAL RESEARCH ANATOMY/PHYSIOLOGY Cortisol, Sexual Arousal, and Affect in Response to Sexual Stimuli Lisa Dawn Hamilton, BA,* Alessandra H. Rellini, PhD, and Cindy M. Meston, PhD* *Department of
More informationMeasuring Perceived Social Support in Mexican American Youth: Psychometric Properties of the Multidimensional Scale of Perceived Social Support
Marquette University e-publications@marquette College of Education Faculty Research and Publications Education, College of 5-1-2004 Measuring Perceived Social Support in Mexican American Youth: Psychometric
More informationIs Female Sexual Dysfunction Related to Personality and Coping? An Exploratory Study
Is Female Sexual Dysfunction Related to Personality and Coping? An Exploratory Study Catrina C. Crisp, MD, MSc,* Christine M. Vaccaro, DO,* Apurva Pancholy, MD,* Steve Kleeman, MD,* Angela N. Fellner,
More informationRecent and Lifelong Sexual Dysfunction in a Female UK Population Sample: Prevalence and Risk Factorsjsm_
2420 ORIGINAL RESEARCH EPIDEMIOLOGY Recent and Lifelong Sexual Dysfunction in a Female UK Population Sample: Prevalence and Risk Factorsjsm_2341 2420..2430 Andrea Burri, PhD* and Timothy Spector, Professor*
More informationCHAPTER 2 CRITERION VALIDITY OF AN ATTENTION- DEFICIT/HYPERACTIVITY DISORDER (ADHD) SCREENING LIST FOR SCREENING ADHD IN OLDER ADULTS AGED YEARS
CHAPTER 2 CRITERION VALIDITY OF AN ATTENTION- DEFICIT/HYPERACTIVITY DISORDER (ADHD) SCREENING LIST FOR SCREENING ADHD IN OLDER ADULTS AGED 60 94 YEARS AM. J. GERIATR. PSYCHIATRY. 2013;21(7):631 635 DOI:
More informationWomen s sexual desire, arousal, and orgasm. Women s Sexual Desire and Arousal Disordersjsm_
586 Women s Sexual Desire and Arousal Disordersjsm_1630 586..614 Lori A. Brotto, PhD,* Johannes Bitzer, MD, PhD, Ellen Laan, PhD, Sandra Leiblum, PhD, and Mijal Luria, MD *Department of Obstetrics and
More informationREVIEW Assessment of sexual function/dysfunction via patient reported outcomes
(2008) 20, 35 44 & 2008 Nature Publishing Group All rights reserved 0955-9930/08 $30.00 www.nature.com/ijir REVIEW via patient reported outcomes Center for Sexual Medicine, Sheppard Pratt Health System
More informationDose-response relationship between cigarette smoking and female sexual dysfunction
Original Article Obstet Gynecol Sci 2015;58(4):302-308 http://dx.doi.org/10.5468/ogs.2015.58.4.302 pissn 2287-8572 eissn 2287-8580 Dose-response relationship between cigarette smoking and female sexual
More informationValidation and Reliability of a Thai Version of the International Index of Erectile Dysfunction (IIEF) for Thai Population
Validation and Reliability of a Thai Version of the International Index of Erectile Dysfunction (IIEF) for Thai Population Premsant Sangkum MD*, Chakrit Sukying MD**, Wit Viseshsindh MD*, Wachira Kochakarn
More informationThe Somatic Symptom Disorder B Criteria Scale (SSD-12) in a Dutch Clinical Sample. A validation study.
