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Translation and validation of the Greek version of the female sexual function index questionnaire

International Journal of Impotence Research volume 29, pages 171–174 (2017)Cite this article

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Abstract

The clinical evaluation of female sexual dysfunctions should be supplemented by validated questionnaires; however, there is no specific instrument available in Greek language. The study was designed to linguistically validate the Greek version of Female Sexual Function Index (FSFI). Ninety-nine healthy women and eighteen women with a sexual dysfunction were recruited through a survey and were asked to voluntarily complete the FSFI questionnaire in Greek (FSFI-Gr) at baseline and after 2 weeks. We assessed validity, internal consistency reliability and test–retest reliability of the FSFI greek version. Subscales of the FSFI showed good internal consistency reliability (Cronbach's=0.92, P<0.01). Test-retest reliability median 14 days apart was excellent with intraclass coefficient 0.91 (P<0.01). The FSFI-Gr discriminated between women with and without sexual dysfunction with an optimal cutoff score 26 (sensitivity 71.4%, specificity 92.2%). The Greek version of the FSFI is a reliable tool for the assessment of female sexual dysfunction. The results show that it is comparable to the outcome of studies in English-speaking countries.

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References

  1. Diagnostic and Statistical Manual of Mental Disorders, 5th edn. American Psychiatric Publishing: : Arlington, 2013.

  2. Kirana PS, Tripodi F, Reisman Y, Porst H (eds). The EFS and ESSM Syllabus of Clinical Sexology. Medix: : Amsterdam, 2013.

    Google Scholar 

  3. Reisman Y, Porst H, Lowenstein L, Tripodi F, Kirana PS (eds) The ESSM Manual of Sexual Medicine, 2nd edn. Medix: : Amsterdam, 2015.

    Google Scholar 

  4. Andrews WC . Approaches to taking a sexual history. J Womens Health Gend Based Med 2000; 9 (Suppl 1): S21–S24.

    Article  Google Scholar 

  5. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000; 26: 191–208.

    Article  CAS  Google Scholar 

  6. Hatzichristou D, Kirana P, Banner L, Althof S, Lonnee-Hoffman R, Dennerstein L et al. Diagnostic evaluation of sexual dysfunctions in men and women and the use of symptom scales and questionnaires. J Sex Med 2016; 13: 1166–1182.

    Article  Google Scholar 

  7. Kriston L, Gunzler C, Rohde A, Berner MM . Is one question enough to detect female sexual dysfunctions? A diagnostic accuracy study in 6,194 women. J Sex Med 2010; 7: 1831–1841.

    Article  Google Scholar 

  8. Filocamo MT, Serati M, Li Marzi V, Costantini E, Milanesi M, Pietropaolo A et al. The Female Sexual Function Index (FSFI): linguistic validation of the Italian version. J Sex Med 2014; 11: 447–453.

    Article  Google Scholar 

  9. Blumel J, Binfa L, Cataldo P, Carrasco A, Izaguirre H, Sarrá S . Indicede Función Sexual Femenina: un test para evaluar la sexualidad de la mujer. Rev Chil Obstet Ginecol 2004; 69: 118–125.

    Article  Google Scholar 

  10. Nowosielski K, Wrobel B, Sioma-Markowska U, Poreba R . Development and validation of the Polish version of the Female Sexual Function Index in the Polish population of females. J Sex Med 2013; 10: 386–395.

    Article  Google Scholar 

  11. Ryding EL, Blom C . Validation of the Swedish version of the Female Sexual Function Index (FSFI) in women with hypoactive sexual desire disorder. J Sex Med 2015; 12: 341–349.

    Article  Google Scholar 

  12. Witting K, Santtila P, Jern P, Varjonen M, Wager I, Hoglund M et al. Evaluation of the female sexual function index in a population based sample from Finland. Arch Sex Behav 2008; 37: 912–924.

