University of Ottawa, School of Psychology, Ottawa, Ontario, Canada.
University of Ottawa, School of Psychology, Ottawa, Ontario, Canada.
J Sex Med. 2022 Jul;19(7):1156-1172. doi: 10.1016/j.jsxm.2022.03.621. Epub 2022 May 6.
Orgasm, particularly in older women, remains a poorly understood aspect of female sexual response partly because of a lack of validated self-report measures.
To evaluate the Orgasm Rating Scale (ORS) and Bodily Sensations of Orgasm Scale (BSOS) for use with pre, peri, and post-menopausal women and between solitary and partnered orgasm contexts.
Participants (solitary context, 252 pre, 139 peri, 190 post; partnered context, 229 pre, 136 peri, and 194 post-menopausal women, aged 18-82 years) were asked to complete an online questionnaire based on most recent solitary and partnered orgasm. Principal components analysis with Varimax rotation summarized the data into interpretable baseline models for all groups. Multi-Group Confirmatory Factor Analysis tested for multi-group measurement invariance. Adjustments to the models were made, and final model structures were presented.
ORS and BSOS measuring solitary and/or masturbation and partnered orgasm.
For the ORS, 10 factor solutions were preferred, explaining 81% (pre), 80% (peri), and 81% (post) of the variance for the solitary and 83% (pre), 86% (peri), and 84% (post) of the variance for the partnered context. Factors included pleasurable satisfaction, ecstasy, emotional intimacy, relaxation, building sensations, flooding sensations, flushing sensations, shooting sensations, throbbing sensations, and general spasms. For the BSOS, 3 factor solutions were preferred, explaining 55% (pre), 60% (peri), and 56% (post) of the variance for the solitary and 56% (pre), 61% (peri), and 60% (post) of the variance for the partnered context. Factors included extragenital sensations, genital sensations and spasms, and nociceptive sensations and sweating responses. Divergent validity was observed (solitary r = -.04; partnered r = -.11) and configural, metric and scalar invariance for the solitary and partnered versions of the ORS and BSOS were found, suggesting the measures were interpreted similarly by all women.
With valid measurement tools, women's varying orgasm experiences can be investigated more systematically and compared to address gaps and conflicts in the existing literature. Ultimately, these additions may assist with improved interventions for women who are unsatisfied with their orgasm experiences.
Strengths include gaining the ability to compare age and menopausal status groups using empirically validated measures of orgasm experience. Limitations include cross-sectional design and lack of test-retest reliability measurement.
The ORS and BSOS are supported for use with women across adulthood in solitary and partnered orgasm contexts and can be used concurrently to provide a comprehensive assessment. Webb AE, Reissing ED, Huta V. Orgasm Rating Scale and Bodily Sensations of Orgasm Scale: Validation for Use With Pre, Peri, and Post-Menopausal Women. J Sex Med 2022;19:1156-1172.
性高潮，尤其是老年女性的性高潮，仍然是女性性反应中一个理解不足的方面，部分原因是缺乏经过验证的自我报告测量方法。
评估性高潮评定量表（ORS）和身体性高潮感觉量表（BSOS）在绝经前、绝经中和绝经后妇女以及在单独和伴侣性高潮环境中的使用情况。
参与者（单独环境，252 名绝经前、139 名绝经中、190 名绝经后；伴侣环境，229 名绝经前、136 名绝经中、194 名绝经后妇女，年龄 18-82 岁）被要求根据最近的单独和伴侣性高潮完成在线问卷。主成分分析与 Varimax 旋转将数据总结为所有组可解释的基线模型。多组验证性因素分析测试多组测量不变性。对模型进行了调整，并呈现了最终的模型结构。
ORS 和 BSOS 分别测量单独和/或自慰和伴侣性高潮。
对于 ORS，10 个因子解决方案更受欢迎，解释了单独环境中的 81%（绝经前）、80%（绝经中）和 81%（绝经后）和 83%（绝经前）、86%（绝经中）和 84%（绝经后）的伴侣环境中的方差。因素包括愉悦满足感、狂喜、情感亲密感、放松感、构建感、淹没感、潮红感、射击感、悸动感和一般痉挛感。对于 BSOS，更喜欢 3 个因子解决方案，解释了单独环境中的 55%（绝经前）、60%（绝经中）和 56%（绝经后）和 56%（绝经前）、61%（绝经中）和 60%（绝经后）的伴侣环境中的方差。因素包括外生殖器感觉、生殖器感觉和痉挛、伤害性感觉和出汗反应。观察到发散效度（单独 r=-.04；伴侣 r=-.11），并且在 ORS 和 BSOS 的单独和伴侣版本中发现了配置、度量和标度不变性，这表明所有女性对这些测量的解释相似。
有了有效的测量工具，就可以更系统地研究女性不同的性高潮体验，并进行比较，以解决现有文献中的差距和冲突。最终，这些补充可能有助于改善对性高潮体验不满意的女性的干预措施。
优势包括能够使用经验证的性高潮体验的有效测量工具来比较不同年龄和绝经状态的群体。局限性包括横断面设计和缺乏测试-重测信度测量。
ORS 和 BSOS 支持在单独和伴侣性高潮环境中用于成年女性，并且可以同时使用，以提供全面的评估。Webb AE、Reissing ED、Huta V. 绝经前、绝经中和绝经后妇女使用的性高潮评定量表和身体性高潮感觉量表：验证。J 性医学 2022；19：1156-1172.