The Somatic Symptom Disorder B Criteria Scale (SSD-12) in a Dutch Clinical Sample. A validation study. C.A.D. Kamp 1,2, L. de Vroege 1,2, J. F. van Eck van der Sluijs 1,2, W.J. Kop 3, & C.M. van der Feltz-
More informationClinical Study Synopsis
Clinical Study Synopsis This Clinical Study Synopsis is provided for patients and healthcare professionals to increase the transparency of Bayer's clinical research. This document is not intended to replace
More informationReview of Various Instruments Used with an Adolescent Population. Michael J. Lambert
Review of Various Instruments Used with an Adolescent Population Michael J. Lambert Population. This analysis will focus on a population of adolescent youth between the ages of 11 and 20 years old. This
More informationValidity and reliability of a 36-item problemrelated distress screening tool in a community sample of 319 cancer survivors
Validity and reliability of a 36-item problemrelated distress screening tool in a community sample of 319 cancer survivors Melissa Miller 1, Joanne Buzaglo 1, Kasey Dougherty 1, Vicki Kennedy 1, Julie
More informationEvaluating the Greek Version of Religious Commitment Inventory-10 on a Sample of Pomak Households
(Volume 12, Issue 2/2016), pp. 5-11 Evaluating the Greek Version of Religious Commitment Inventory-10 on a Sample of Pomak Households Nikolaos Satsios 1+ 1 University of Nicosia, Cyprus Abstract. The aim
More informationThe use of the simplified International Index of Erectile Function (IIEF-5) as a diagnostic tool to study the prevalence of erectile dysfunction
(2002) 14, 245 250 ß 2002 Nature Publishing Group All rights reserved 0955-9930/02 $25.00 www.nature.com/ijir The use of the simplified International Index of Erectile Function (IIEF-5) as a diagnostic
More informationCross-cultural adaptation and validation of the English version of the International Index of Erectile Function (IIEF) for use in Malaysia
(2003) 15, 329 336 & 2003 Nature Publishing Group All rights reserved 0955-9930/03 $25.00 www.nature.com/ijir Cross-cultural adaptation and validation of the English version of the International Index
More informationClinical evaluation of Tentex forte and Himcolin cream in the treatment of functional erectile dysfunction
Medicine Update (2004): 11(9), 47-51 Clinical evaluation of Tentex forte and Himcolin cream in the treatment of functional erectile dysfunction Dr. Roumen Bostandjiev, Ph.D. Founder and Director of Sexology
More informationPsychometric Validation of the Female Sexual Function Index (FSFI) in Cancer Survivors
Psychometric Validation of the Female Sexual Function Index (FSFI) in Cancer Survivors Raymond E. Baser, MS 1 ; Yuelin Li, PhD 1,2 ; and Jeanne Carter, PhD 2,3 BACKGROUND: The Female Sexual Function Index
More informationPsychometric properties of the Chinese quality of life instrument (HK version) in Chinese and Western medicine primary care settings
Qual Life Res (2012) 21:873 886 DOI 10.1007/s11136-011-9987-3 Psychometric properties of the Chinese quality of life instrument (HK version) in Chinese and Western medicine primary care settings Wendy
More informationRelationship Between Exercise/PA and Sexual Satisfaction among Women. Duston Morris, PhD, MS, CHES Alexandra Marshall, PhD, MPH, CHES
Relationship Between Exercise/PA and Sexual Satisfaction among Women Duston Morris, PhD, MS, CHES Alexandra Marshall, PhD, MPH, CHES Presenter Disclosures Duston Morris, PhD, MS, CHES Alexandra Marshall,
More informationSexual Dysfunction in Breast Cancer: A Case-Control Study
Original Article Open Access DOI: 10.19187/abc.20152115-20 Sexual Dysfunction in Breast Cancer: A Case-Control Study a a b b c Mandana Ebrahimi*, Shahpar Haghighat, Neda Mehrdad, Asiie Olfatbakhsh, Ali
More informationSexual Functioning among Women with and without Diabetes in the Boston Area Community Health Studyjsm_
Sexual Functioning among Women with and without Diabetes in the Boston Area Community Health Studyjsm_1510 881..887 881 Lauren P. Wallner, MPH,* Aruna V. Sarma, PhD, MPH, and Catherine Kim, MD, MPH *Departments
More informationThe Relationship between Domestic Violence and Women s Sexual Function in the City of Puntianak
The Relationship between Domestic Violence and Women s Sexual Function in the City of Puntianak Lidia Hastuti 1, Suriadi 2, Tutur Kardiatun 1, Titan Ligita 2 1 Muhammadiyah School of Nursing, Pontianak,
More informationSexological aspects of genital pain
Sexological aspects of genital pain Annamaria Giraldi, professor, MD, PHD Sexological Clinic, Psychiatric Centre Copenhagen 1 Disclosures Speaker: Eli Lilly, Pfizer Consultant: Eli Lilly,Palatin 2 Agenda
More informationHubley Depression Scale for Older Adults (HDS-OA): Reliability, Validity, and a Comparison to the Geriatric Depression Scale
The University of British Columbia Hubley Depression Scale for Older Adults (HDS-OA): Reliability, Validity, and a Comparison to the Geriatric Depression Scale Sherrie L. Myers & Anita M. Hubley University
More informationEXPLORING CASINO GAMBLING IMPACT PERCEPTIONS: A GENDERED SOCIAL EXCHANGE THEORY APPROACH
University of Massachusetts Amherst ScholarWorks@UMass Amherst Tourism Travel and Research Association: Advancing Tourism Research Globally 2007 ttra International Conference EXPLORING CASINO GAMBLING
More information3 Moniek ter Kuile, Philomeen Weijenborg and Philip Spinhoven.
