Zakhour Stephanie, Gonçalves Walter, Santos Hugo, Rodrigues Douglas, El Kassis Nadine, Atallah David, Nardi Antonio Egídio, Sardinha Aline
Sexuality and its Disorders Unit, Institute of Psychiatry, Federal University of Rio de Janeiro (UFRJ), Rio de Janeiro, RJ 22290-140, Brazil.
Department of Statistics, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Rio Grande do Sul, RS 90010-150, Brazil.
Sex Med. 2025 Aug 5;13(4):qfaf055. doi: 10.1093/sexmed/qfaf055. eCollection 2025 Aug.
The Female Sexual Function Index (FSFI) is widely used to assess female sexual function, but its applicability in Lebanon is limited due to linguistic and cultural barriers.
This study aimed to develop and validate a Lebanese Arabic version of the FSFI (FSFI-LB) to improve accessibility for clinical and research use.
A study was conducted with 119 Lebanese women between April 2023 and June 2024 at Hôtel-Dieu de France Hospital, Beirut. The FSFI was translated, back-translated, and psychometrically validated using exploratory factor analysis, Cronbach's alpha, test-retest reliability, and factor correlations.
The FSFI-LB showed excellent internal consistency (Cronbach's alpha = 0.973) and test-retest reliability ( = 0.9997), with a Kaiser-Meyer-Olkin value of 0.925 and significant Bartlett's test of sphericity ( < .001). Test-retest reliability was assessed in a subsample of 42 participants after 4 weeks and demonstrated high consistency across all domains ( > 0.99) and total scale reliability ( = 0.9997).
A six-factor model was retained for the FSFI-LB, aligning with the original FSFI, with the pain domain showing the weakest correlations with other domains. The questionnaire included English translations alongside Arabic terms for improved comprehension.
The FSFI-LB is a reliable tool for assessing female sexual function in Lebanon, ensuring cultural and linguistic sensitivity for diverse populations.
The study's strengths include robust psychometric validation and the adaptation of a widely used instrument. The limitations include the focus on a specific Lebanese population, which may limit generalizability to other Arabic-speaking communities.
The FSFI-LB is a valid and reliable tool for assessing female sexual function, contributing to the development of culturally appropriate measures in sexual health research and clinical practice.
女性性功能指数（FSFI）被广泛用于评估女性性功能，但由于语言和文化障碍，其在黎巴嫩的适用性有限。
本研究旨在开发并验证黎巴嫩阿拉伯语版的FSFI（FSFI-LB），以提高其在临床和研究中的可及性。
2023年4月至2024年6月期间，在贝鲁特的法国主宫医院对119名黎巴嫩女性进行了一项研究。通过探索性因素分析、克朗巴哈系数、重测信度和因素相关性对FSFI进行翻译、回译和心理测量学验证。
FSFI-LB显示出出色的内部一致性（克朗巴哈系数=0.973）和重测信度（=0.9997），凯泽-迈耶-奥尔金值为0.925，巴特利特球形检验具有显著性（<0.001）。在42名参与者的子样本中，4周后评估重测信度，结果显示所有领域的一致性都很高（>0.99），总量表信度为（=0.9997）。
FSFI-LB保留了一个六因素模型，与原始FSFI一致，疼痛领域与其他领域的相关性最弱。问卷中除阿拉伯语术语外还包括英语翻译，以提高理解度。
FSFI-LB是评估黎巴嫩女性性功能的可靠工具，确保了对不同人群的文化和语言敏感性。
该研究的优势包括强大的心理测量学验证以及对广泛使用的工具的改编。局限性包括专注于特定的黎巴嫩人群，这可能会限制其对其他阿拉伯语社区的普遍性。
FSFI-LB是评估女性性功能的有效且可靠的工具，有助于在性健康研究和临床实践中开发适合文化背景的测量方法。
