Rogers R G, Kammerer-Doak D, Villarreal A, Coates K, Qualls C
Department of Obstetrics and Gynecology, University of New Mexico Health Sciences Center, Alburquerque, NM 87131, USA.
Am J Obstet Gynecol. 2001 Mar;184(4):552-8. doi: 10.1067/mob.2001.111100.
Our aim was to develop a condition-specific, reliable, validated, and self-administered instrument to evaluate sexual function in women with pelvic organ prolapse or urinary incontinence.
The questionnaire was designed after review of the literature and of nonspecific validated instruments. The study was completed in 2 phases. In phase 1 a total of 83 women completed both our questionnaire and the Incontinence Impact Questionnaire-7, with 20 women undergoing test-retest reliability analyses. Item analysis was based on the internal consistency, the correlations with the Incontinence Impact Questionnaire-7, the patient's age and self-rating of satisfaction, and the results of reliability testing. For final validation the questionnaire was administered in phase 2 to 99 women. Factor and item analyses were repeated, results were correlated with the Sexual History Form-12, and comparison was made between patients with high depression scores and those with low depression scores on the Symptom Questionnaire.
Factor analysis identified 3 domains, labeled Behavioral/Emotive, Physical, and Partner-Related. Sexual function scores were highly correlated with scores on the Sexual History Form-12 for the questionnaire (r = -0.74; P <.001) and for both the Behavioral/Emotive and the Partner-Related domains (r = -0.79 and -0.5, respectively; P <.001). The Physical domain was correlated with scores on the Incontinence Impact Questionnaire-7 (r = -0.63; P <.001). Women with high depression scores on the Symptom Questionnaire had significantly lower scores on the final questionnaire, in comparison with women without depression (P <.001).
We developed a condition-specific, validated, and reliable instrument, containing 31 items divided into 3 domains, to evaluate sexual functioning in women with urinary incontinence or pelvic organ prolapse.
我们的目标是开发一种针对特定情况、可靠、经过验证且可自行填写的工具，用于评估盆腔器官脱垂或尿失禁女性的性功能。
该问卷是在查阅文献和非特异性经过验证的工具后设计的。研究分两个阶段完成。在第一阶段，共有83名女性完成了我们的问卷和尿失禁影响问卷-7，其中20名女性接受了重测信度分析。项目分析基于内部一致性、与尿失禁影响问卷-7的相关性、患者年龄和自我满意度评分以及信度测试结果。为进行最终验证，在第二阶段将问卷发放给99名女性。重复进行因子和项目分析，将结果与性病史表格-12进行相关性分析，并比较症状问卷中抑郁评分高的患者和抑郁评分低的患者。
因子分析确定了3个领域，分别标记为行为/情感、身体和伴侣相关。该问卷的性功能评分与性病史表格-12的评分高度相关（r = -0.74；P <.001），行为/情感和伴侣相关领域的评分也高度相关（分别为r = -0.79和-0.5；P <.001）。身体领域与尿失禁影响问卷-7的评分相关（r = -...