Adapted from J Sex Med 2009, Aug 12 [Epub ahead of print] Sexual functioning in women with chronic pelvic pain: the role of anxiety and depression 3 Moniek ter Kuile, Philomeen Weijenborg and Philip Spinhoven.
More informationChapter 3. Psychometric Properties
Chapter 3 Psychometric Properties Reliability The reliability of an assessment tool like the DECA-C is defined as, the consistency of scores obtained by the same person when reexamined with the same test
More informationRelationship Satisfaction as a Predictor of Treatment Response During Cognitive Behavioral Sex Therapy
Arch Sex Behav (2013) 42:143 152 DOI 10.1007/s10508-012-9961-3 ORIGINAL PAPER Relationship Satisfaction as a Predictor of Treatment Response During Cognitive Behavioral Sex Therapy Kyle R. Stephenson Alessandra
More informationValidity and Reliability of Sport Satisfaction
International Research Journal of Applied and Basic Sciences 2014 Available online at www.irjabs.com ISSN 2251-838X / Vol, 8 (10): 1782-1786 Science Explorer Publications Validity and Reliability of Sport
More informationCHAPTER VI RESEARCH METHODOLOGY
CHAPTER VI RESEARCH METHODOLOGY 6.1 Research Design Research is an organized, systematic, data based, critical, objective, scientific inquiry or investigation into a specific problem, undertaken with the
More informationCues Resulting in Desire for Sexual Activity in Women
Blackwell Publishing IncMalden, USAJSMJournal of Sexual Medicine1743-6095 2006 International Society for Sexual Medicine200635838852Original ArticleCues Resulting in Desire for Sexual ActivityMcCall and
More informationVULVODYNIA: OVERVIEW AND ASSESSMENT OF PAIN OUTCOMES and IMPLICATIONS FOR INCLUSION CRITERIA
VULVODYNIA: OVERVIEW AND ASSESSMENT OF PAIN OUTCOMES and IMPLICATIONS FOR INCLUSION CRITERIA ANDREA RAPKIN M.D. PROFESSSOR OF OBSTETRICS AND GYNECOLOGY Vulvodynia Most recent nomenclature was developed
More informationDepartment of Sociology and Population Research Center, University of Chicago, Chicago, IL, USA
2300 Sexual Dysfunction among Older Adults: and Risk Factors from a Nationally Representative U.S. Probability Sample of Men and Women 57 85 Years of Age Edward O. Laumann, PhD, Aniruddha Das, MA, and
More informationSexuality and Diabetes... Prof.Pemra C. Unalan Marmara University School of Medicine, Department of Family Medicine Istanbul-Turkey
Sexuality and Diabetes... Prof.Pemra C. Unalan Marmara University School of Medicine, Department of Family Medicine Istanbul-Turkey Some important lines about Sexuality and Diabetes... Previous research
More informationDesign and Preliminary Validation of an Instrument to Measure Medical Student Attitudes Toward the Homeless
Design and Preliminary Validation of an Instrument to Measure Medical Student Attitudes Toward the Homeless David S. Buck, MD, MPH F. Marconi Monteiro, EdD Suzanne Kneuper, MA Dana L. Clark, MD Allegra
More informationCHAPTER 3. Research Methodology
CHAPTER 3 Research Methodology The research studies the youth s attitude towards Thai cuisine in Dongguan City, China in 2013. Researcher has selected survey methodology by operating under procedures as
More informationConfirmatory Factor Analysis of the Sexual Adjustment and Body Image Scale in Women With Gynecologic Cancer
Confirmatory Factor Analysis of the Sexual Adjustment and Body Image Scale in Women With Gynecologic Cancer Sarah E. Ferguson, MD 1 ; Sara Urowitz, PhD 2,3 ; Christine Massey, MSc 4 ; Marie Wegener, MD
More informationAddyi (flibanserin) When Policy Topic is covered Coverage of Addyi is recommended in those who meet the following criteria:
Addyi (flibanserin) Policy Number: 5.01.605 Last Review: 10/2018 Origination: 10/2015 Next Review: 10/2019 Policy Blue Cross and Blue Shield of Kansas City (Blue KC) will provide coverage for Addyi when
More informationWhen first published in 1992, the Research Diagnostic
The Research Diagnostic Criteria for Temporomandibular Disorders. IV: Evaluation of Psychometric Properties of the Axis II Measures Richard Ohrbach, DDS, PhD Associate Professor Department of Oral Diagnostic
