女性性功能指数的阿拉伯语翻译及其在埃及人群中的验证。
Arabic translation of Female Sexual Function Index and validation in an Egyptian population.
机构信息
Kasr Al-Eini School of Medicine, Cairo University, Department of Andrology, Cairo, Egypt.
出版信息
J Sex Med. 2011 Dec;8(12):3370-8. doi: 10.1111/j.1743-6109.2011.02471.x. Epub 2011 Oct 13.
INTRODUCTION
Female sexual dysfunction (FSD) is a prevalent health problem that has been inadequately investigated in the Arab world. An Arabic assessment instrument for FSD is urgently needed.
AIM
To validate the Arabic version of the Female Sexual Function Index (ArFSFI).
METHODS
This is a cross-sectional study conducted between January and April 2010. Eight hundred and fifty-five women (16-60 years old) participated in the study. Validation was carried out on aspects of face, content, discriminant, and criterion (concurrent) validity. Construct validity was evaluated using principal component analysis. Reliability studies on test-retest and on internal consistency were conducted with Pearson correlation and Cronbach's alpha, respectively. The best cutoff point for the ArFSFI to differentiate cases and noncases was determined using a receiver operating characteristic (ROC) curve.
MAIN OUTCOME MEASURE
Parameters of validity and reliability of the ArFSFI and its domains.
RESULTS
ArFSFI total score and scores of various domains showed high test-retest reliability (r from 0.92 to 0.98). ArFSFI domains showed high internal consistency (α from 0.85 to 0.94). Six hundred and forty-four women (75.32%) met the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, criteria for diagnosis of sexual dysfunction while 211 women (24.68%) showed normal function. The ArFSFI was found to have good discriminant validity. There were significant differences between the mean scores of women with sexual dysfunction and those of women without sexual dysfunction. A total score of 28.1 was taken as the cutoff point for the ArFSFI to distinguish between women with FSD and women with normal function (sensitivity 96.7%, specificity 93.2%). The ArFSFI showed an excellent overall performance (area under the curve [AUC] = 0.985, 95% confidence interval 0.978-0.992).
CONCLUSION
The ArFSFI is a validated, reliable, and locally accepted tool for use in the assessment of FSD in the Egyptian population.
简介
女性性功能障碍（FSD）是一个普遍存在的健康问题，但在阿拉伯世界的研究还不够充分。急需开发一种阿拉伯语的 FSD 评估工具。
目的
验证女性性功能指数（FSFI）的阿拉伯语版本（ArFSFI）。
方法
这是一项在 2010 年 1 月至 4 月期间进行的横断面研究。855 名年龄在 16-60 岁的女性参与了这项研究。从表面、内容、判别和标准（同时）有效性等方面进行了验证。使用主成分分析评估了结构有效性。使用 Pearson 相关系数和 Cronbach 的 alpha 分别进行了重测和内部一致性的可靠性研究。使用受试者工作特征（ROC）曲线确定区分病例和非病例的 ArFSFI 的最佳截断点。
主要观察指标
ArFSFI 及其各领域的有效性和可靠性参数。
结果
ArFSFI 总分和各领域得分的重测信度均较高（r 值从 0.92 到 0.98）。ArFSFI 各领域的内部一致性均较高（α 值从 0.85 到 0.94）。644 名女性（75.32%）符合《精神障碍诊断与统计手册》第 4 版性功能障碍的诊断标准，211 名女性（24.68%）功能正常。ArFSFI 具有良好的判别有效性。有性功能障碍的女性的平均分数与没有性功能障碍的女性的平均分数之间存在显著差异。将总分 28.1 作为 ArFSFI 的截断点，以区分 FSD 女性和功能正常的女性（灵敏度 96.7%，特异性 93.2%）。ArFSFI 总体表现出色（曲线下面积[AUC] = 0.985，95%置信区间 0.978-0.992）。
结论
ArFSFI 是一种经过验证、可靠且在埃及人群中被接受的用于评估 FSD 的工具。
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