Department of Family Medicine, University of Michigan, Ann Arbor, MI 48105, USA.
J Low Genit Tract Dis. 2013 Jul;17(3):273-9. doi: 10.1097/LGT.0b013e31826ca384.
This study aimed to assess whether the domains identified by items on the Sexual Functioning Questionnaire (SFQ) apply to women with vulvodynia.
Forty-one women with vulvodynia and 43 asymptomatic controls, between the ages 18 and 70 years, were assessed with a physician evaluation and a written survey that included the SFQ.
Women with vulvodynia had a higher likelihood of female sexual dysfunction than did controls as indicated by 5 of the seven individual SFQ domains (desire, arousal-lubrication, pain, enjoyment, and partner domains, p < .05). Scored on individual items relating to pain or penetrative sex differed more by vulvodynia presence than did items related to arousal and emotions. Compared with published SFQ psychometrics, factor analysis among women with vulvodynia demonstrated similar factor loadings in 6 of the 7 domains of the SFQ (desire, arousal-sensation, arousal-lubrication, orgasm, partner, and pain), but the enjoyment domain intermingled substantially with these other domains.
The SFQ factor structure is generally valid among women with vulvodynia. However, vulvodynia may impact responses to individual items on questions about pain and/or penetration, which may potentially result in erroneous interpretations.
本研究旨在评估性功能问卷（SFQ）项目中确定的领域是否适用于外阴痛患者。
41 名年龄在 18 至 70 岁之间的外阴痛患者和 43 名无症状对照者接受了医生评估和书面调查，其中包括 SFQ。
与对照组相比，外阴痛患者出现 7 个 SFQ 领域中的 5 个（性欲、唤起-润滑、疼痛、性快感和伴侣领域，p <.05）性功能障碍的可能性更高。与唤起和情绪相关的项目相比，与疼痛或插入性性行为相关的项目在区分外阴痛患者和对照组时差异更大。与已发表的 SFQ 心理测量学相比，外阴痛患者的因子分析在 SFQ 的 7 个领域中的 6 个领域（性欲、唤起感觉、唤起润滑、性高潮、伴侣和疼痛）中具有相似的因子负荷，但性快感领域与这些其他领域有很大的重叠。
SFQ 的因子结构在外阴痛患者中总体上是有效的。然而，外阴痛可能会影响对有关疼痛和/或插入的问题的个别项目的反应，这可能会导致错误的解释。
