Hock Márta, Farkas Nelli, Tiringer István, Gitta Stefánia, Németh Zoltán, Farkas Bálint
Institute of Physiotherapy and Sport Sciences, Faculty of Health Sciences, University of Pécs, Pécs, Hungary.
University of Pécs, Institute of Bioanalysis, Pécs, Hungary.
Int Urogynecol J. 2019 Dec;30(12):2109-2120. doi: 10.1007/s00192-019-04049-x. Epub 2019 Jul 29.
The Female Sexual Function Index (FSFI) has been used for clinical and research purposes in many countries. The aim of this study was to translate, adapt and perform a psychometric validation of a Hungarian version of the FSFI.
The FSFI was translated into Hungarian, and its precision was ascertained through reverse translation by an expert team. As a first step, 40 volunteers participated in an evaluation of the test-retest reliability of the Hungarian version over a 2-week period. After that, 418 (331 control and 87 with pelvic organ prolapse) women who had been in a stable sexual relationship in the previous 4 weeks participated in the study. The data were summarized using descriptive statistics. The structure validity was examined by confirmatory factor analysis, with which we tested the hypothesized original factor structure, using maximum likelihood model estimation. We calculated the Comparative Fit Index (CFI), root mean square error of approximation (RMSEA), standardized root mean residual and Akaike information criterion (AIC). To test the internal consistency, Cronbach's alpha coefficients of the full scale were determined. Spearman's rank correlation was used for testing divergent validity and Mann-Whitney U-test for examining discriminant validity.
The FSFI was easily understandable and acceptable as well as capable of adequately evaluating and measuring various aspects of female sexual functioning. A high degree of internal consistency was demonstrated by the Cronbach's alpha value (0.963).
The FSFI Hungarian version is a valid tool that measures the same functioning as the original English questionnaire.
女性性功能指数（FSFI）已在许多国家用于临床和研究目的。本研究的目的是翻译、改编并对匈牙利语版的FSFI进行心理测量学验证。
将FSFI翻译成匈牙利语，并由一个专家团队通过回译确定其准确性。第一步，40名志愿者参与了为期2周的匈牙利语版重测信度评估。之后，418名（331名对照者和87名盆腔器官脱垂患者）在过去4周内有稳定性关系的女性参与了该研究。数据采用描述性统计进行汇总。通过验证性因素分析检验结构效度，我们使用最大似然模型估计来测试假设的原始因素结构。我们计算了比较拟合指数（CFI）、近似均方根误差（RMSEA）、标准化根均残差和赤池信息准则（AIC）。为测试内部一致性，确定了全量表的Cronbach's alpha系数。使用Spearman等级相关性检验区分效度，使用Mann-Whitney U检验检验判别效度。
FSFI易于理解和接受，能够充分评估和测量女性性功能的各个方面。Cronbach's alpha值（0.963）表明具有高度内部一致性。
FSFI匈牙利语版是一种有效的工具，其测量功能与原始英语问卷相同。
