Prøsch-Bilden Tone, Stafne Signe Nilssen, Ulven Silje Kristine Sveen, Saga Susan
Norwegian National Advisory Unit on Incontinence and Pelvic Floor Health, University Hospital of North Norway, Tromsø, Norway.
Clinic of Rehabilitation, St. Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.
Int Urogynecol J. 2025 Mar 19. doi: 10.1007/s00192-025-06106-0.
The Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-IUGA revised (PISQ-IR) measures sexual function in women with pelvic floor dysfunctions (PFD). The aim of this study was to translate the PISQ-IR to Norwegian and to assess its psychometric properties.
The instrument was translated and reviewed through cognitive interviews with women from the target group and multidisciplinary clinical experts to establish face/content validity and cultural equivalence. Thereafter, a cross-sectional study of women with PFD from two Norwegian University hospitals was conducted. Floor and ceiling effects and internal consistency were calculated for all subscales. Construct validity was assessed through exploratory factor analysis (EFA) and by testing 19 theoretically derived hypotheses.
Of 157 respondents, 111 (71%) women considered themselves sexually active (SA) and 46 (29%) non-sexually active (NSA). Item nonresponse rate varied from 4 to 36% in the subscales. For the NSA subscales, both floor and ceiling effect was detected. EFA mainly supported the original structure for both the SA and NSA subscales, although not completely consistent and with many cross-loadings. Unidimensional factors were assessed and confirmed the presence of one factor within all subscales for SA women and three for NSA women (except NSA-PR). Construct validity confirmed 16 of the 19 predefined hypotheses (84%). All subscales exhibited good internal consistency.
The Norwegian PISQ-IR demonstrated good face/content validity, internal consistency and construct validity, and can be used to assess sexual function among sexually active women with PFD. A small sample size of NSA women precludes drawing firm conclusions regarding structural validity for NSA subscales.
盆腔器官脱垂/尿失禁性功能问卷-国际尿控学会修订版（PISQ-IR）用于评估盆底功能障碍（PFD）女性的性功能。本研究旨在将PISQ-IR翻译成挪威语并评估其心理测量特性。
通过与目标群体中的女性和多学科临床专家进行认知访谈对该工具进行翻译和审查，以建立表面/内容效度和文化等效性。此后，对来自两家挪威大学医院的PFD女性进行了横断面研究。计算了所有子量表的地板效应和天花板效应以及内部一致性。通过探索性因子分析（EFA）和检验19个理论推导假设来评估结构效度。
在157名受访者中，111名（71%）女性认为自己有性活动（SA），46名（29%）为无性活动（NSA）。子量表中的项目无应答率在4%至36%之间。对于NSA子量表，检测到了地板效应和天花板效应。EFA主要支持SA和NSA子量表的原始结构，尽管并不完全一致且存在许多交叉载荷。评估了单维因子并确认SA女性的所有子量表中存在一个因子，NSA女性存在三个因子（NSA-PR除外）。结构效度证实了19个预定义假设中的16个（84%）。所有子量表均表现出良好的内部一致性。
挪威版PISQ-IR表现出良好的表面/内容效度、内部一致性和结构效度，可用于评估有性活动的PFD女性的性功能。NSA女性样本量较小，无法就NSA子量表的结构效度得出确凿结论。