More informationMaking a psychometric. Dr Benjamin Cowan- Lecture 9
Making a psychometric Dr Benjamin Cowan- Lecture 9 What this lecture will cover What is a questionnaire? Development of questionnaires Item development Scale options Scale reliability & validity Factor
More informationCaspian Journal of Reproductive Medicine
Caspian J Reprod Med, 2015, 1(3): 2-6 Original article Caspian Journal of Reproductive Medicine Journal homepage: www.caspjrm.ir Sexual dysfunction in men seeking infertility treatment: The prevalence
More informationThe influence on women's sexual functions of education given according to the PLISSIT model after hysterectomy
Available online at www.sciencedirect.com Procedia - Social and Behavioral Sciences 47 ( 2012 ) 2000 2004 CY-ICER 2012 The influence on women's sexual functions of education given according to the PLISSIT
More informationCross-cultural study of person-centred quality of life domains and indicators: a replication
734 Journal of Intellectual Disability Research volume 49 part 10 pp 734 739 october 2005 Blackwell Science, LtdOxford, UKJIRJournal of Intellectual Disability Research0964-2633Blackwell Publishing Ltd,
More informationSelf-Compassion, Perceived Academic Stress, Depression and Anxiety Symptomology Among Australian University Students
International Journal of Psychology and Cognitive Science 2018; 4(4): 130-143 http://www.aascit.org/journal/ijpcs ISSN: 2472-9450 (Print); ISSN: 2472-9469 (Online) Self-Compassion, Perceived Academic Stress,
More informationThe DSM Diagnostic Criteria for Female Sexual Arousal Disorder. Cynthia A. Graham 1,2
The DSM Diagnostic Criteria for Female Sexual Arousal Disorder Cynthia A. Graham 1,2 1 Oxford Doctoral Course in Clinical Psychology, Warneford Hospital, Oxford, England 2 To whom correspondence should
More informationI have no disclosures to report. Addressing Female Sexual Needs. Sexual health. Objectives. WHO definition of sexual health:
Addressing Female Sexual Needs I have no disclosures to report Essentials of Women s Health Conference Big Island, Hawaii July 2016 Jennifer Kerns, MD, MS, MPH Assistant Professor, UCSF Department of Obstetrics,
More informationThe Impact of Premenstrual Disorders on Healthrelated Quality of Life (HRQOL)
The Impact of Premenstrual Disorders on Healthrelated Quality of Life (HRQOL) Fahime Maleki 1, Abbas Pourshahbaz 2 *, Abbasali Asadi 4, Afsane Yoosefi 4 1. Clinical Psychology Department, University of
More informationMeasurement of Male and Female Sexual Dysfunction
Measurement of Male and Female Sexual Dysfunction Raymond C. Rosen, PhD Address Department of Psychiatry, UMDNJ-Robert Wood Johnson Medical School, 675 Hoes Lane, Piscataway, NJ 08854, USA. E-mail: rosen@umdnj.edu
More informationSexual Dysfunction in Women with Breast Cancer: An Internet-Based Intervention. Leslie R. Schover, PhD Department of Behavioral Science
Sexual Dysfunction in Women with Breast Cancer: An Internet-Based Intervention Leslie R. Schover, PhD Department of Behavioral Science SEXUAL PROBLEMS RANK HIGH AMONG UNMET NEEDS OF SURVIVORS SEXUAL PROBLEMS
More informationPSYCHOLOGY, PSYCHIATRY & BRAIN NEUROSCIENCE SECTION
Pain Medicine 2015; 16: 2109 2120 Wiley Periodicals, Inc. PSYCHOLOGY, PSYCHIATRY & BRAIN NEUROSCIENCE SECTION Original Research Articles Living Well with Pain: Development and Preliminary Evaluation of
More informationReliability and Validity Assessment of Multi-Dimensional Sexual Self- Concept Questionnaire in Iran
Iranian Journal of Military Medicine Vol. 14, No. 4, Winter 2013; 249-24 Reliability and Validity Assessment of Multi-Dimensional Sexual Self- Concept Questionnaire in Iran Ramezani MA. 1,2 PhD, Ghaemmaghami
More informationGynecologic Oncology
Gynecologic Oncology 125 (2012) 320 325 Contents lists available at SciVerse ScienceDirect Gynecologic Oncology journal homepage: www.elsevier.com/locate/ygyno A brief mindfulness-based cognitive behavioral
