The Female Sexual Function Index (FSFI): Translation, Validation, and Cross-Cultural Adaptation of an Urdu Version "FSFI-U"

Overview

Journal Sex Med

Publisher Oxford University Press

Date 2016 Jan 23

PMID 26797057

Citations 13

Authors

Khaleeq Ur Rehman

Mohammad Asif Mahmood

Saba Shabbir Sheikh

Tipu Sultan

M Amanullah Khan

Affiliations

Soon will be listed here.

Abstract

Introduction: Female sexual dysfunction (FSD) is a common problem, and many self-report questionnaires are available for its evaluation. Pakistani women with sexual problems feel shy to consult with their physician. A validated self-report questionnaire, in the local language with modest expressions is required for these women.

Aim: The aim of this study was to translate, cross-culturally adapt, and perform a psychometric validation of an Urdu translation of the Female Sexual Function Index (FSFI).

Methods: The FSFI was translated in Urdu, and its precision was ascertained through reverse translation. It was pretested on 22 bilingual women and refined again to reach at a reliable Urdu version of the questionnaire FSFI-U. One hundred sixteen bilingual women, in a stable sexual relationship over the previous 6 months were finally asked to fill out the FSFI and FSFI-U. Their sexual function was then clinically evaluated and responses were compared with the clinical assessment as well as with each other.

Main Outcome Measures: The responses were analyzed through descriptive statistics for reliability, face validity, agreement between the responses to the original English version and to the FSFI-U, and also for test-retest consistency. The data were analyzed statistically using Cronbach's alpha analysis, Intraclass correlation coefficients, Pearson correlation, and Student's t-test.

Results: FSFI was found to be easily understandable and capable of adequately evaluating and measuring various aspects of female sexual function. A high degree of internal consistency was demonstrated on Cronbach's alpha analysis. Cronbach's α coefficient for various domains was sufficiently high ranging from 0.84 to 0.97. The clinical assessment of the presence and severity of FSD also matched with the self-report questionnaire. Similarly, various domains of FSFI had high degree of correlation in the Urdu version of FSFI (P < 0.001).

Conclusion: The Urdu translation version of FSFI is valid and reliable for use in the literate population of Pakistan. Rehman KU, Asif Mahmood M, Sheikh SS, Sultan T, Khan MA. The Female Sexual Function Index (FSFI): Translation, Validation, and Cross-Cultural Adaptation of an Urdu Version "FSFI-U". Sex Med 2015;3:244-250.

Citing Articles

Psychometric properties of the Romanian version of the female sexual function index (FSFI-RO).

Daescu A, Dehelean L, Navolan D, Pop G, Stoian D BMC Womens Health. 2023; 23(1):528.

PMID: 37803305 PMC: 10559518. DOI: 10.1186/s12905-023-02676-7.

Assessing sexual and reproductive health dimensions tools in women with type 1 diabetes mellitus with regard to Consensus-based Standards for the selection of health status Measurement Instruments checklist.

Azimi N, Ebadi A, Alavi Majd H, Rajab A, Ozgoli G J Educ Health Promot. 2021; 9:310.

PMID: 33426114 PMC: 7774613. DOI: 10.4103/jehp.jehp_391_20.

Sexual functioning as predictor of depressive symptoms and life satisfaction in females with Polycystic Ovary Syndrome (PCOS).

Shakil M, Ashraf F, Wajid A Pak J Med Sci. 2020; 36(7):1500-1504.

PMID: 33235564 PMC: 7674907. DOI: 10.12669/pjms.36.7.2562.

The Effect of Ureteric Stenting on Female Sexual Function: A Prospective Cohort Study.

Kazmi Z, Umer D, Ather M Cureus. 2020; 12(10):e11075.

PMID: 33224669 PMC: 7678765. DOI: 10.7759/cureus.11075.

Urdu translation and validation of premature ejaculation diagnostic tool (PEDT).

Bangash M, Aziz W, Shoaib M, Ather M Pak J Med Sci. 2020; 36(6):1241-1245.

PMID: 32968387 PMC: 7501009. DOI: 10.12669/pjms.36.6.2405.