    Article  Google Scholar 

  13. Oksuz E, Malhan S . Prevalence and risk factors for female sexual dysfunction in Turkish women. TJ Urol 2006; 175: 654–658; discussion 8.

    Article  Google Scholar 

  14. Sun X, Li C, Jin L, Fan Y, Wang D . Development and validation of Chinese version of female sexual function index in a Chinese population-a pilot study. J Sex Med 2011; 8: 1101–1111.

    Article  Google Scholar 

  15. Anis TH, Gheit SA, Saied HS, Al kherbash SA . Arabic translation of Female Sexual Function Index and validation in an Egyptian population. J Sex Med 2011; 8: 3370–3378.

    Article  Google Scholar 

  16. Ghassamia M, Asghari A, Shaeiri MR, Safarinejad MR . Validation of psychometric properties of the Persian version of the Female Sexual Function Index. Urol J 2013; 10: 878–885.

    PubMed  Google Scholar 

  17. Sidi H, Abdullah N, Puteh SE, Midin M . The Female Sexual Function Index (FSFI): validation of the Malay version. J Sex Med 2007; 4: 1642–1654.

    Article  Google Scholar 

  18. Rillon-Tabil N, Malong C, Vicera J, Gomez H, Vol P . 51 NO-D, 2013. Translation and Validity of the Female Sexual Function Index Filipino Version (FSFI-Fil). Phil J Intern Med 2013; 51: 1–11.

    Google Scholar 

  19. Lee Y, Lim MC, Joo J, Park K, Lee S, Seo S et al. Development and validation of the Korean version of the Female Sexual Function Index-6 (FSFI-6 K). Yonsei Med J 2014; 55: 1442–1446.

    Article  Google Scholar 

  20. Takahashi M, Inokuchi T, Watanabe C, Saito T, Kai I . The Female Sexual Function Index (FSFI): development of a Japanese version. J Sex Med 2011; 8: 2246–2254.

    Article  Google Scholar 

  21. 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.

    Article  Google Scholar 

  22. Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A et al. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health: 2005; 8: 94–104.

    Article  Google Scholar 

  23. 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: 1–20.

    Article  Google Scholar 

  24. Hayes RD, Dennerstein L, Bennett CM, Fairley CK . What is the ‘true’ prevalence of female sexual dysfunctions and does the way we assess these conditions have an impact? J Sex Med 2008; 5: 777–787.

    Article  Google Scholar 

  25. Meston CM . Validation of the Female Sexual Function Index (FSFI) in women with female orgasmic disorder and in women with hypoactive sexual desire disorder. J Sex Marital Ther 2003; 29: 39–46.

    Article  Google Scholar 

  26. ter Kuile MM, Brauer M, Laan E . The Female Sexual Function Index (FSFI) and the Female Sexual Distress Scale (FSDS): psychometric properties within a Dutch population. J Sex Marital Ther 2006; 32: 289–304.

    Article  Google Scholar 

  27. Verit FF, Verit A . Validation of the female sexual function index in women with chronic pelvic pain. J Sex Med 2007; 4: 1635–1641.

    Article  Google Scholar 

  28. Basson R . The female sexual response: a different model. J Sex Marital Ther 2000; 26: 51–65.

    Article  CAS  Google Scholar 

  29. Basson R . Human sex-response cycles. J Sex Marital Ther 2001; 27: 33–43.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Urology, Elpis Hospital, Volos, Greece

    A Zachariou

  2. Medical School of Larissa, University of Thessaly, Thessaly, Greece

    M Filiponi

  3. Department of Sexual and Reproductive Health, Institute of Study of Urological Diseases, Thessaloniki, Greece

    P S Kirana

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  1. A Zachariou
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  2. M Filiponi
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  3. P S Kirana
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Correspondence to P S Kirana.

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Zachariou, A., Filiponi, M. & Kirana, P. Translation and validation of the Greek version of the female sexual function index questionnaire. Int J Impot Res 29, 171–174 (2017). https://doi.org/10.1038/ijir.2017.18

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