More informationFemale sexual dysfunction: Definition, classification, and debates
Available online at www.sciencedirect.com Taiwanese Journal of Obstetrics & Gynecology 52 (2013) 3e7 Review Article Female sexual dysfunction: Definition, classification, and debates Ching-Hui Chen a,b,c,
More informationEndometriosis, pelvic pain, and psychological functioning
FERTILITY AND STERILITY Vol. 63. No.4. April 1995 Copyright 1995 American Society for Reproductive Medicine Printed on acid-free paper in U. s. A. Endometriosis, pelvic pain, and psychological functioning
More informationInfertility services reported by men in the United States: national survey data
MALE FACTOR Infertility services reported by men in the United States: national survey data John E. Anderson, Ph.D., Sherry L. Farr, Ph.D., M.S.P.H., Denise J. Jamieson, M.D., M.P.H., Lee Warner, Ph.D.,
More informationQuality of life and marital sexual satisfaction in women with polycystic ovary syndrome
FOLIA HISTOCHEMICA ET CYTOBIOLOGICA Vol. 45, Supp. 1, 2007 pp. 93-97 Quality of life and marital sexual satisfaction in women with polycystic ovary syndrome Agnieszka Drosdzol 1, Violetta Skrzypulec 1,
More informationFollow this and additional works at: https://uknowledge.uky.edu/rehabsci_facpub Part of the Rehabilitation and Therapy Commons
University of Kentucky UKnowledge Rehabilitation Sciences Faculty Publications Rehabilitation Sciences 1-2016 Specificity of the Minimal Clinically Important Difference of the Quick Disabilities of the
More informationISSN X Journal of Educational and Social Research Vol. 2 (8) October 2012
The Investigation of Czech Lower Secondary School Pupils Toward Science Subjects Milan Kubiatko Doi:10.5901/jesr.2012.v2n8p11 Institute for Research in School Education, Masaryk University, Brno,Czech
More informationImpact of Delivery Types on Women s Postpartum Sexual Health
Reproduction & Contraception (2003) 14 (4):237~242 Impact of Delivery Types on Women s Postpartum Sexual Health Huan-ying WANG 1, Xiao-yang XU 2, Zhen-wei YAO 1, Qin ZHOU 1 Key words: postpartum; sexual
More informationInternational Index of Erectile Function Questionnaire IIEF
International Index of Erectile Function Questionnaire IIEF Instructions: These questions ask about the effects your erections have had on your sex life, over the past 4 weeks. Please answer the following
More informationTable S1. Search terms applied to electronic databases. The African Journal Archive African Journals Online. depression OR distress
Supplemental Digital Content to accompany: [authors]. Reliability and validity of depression assessment among persons with HIV in sub-saharan Africa: systematic review and metaanalysis. J Acquir Immune
More informationDevelopment and Evaluation of Korean Version of Quality of Sexual Function (QSF-K) in Healthy Korean Women
ORIGINAL ARTICLE Medicine General & Social Medicine http://dx.doi.org/10.3346/jkms.2014.29.6.58 J Korean Med Sci 2014; 29: 58-63 Development and Evaluation of Korean Version of Quality of Sexual Function
More informationalternate-form reliability The degree to which two or more versions of the same test correlate with one another. In clinical studies in which a given function is going to be tested more than once over
More informationCHAPTER VI SUMMARY AND CONCLUSIONS
CHAPTER VI SUMMARY AND CONCLUSIONS Infertility is not an absolute condition. The ability to conceive varies with each cycle, environmental circumstances and treatment options. Women may find themselves
More informationThe relationship of male condoms and withdrawal contraceptive methods with female sexual function and satisfaction: a cross sectional study
International Journal of Reproduction, Contraception, Obstetrics and Gynecology Tadayon M et al. Int J Reprod Contracept Obstet Gynecol. 216 Aug;5(8):2629-2633 www.ijrcog.org pissn 232-177 eissn 232-1789
More informationThe Relationship between Personality Dimensions and Religious Orientation
