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[女性性功能问卷第二版(FSM-2)的设计与验证]

[Design and validation of the second edition of the Women's Sexual Function Questionnaire, FSM-2].

作者信息

Sánchez-Sánchez F, Ferrer-Casanova C, Ponce-Buj B, Sipán-Sarrión Y, Jurado-López A R, San Martin-Blanco C, Tijeras-Úbeda M J, Ferrández Infante A

机构信息

Centro de Salud de Xàtiva, Xàtiva (Valencia), España.

Centro de Salud de Xàtiva, Xàtiva (Valencia), España.

出版信息

Semergen. 2020 Jul-Aug;46(5):324-330. doi: 10.1016/j.semerg.2020.01.004. Epub 2020 Mar 18.

DOI:10.1016/j.semerg.2020.01.004
PMID:32197978
Abstract

OBJECTIVE

To design and validate the second edition of the Female Sexual Function questionnaire (FSF-2).

MATERIAL AND METHODS

A cross-sectional and multicentre study was conducted on 187 women (18-70 years) who completed a test (preliminary questionnaire FSF-2), and then answered a structured anamnesis on female sexual function. Four weeks later they completed a retest, which was equal to the test but with an additional question about possible influence of recent events in their sex life.

RESULTS

The mean age of the women was 43.51 years. Internal consistency of the questionnaire: Cronbach's α of the 0.919 test, of structured anamnesis 0.921, of the 0.920 retest. Test-retest reliability: mean test scores 30.53 ± 8.605, retest 30.05 ± 8.770, without significant differences. Correlation between total test and retest scores (intraclass correlation coefficient) 0.960, significant (P<.01); between total test scores and structured anamnesis 0.977, significant (P<.01). Concordance between test questions and structured anamnesis (kappa index), minimum 0.706, maximum 0.915; between test and retest questions, minimum 0.630, maximum 0.802. Content validity by expert consensus. Criteria validity: specificity of the questionnaire exceeding 90% for all items/domains, sensitivity greater than 80%, except for items 5, 6, 9 (70-80%). Validity of the construct through factor analysis, grouping of items into 2 components (they explain 66.586% of variance).

CONCLUSIONS

The FSF-2 questionnaire is reliable and valid. It evaluates the sexual response of women, describing important aspects of their sexual activity as a couple: anticipatory anxiety, initiative, confidence to communicate, preferences and events that may influence. It can detect sexual dysfunction in the couple.

摘要

目的

设计并验证女性性功能问卷第二版(FSF - 2)。

材料与方法

对187名年龄在18至70岁之间的女性进行了一项横断面多中心研究。这些女性先完成一项测试(FSF - 2初步问卷),然后回答一份关于女性性功能的结构化问诊。四周后她们完成重新测试,重新测试与测试内容相同,但增加了一个关于近期性生活事件可能影响的问题。

结果

女性的平均年龄为43.51岁。问卷的内部一致性:测试的Cronbach's α为0.919,结构化问诊为0.921,重新测试为0.920。重测信度:测试平均得分30.53 ± 8.605,重新测试平均得分30.05 ± 8.770,无显著差异。测试总分与重新测试总分之间的相关性(组内相关系数)为0.960,具有显著性(P <.01);测试总分与结构化问诊之间的相关性为0.977,具有显著性(P <.01)。测试问题与结构化问诊之间的一致性(kappa指数),最小值为0.706,最大值为0.915;测试问题与重新测试问题之间的一致性,最小值为0.630,最大值为0.802。通过专家共识确定内容效度。标准效度:问卷所有项目/领域的特异性超过90%,敏感性大于80%,项目5、6、9除外(70 - 80%)。通过因子分析确定结构效度,项目分组为2个成分(它们解释了66.586%的方差)。

结论

FSF - 2问卷可靠且有效。它评估女性的性反应,描述她们作为伴侣性生活的重要方面:预期焦虑、主动性、沟通信心、偏好以及可能产生影响的事件。它能够检测伴侣中的性功能障碍。

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