The Female Sexual Function Index: Transculturally Adaptation and Psychometric Validation in Spanish Women

Abstract

Background: The evaluation of sexual function is an important outcome in women who suffer 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 differences 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.

Analysis of the Readability of Questionnaires on Symptoms of Pelvic Floor Dysfunctions Adapted to Spanish

“…A total of 19 questionnaires were included that assess symptoms in the following dysfunctions: - Five questionnaires for urinary incontinence: ICIQ-SF [ 9 ], UDI-6 [ 10 ], 3IQ [ 11 ], QUID [ 11 ] and Sandvik severity test [ 12 ]; - Four questionnaires for fecal incontinence: Wexner [ 13 ], Browning and Parks [ 13 ], FISI [ 13 ] and St Marks Hospital [ 14 ]; - Three questionnaires for sexual function in pelvic floor pathologies: FSFI [ 15 ], PISQ-IR [ 16 ] and PISQ-12 [ 17 ]; - Four questionnaires for overactive bladder: OABSS [ 18 ], SAQ [ 19 ], OAB V8 [ 20 ] and OAB V3 [ 20 ]; - A questionnaire for benign prostatic hyperplasia: IPSS [ 21 ]; - Two global symptom questionnaires on pelvic floor dysfunctions: EPIQ [ 22 ] and PFDI-20 [ 23 ]. …”

“…- Three questionnaires for sexual function in pelvic floor pathologies: FSFI [ 15 ], PISQ-IR [ 16 ] and PISQ-12 [ 17 ];…”

Development and validation of a short version of the Female Sexual Function Index in the Spanish population

“…The FSFI comprises 19 items distributed in six domains: desire (items 1,2), arousal (items 3-6), lubrication (items 7-10), orgasm (items 11-13), satisfaction (items [14][15][16], and pain (items [17][18][19]. This yields a final score of 2-36, with higher scores indicating more optimal sexual functioning [7,8].…”

“…In 2004, Blümel et al [ 11 ] conducted the Spanish translation and validated the FSFI in the Chilean population. Although the FSFI has been widely used in Spain [ 12 , 13 ] suitable cultural validations in Spanish population have only recently been published [ 14 , 15 ].…”

Erratum: Sánchez-Sánchez, B., et al. The Female Sexual Function Index: Transculturally Adaptation and Psychometric Validation in Spanish Women. Int. J. Environ. Res. Public Health 2020, 17(3), 994

“…The authors wish to make the following correction to their paper published in the International Journal of Environmental Research and Public Health [1]:…”