202 2nd International Conference on Social Science and Humanity IPEDR vol.3 (202) (202) IACSIT Press, Singapore The Relationship between Personality Dimensions and Religious Orientation Hadi Bahrami Ehsan
More informationWomen s Sexual Interest/Desire Disorder : Implications of New Definition
Women s Sexual Interest/Desire Disorder : Implications of New Definition Rosemary Basson MD FRCP(UK) Vancouver General Hospital University of British Columbia Vancouver, Canada 1 New Model of Sex Response
More informationDisease (diabetic neuropathy, multiple sclerosis, tumors, and, rarely, tertiary syphilis)
COURSES ARTICLE - THERAPYTOOLS.US Individual Planning: A Treatment Plan Overview for Adult Men with Sexual Performance Problems Individual Planning: A Treatment Plan Overview for Adult Men with Sexual
More informationCover Page. The handle holds various files of this Leiden University dissertation
Cover Page The handle http://hdl.handle.net/1887/28958 holds various files of this Leiden University dissertation Author: Keurentjes, Johan Christiaan Title: Predictors of clinical outcome in total hip
More informationDr.Anjalakshi Chandrasekar M.D.,D.G.O.,Ph.D Prof & HOD Dept.of Obstetrics & Gynaecology S.R.M.Medical College Potheri
Dr.Anjalakshi Chandrasekar M.D.,D.G.O.,Ph.D Prof & HOD Dept.of Obstetrics & Gynaecology S.R.M.Medical College Potheri Adolescent Adolescence is defined as Universal phenomenon of human development characterised
More informationTHE BIG QUESTION NEW INSIGHTS INTO FEMALE SEXUAL DESIRE DISORDERS SEXUAL DESIRE DISORDERS - COMMON IN WOMEN
NEW INSIGHTS INTO FEMALE SEXUAL DESIRE DISORDERS DISCLOSURES - NIL Dr Rosie King MB BS FAChSHM OUTLINE Prevalence of desire disorders in women Libido and limerence Unrealistic Sexpectations impact of the
More informationSexual Side Aspects of Incontinence - Suburethral Sling Surgery - in Women:
Sexual Side Aspects of Incontinence - Suburethral Sling Surgery - in Women: Irwin Goldstein MD Director, Sexual Medicine, Alvarado Hospital, San Diego, California Clinical Professor of Surgery, University
More informationFactorial Validity and Reliability of 12 items General Health Questionnaire in a Bhutanese Population. Tshoki Zangmo *
Factorial Validity and Reliability of 12 items General Health Questionnaire in a Bhutanese Population Tshoki Zangmo * Abstract The aim of this study is to test the factorial structure and the internal
More informationFeeling well and talking about sex: psycho-social predictors of sexual functioning after cancer
Perz et al. BMC Cancer 2014, 14:228 RESEARCH ARTICLE Open Access Feeling well and talking about sex: psycho-social predictors of sexual functioning after cancer Janette Perz *, Jane M Ussher, Emilee Gilbert
More informationSexual function in first-time contraceptive ring and contraceptive patch users
CONTRACEPTION Sexual function in first-time contraceptive ring and contraceptive patch users Clarisa R. Gracia, M.D., M.S.C.E., a Mary D. Sammel, Sc.D., b Sarah Charlesworth, B.Sc., C.C.R.C., a Hui Lin,
More informationCh. 11 Measurement. Measurement
TECH 646 Analysis of Research in Industry and Technology PART III The Sources and Collection of data: Measurement, Measurement Scales, Questionnaires & Instruments, Sampling Ch. 11 Measurement Lecture
More informationHighlights of the Research Consortium 2002 Non-Clinical Sample Study
A RESEARCH REPORT OF THE RESEARCH CONSORTIUM OF COUNSELING & PSYCHOLOGICAL SERVICES IN HIGHER EDUCATION Highlights of the Research Consortium 2002 Non-Clinical Sample Study by Lisa K. Kearney and Augustine
More informationRESULTS. Chapter INTRODUCTION
8.1 Chapter 8 RESULTS 8.1 INTRODUCTION The previous chapter provided a theoretical discussion of the research and statistical methodology. This chapter focuses on the interpretation and discussion of the
More informationJSM Sexual Medicine. Central INTRODUCTION
JSM Sexual Medicine Research Article Sexual Function and the Information Needs of Women after Risk-Reducing Salpingo- Oophorectomy Paige E. Tucker 1,2 *, Thomas Jewell 3, Max K. Bulsara 4, Jason Jit- Sun
More information