Sánchez-Sánchez Beatriz, Navarro-Brazález Beatriz, Arranz-Martín Beatriz, Sánchez-Méndez Óscar, de la Rosa-Díaz Irene, Torres-Lacomba María
Physiotherapy in Women's Health (FPSM) Research Group, Physiotherapy Department, Faculty of Medicine and Health Sciences, University of Alcalá, Alcalá de Henares, 28805 Madrid, Spain.
Int J Environ Res Public Health. 2020 Feb 5;17(3):994. doi: 10.3390/ijerph17030994.
The evaluation of sexual function is an important outcome in women who suffer some pelvic floor disorders (PFD). The Female Sexual Function Index (FSFI) is the most widely used questionnaire to evaluate the sexual health in female population. This study presents the adaptation and psychometric validation of the FSFI for Spanish women with PFD.
The Spanish version of the FSFI was developed through the forward and backward translation process. The psychometric properties of reliability, validity, responsiveness, and feasibility were conducted in Spanish women with PFD who were assigned to the case or control group (with or without sexual dysfunction respectively).
A total of 323 Spanish women with PFD were recruited. The cross-cultural adaptation of the Spanish FSFI achieved a good semantic, conceptual, idiomatic, and content equivalence. The test-retest reliability was shown to be high in all of the cases. The convergent validity showed high results in the domain intercorrelations between each domain and total FSFI. The discriminant validity showed statistically significant differences between sexual dysfunction and control groups. The responsiveness was shown to be moderate to good in the dimensions and excellent in the total FSFI.
Spanish FSFI can be used as a reliable, valid, responsive, and feasible instrument for assessing sexual function in women.
性功能评估是患有某些盆底功能障碍（PFD）女性的一项重要结果指标。女性性功能指数（FSFI）是评估女性人群性健康最广泛使用的问卷。本研究介绍了FSFI在患有PFD的西班牙女性中的改编及心理测量学验证。
FSFI西班牙语版通过正向和反向翻译过程编制而成。对分配到病例组或对照组（分别有或没有性功能障碍）的患有PFD的西班牙女性进行了可靠性、有效性、反应性和可行性的心理测量学特性研究。
共招募了323名患有PFD的西班牙女性。西班牙FSFI的跨文化改编实现了良好的语义、概念、习语和内容等效性。在所有案例中，重测信度都很高。收敛效度在每个领域与FSFI总分之间的领域相互关联中显示出很高的结果。区分效度在性功能障碍组和对照组之间显示出统计学上的显著差异。反应性在各维度中显示为中等至良好，在FSFI总分中表现优异。
西班牙FSFI可作为评估女性性功能的可靠、有效、有反应性和可行的工具。