References

Clayton A, McGarvey E, Clavet G . The Changes in Sexual Functioning Questionnaire (CSFQ): development, reliability, and validity. Psychopharmacol Bull. 1997; 33(4):731-45. View

Mahmood M, Ur Rehman K, Khan M, Sultan T . Translation, cross-cultural adaptation, and psychometric validation of the 5-item International Index of Erectile Function (IIEF-5) into Urdu. J Sex Med. 2012; 9(7):1883-6. DOI: 10.1111/j.1743-6109.2012.02714.x. View

DeRogatis L . The Derogatis Interview for Sexual Functioning (DISF/DISF-SR): an introductory report. J Sex Marital Ther. 1997; 23(4):291-304. DOI: 10.1080/00926239708403933. View

Abuali M, Posada R, Del Toro G, Roman E, Ramani R, Chaturvedi S . Rhizomucor variabilis var. regularior and Hormographiella aspergillata infections in a leukemic bone marrow transplant recipient with refractory neutropenia. J Clin Microbiol. 2009; 47(12):4176-9. PMC: 2786632. DOI: 10.1128/JCM.00305-09. View

Nicolosi A, Glasser D, Kim S, Marumo K, Laumann E . Sexual behaviour and dysfunction and help-seeking patterns in adults aged 40-80 years in the urban population of Asian countries. BJU Int. 2005; 95(4):609-14. DOI: 10.1111/j.1464-410X.2005.05348.x. View

Quirk F, Heiman J, Rosen R, Laan E, Smith M, Boolell M . Development of a sexual function questionnaire for clinical trials of female sexual dysfunction. J Womens Health Gend Based Med. 2002; 11(3):277-89. DOI: 10.1089/152460902753668475. View

Ghassamia M, Asghari A, Shaeiri M, Safarinejad M . Validation of psychometric properties of the Persian version of the Female Sexual Function Index. Urol J. 2013; 10(2):878-85. View

Taylor J, Rosen R, Leiblum S . Self-report assessment of female sexual function: psychometric evaluation of the Brief Index of Sexual Functioning for Women. Arch Sex Behav. 1994; 23(6):627-43. DOI: 10.1007/BF01541816. View

Onem K, Erol B, Sanli O, Kadioglu P, Yalin A, Canik U . Is sexual dysfunction in women with obstructive sleep apnea-hypopnea syndrome associated with the severity of the disease? A pilot study. J Sex Med. 2008; 5(11):2600-9. DOI: 10.1111/j.1743-6109.2008.00934.x. View

10.

Wiegel M, Meston C, Rosen R . The female sexual function index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther. 2005; 31(1):1-20. DOI: 10.1080/00926230590475206. View

11.

Hendren S, OConnor B, Liu M, Asano T, Cohen Z, Swallow C . Prevalence of male and female sexual dysfunction is high following surgery for rectal cancer. Ann Surg. 2005; 242(2):212-23. PMC: 1357727. DOI: 10.1097/01.sla.0000171299.43954.ce. View

12.

Alsibiani S, Rouzi A . Sexual function in women with female genital mutilation. Fertil Steril. 2008; 93(3):722-4. DOI: 10.1016/j.fertnstert.2008.10.035. View

13.

Rust J, Golombok S . The GRISS: a psychometric instrument for the assessment of sexual dysfunction. Arch Sex Behav. 1986; 15(2):157-65. DOI: 10.1007/BF01542223. View

14.

Pauls R, Occhino J, Dryfhout V . Effects of pregnancy on female sexual function and body image: a prospective study. J Sex Med. 2008; 5(8):1915-22. DOI: 10.1111/j.1743-6109.2008.00884.x. View

15.

Leiblum S, Symonds T, Moore J, Soni P, Steinberg S, Sisson M . A methodology study to develop and validate a screener for hypoactive sexual desire disorder in postmenopausal women. J Sex Med. 2006; 3(3):455-64. DOI: 10.1111/j.1743-6109.2006.00247.x. View

16.

Echeverry M, Arango A, Castro B, Raigosa G . Study of the prevalence of female sexual dysfunction in sexually active women 18 to 40 years of age in Medellín, Colombia. J Sex Med. 2010; 7(8):2663-9. DOI: 10.1111/j.1743-6109.2009.01695.x. View

17.

Fotopoulou C, Neumann U, Klapp C, Lichtenegger W, Sehouli J . Long-term effects of neovaginal reconstruction with sigmoid loop technique on sexual function and self image in patients with gynecologic malignancies: results of a prospective study. Gynecol Oncol. 2008; 111(3):400-6. DOI: 10.1016/j.ygyno.2008.09.018. View

18.

Basson R . The female sexual response: a different model. J Sex Marital Ther. 2000; 26(1):51-65. DOI: 10.1080/009262300278641. View

19.

Oniz A, Keskinoglu P, Bezircioglu I . The prevalence and causes of sexual problems among premenopausal Turkish women. J Sex Med. 2007; 4(6):1575-81. DOI: 10.1111/j.1743-6109.2007.00606.x. View

20.

Tessier D, Stone W, Harold K, Fowl R, Oldenburg A, Hakaim A . Sexual function and quality of life in women after elective aortic surgery. Ann Vasc Surg. 2004; 18(4):428-32. DOI: 10.1007/s10016-004-0051-4. View