Department of Obstetrics and Gynecology, Sehit Prof Dr. Ilhan Varank Sancaktepe Training and Research Hospital, University of Health Sciences, Istanbul, Turkey.
Department of Obstetrics and Gynecology, VM Medical Park Maltepe Hospital, Bahcesehir University, Istanbul, Turkey.
Menopause. 2022 Jan 24;29(3):327-334. doi: 10.1097/GME.0000000000001922.
This study aims to psychometrically validate the Turkish version of the Vulvovaginal Symptom Questionnaire (VSQ).
Postmenopausal women with and without genitourinary syndrome of menopause (GSM) were included as the target population and the control group. Psychometric properties were validated both for sexually active (21 items) and passive women (16 items). Several a priori hypotheses were formulated to assess construct validity. Scores of GSM-Assessment Tool, Female Sexual Function Index, Michigan Incontinence Severity Index, Female Genital Self-Image Scale, and Menopause Rating Scale and their correlation with VSQ scores were compared.
A total of 242 postmenopausal women were included. The VSQ showed good internal consistency with a Cronbach alpha coefficient of 0.822 (0.800-0.821) and 0.873 (0.853-0.870) in sexually active and passive women, respectively. Originally proposed model (4-factor model, n = 162) showed adequate fit in women with active sexuality and the 3-factor model (n = 242) showed moderate fit. The test-retest reliability was good for symptoms, emotions, and life impact subscales (intraclass correlation coefficient [ICC]: 0.846, 0.835, and 0.755, respectively) and moderate for sexual impact subscale (ICC: 0.643). More than 75% of hypotheses were confirmed.
Our study shows successful cross-cultural adaptation and validation with sufficient psychometric properties for VSQ to be used in Turkish postmenopausal women with GSM.
本研究旨在对土耳其版阴道症状问卷（VSQ）进行心理测量学验证。
将患有和不患有泌尿生殖系统绝经综合征（GSM）的绝经后妇女作为目标人群和对照组纳入。对有性行为（21 项）和无性行为（16 项）的女性分别进行了心理测量学特性验证。提出了几个先验假设来评估构念效度。GSM 评估工具、女性性功能指数、密歇根失禁严重程度指数、女性生殖器自我形象量表和更年期评定量表的评分及其与 VSQ 评分的相关性进行了比较。
共纳入 242 名绝经后妇女。VSQ 显示出良好的内部一致性，有性行为和无性行为女性的 Cronbach α 系数分别为 0.822（0.800-0.821）和 0.873（0.853-0.870）。最初提出的模型（4 因素模型，n=162）在有性行为的女性中具有较好的拟合度，而 3 因素模型（n=242）具有中等拟合度。症状、情绪和生活影响子量表的重测信度良好（组内相关系数 [ICC]：0.846、0.835 和 0.755），性影响子量表的重测信度为中等（ICC：0.643）。超过 75%的假设得到了证实。
我们的研究表明，VSQ 经过成功的跨文化适应和验证，具有足够的心理测量学特性，可用于土耳其患有 GSM 的绝经后妇女。
