The Female Sexual Function Index: Transculturally Adaptation and Psychometric Validation in Spanish Women
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2020-02-05
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International Journal of Environmental Research & Public Health
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Background: The evaluation of sexual function is an important outcome in women who
su er some pelvic floor disorders (PFD). The Female Sexual Function Index (FSFI) is the most widely
used questionnaire to evaluate the sexual health in female population. This study presents the
adaptation and psychometric validation of the FSFI for Spanish women with PFD. Methods: The
Spanish version of the FSFI was developed through the forward and backward translation process.
The psychometric properties of reliability, validity, responsiveness, and feasibility were conducted in
Spanish women with PFD who were assigned to the case or control group (with or without sexual
dysfunction respectively). Results: A total of 323 Spanish women with PFD were recruited. The
cross-cultural adaptation of the Spanish FSFI achieved a good semantic, conceptual, idiomatic, and
content equivalence. The test-retest reliability was shown to be high in all of the cases. The convergent
validity showed high results in the domain intercorrelations between each domain and total FSFI.
The discriminant validity showed statistically significant di erences between sexual dysfunction
and control groups. The responsiveness was shown to be moderate to good in the dimensions and
excellent in the total FSFI. Conclusions: Spanish FSFI can be used as a reliable, valid, responsive, and
feasible instrument for assessing sexual function in women.
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Sánchez-Sánchez B, Navarro-Brazález B, Arranz-Martín B, Sánchez-Méndez Ó, de la Rosa-Díaz I, Torres-Lacomba M. The Female Sexual Function Index: Transculturally Adaptation and Psychometric Validation in Spanish Women. Int J Environ Res Public Health. 2020 Feb 5;17(3):994. doi: 10.3390/ijerph17030994. Erratum in: Int J Environ Res Public Health. 2020 Jun 17;17(12):E4355. doi: 10.3390/ijerph17124355. PMID: 32033334; PMCID: PMC7037847.
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