Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
J Sex Med. 2011 Apr;8(4):1101-11. doi: 10.1111/j.1743-6109.2010.02171.x. Epub 2011 Jan 14.
Female sexual dysfunction (FSD) is a prevalent problem that has been continuously overlooked in mainland China. An assessment instrument for FSD is urgently needed.
To develop and validate the Chinese version of the Female Sexual Function Index (CVFSFI) to assess FSD in China.
A total of 328 women (20-65 years old) participated in this study. The CVFSFI was developed through the procedures of translation, back translation, revision by research team, and pilot study. After an interview for clinical diagnosis of FSD based on Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria, all participants completed the CVFSFI for a validation study. Eighty-three women completed CVFSFI again 3-4 weeks after the first visit. Test-retest reliability was determined by Pearson product-moment correlations. Internal consistency reliability was estimated with Cronbach's alpha coefficient. Construct validity was evaluated by principal component analysis using varimax rotation. Discriminant validity was assessed with between-groups analysis of variance.
Including the reliability and the validity of the CVFSFI and its domains.
A total of 172 women (52.4%) met the DSM-IV-TR criteria for diagnosis of sexual dysfunction and were included in the FSD group, while 156 (47.6%) women without FSD were included in the control group. We showed that the overall test-retest reliability coefficients were high for total CVFSFI and each domain (r at least 0.69) and the internal consistency reliability of CVFSFI was within the acceptable range (Cronbach's alpha values: from 0.69 to 0.94). Moreover, the principal component analysis with varimax rotation produced six-factor structure similar to the original FSFI. We found significant differences in both total and domain scores between FSD and control groups, demonstrating a good discriminant validity of CVFSFI.
The CVFSFI is a reliable and valid questionnaire, which can be used in the assessment of FSD among Chinese women.
女性性功能障碍（FSD）是一个普遍存在的问题，在中国大陆一直被忽视。目前迫切需要一种评估 FSD 的工具。
开发并验证中文版女性性功能指数（CVFSFI），以评估中国女性的 FSD。
共有 328 名年龄在 20-65 岁的女性参与了这项研究。CVFSFI 通过翻译、回译、研究团队修订和预试验程序进行开发。在根据《精神障碍诊断与统计手册》第四版修订版（DSM-IV-TR）标准进行基于访谈的 FSD 临床诊断后，所有参与者都完成了 CVFSFI 验证研究。83 名女性在首次就诊后 3-4 周再次完成 CVFSFI。通过 Pearson 积矩相关系数确定测试-重测信度。采用 Cronbach's alpha 系数评估内部一致性信度。采用最大方差旋转的主成分分析评估结构效度。采用方差分析进行组间分析评估判别效度。
包括 CVFSFI 及其各领域的信度和效度。
共有 172 名（52.4%）女性符合 DSM-IV-TR 性功能障碍诊断标准，被纳入 FSD 组，而 156 名（47.6%）无性功能障碍的女性被纳入对照组。结果显示，CVFSFI 总分和各领域的总测试-重测信度系数均较高（r 至少为 0.69），CVFSFI 的内部一致性信度在可接受范围内（Cronbach's alpha 值：0.69-0.94）。此外，最大方差旋转的主成分分析产生了与原始 FSFI 相似的六因素结构。我们发现 FSD 组和对照组在总分和各领域得分上均存在显著差异，表明 CVFSFI 具有良好的判别效度。
CVFSFI 是一种可靠有效的问卷，可用于评估中国女性的 FSD。
