使用 FSDS-R 项目筛查与性相关的困扰：MsFLASH 分析。
Using an FSDS-R Item to Screen for Sexually Related Distress: A MsFLASH Analysis.
机构信息
Science of Nursing Care, School of Nursing, Indiana University Indianapolis, IN, USA.
University of Washington School of Medicine Seattle, WA, USA.
出版信息
Sex Med. 2015 Mar;3(1):7-13. doi: 10.1002/sm2.53.
INTRODUCTION
The Female Sexual Distress Scale-Revised (FSDS-R) was created and validated to assess distress associated with impaired sexual function, but it is lengthy for use in clinical practice and research when assessing sexual function is not a primary objective.
AIM
The study aims to evaluate whether a single item from the FSDS-R could be identified to use to screen midlife women for bothersome diminution in sexual function based on three criteria: (i) highly correlated with total scores; (ii) correlated with commonly assessed domains of female sexual functioning; and (iii) able to differentiate between women reporting high and low sexual concerns during the prior month.
METHODS
Data from 93 midlife women were collected by the Menopause Strategies Finding Lasting Answers to Symptoms and Health (MsFLASH) research network.
MAIN OUTCOME MEASURES
Women completed the FSDS-R, Female Sexual Function Index (FSFI), and Menopausal Quality of Life Scale (MENQOL). Those who reported a change in the past month on the MENQOL sexual were categorized into a high sexual concerns group, while all others were categorized into a low sexual concerns group.
RESULTS
Women were an average of 54.6 years old (SD 3.1) and mostly Caucasian (77.4%), college educated (60.2%), married/living as married (64.5%), and postmenopausal (79.6%). The FSDS-R item number 1 "Distressed about sex life" was: (i) highly correlated with FSDS-R total scores (r = 0.90); (ii) moderately correlated with FSFI total scores (r = -0.38) and FSFI desire (r = -0.37) and satisfaction domains (r = -0.40); and (iii) showed one of the largest mean differences between high and low sexual concerns groups (P < 0.001). Other FSDS-R items met one or two, but not all three of the prespecified criteria (i, ii, iii).
CONCLUSIONS
A single FSDS-R item may be a useful screening tool to quickly identify midlife women with sexually related distress when it is not feasible to administer the entire scale, though further validation is warranted. Carpenter JS, Reed SD, Guthrie KA, Larson JC, Newton KM, Lau RJ, Learman LA, and Shifren JL. Using an FSDS-R item to screen for sexually related distress: A MsFLASH analysis. Sex Med 2015;3:7-13.
简介
女性性困扰量表修订版（FSDS-R）是为评估与性功能受损相关的困扰而创建和验证的，但当评估性功能不是主要目标时，它在临床实践和研究中过于冗长。
目的
本研究旨在评估 FSDS-R 中的一个单项是否可以被确定用于筛查中年女性因性功能下降而引起的困扰，其标准为：（i）与总分高度相关；（ii）与女性性功能的常见评估领域相关；（iii）能够区分报告在前一个月内存在高或低性问题的女性。
方法
绝经策略寻找症状和健康的持久答案（MsFLASH）研究网络收集了 93 名中年女性的数据。
主要观察指标
女性完成了 FSDS-R、女性性功能指数（FSFI）和绝经质量生活量表（MENQOL）。那些在过去一个月内报告 MENQOL 性方面发生变化的人被归类为高性关注组，而所有其他人被归类为低性关注组。
结果
女性平均年龄为 54.6 岁（SD 3.1），大多数为白种人（77.4%），受过大学教育（60.2%），已婚/同居（64.5%），绝经后（79.6%）。FSDS-R 项目 1“对性生活感到困扰”为：（i）与 FSDS-R 总分高度相关（r=0.90）；（ii）与 FSFI 总分（r=-0.38）和 FSFI 欲望（r=-0.37）和满意度领域（r=-0.40）中度相关；（iii）在高性关注组和低性关注组之间显示出最大的平均差异之一（P<0.001）。其他 FSDS-R 项目符合一个或两个，但不是所有三个预定标准（i、ii、iii）。
结论
当实施整个量表不可行时，FSDS-R 的一个单项可能是快速识别与性相关困扰的中年女性的有用筛查工具，但需要进一步验证。卡彭特 JS、里德 SD、古思里 KA、拉尔森 JC、牛顿 KM、劳 RJ、利曼 LA 和希夫伦 JL。使用 FSDS-R 项目进行与性相关的困扰筛查：MsFLASH 分析。性医学 2015；3:7-13。
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