Volume 23, Issue 5 (September-October 2024)
Payesh 2024, 23(5): 771-778 |
Back to browse issues page
Ethics code: IR.TUMS.FNM.REC.1400.203
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Maasoumi R, Sabetghadam S, Samadi P, Nasiri M. Sensitivity, specificity and clinical cut-off point of the Persian short form version of the Female Sexual Function Index (FSFI-6). Payesh 2024; 23 (5) :771-778
URL: http://payeshjournal.ir/article-1-2323-en.html
URL: http://payeshjournal.ir/article-1-2323-en.html
1- Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
2- Department of Midwifery, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
3- Department of Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
4- Department of Biostatistics, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Midwifery, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
3- Department of Reproductive Health, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran
4- Department of Biostatistics, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract: (293 Views)
Objective(s): Although the psychometric properties of the Persian version of the short form of the Female Sexual Function Scale (FSFI-6) was studied, the sensitivity and specificity of the Persian version of this instrument have not been investigated. The present study aimed to assess the sensitivity, specificity and clinical cut-off point of the FSFI-6 in Iranian women.
Methods:This descriptive cross-sectional study was conducted on 165 women with and 131 women without sexual dysfunction. In addition to a demographic questionnaire, the Female Sexual Function Index (FSFI-19) questionnaire was administered. Using the Receiver-Operating Characteristic curve (ROC) analysis and indicating cut-off point, sensitivity and specificity were determined
Results: Based on the short form of the original instrument, which included questions 4, 2, 7, 11, 16, and 17 from the longer version, the cut-off point for the FSFI-6 was 18.5 and the sensitivity and specificity were 61% and 52%, respectively. Considering that the calculated sensitivity and specificity of the index was relatively low and had a significant difference compared to the reported sensitivity and specificity for this instrument in the literature. Therefore, questions 5, 8, 12, and 18 were replaced with questions 4, 7, 11, and 17 and the analysis was repeated. Based on the replaced questions, the cut-off point was 20.5 and the sensitivity and specificity of the tool was 90%.
Conclusion: The findings suggest that the Persian version of FSFI-6 with questions 2, 5, 8, 12, 16, and 18 has a better performance for diagnosing sexual dysfunction in Iranian women.
Methods:This descriptive cross-sectional study was conducted on 165 women with and 131 women without sexual dysfunction. In addition to a demographic questionnaire, the Female Sexual Function Index (FSFI-19) questionnaire was administered. Using the Receiver-Operating Characteristic curve (ROC) analysis and indicating cut-off point, sensitivity and specificity were determined
Results: Based on the short form of the original instrument, which included questions 4, 2, 7, 11, 16, and 17 from the longer version, the cut-off point for the FSFI-6 was 18.5 and the sensitivity and specificity were 61% and 52%, respectively. Considering that the calculated sensitivity and specificity of the index was relatively low and had a significant difference compared to the reported sensitivity and specificity for this instrument in the literature. Therefore, questions 5, 8, 12, and 18 were replaced with questions 4, 7, 11, and 17 and the analysis was repeated. Based on the replaced questions, the cut-off point was 20.5 and the sensitivity and specificity of the tool was 90%.
Conclusion: The findings suggest that the Persian version of FSFI-6 with questions 2, 5, 8, 12, 16, and 18 has a better performance for diagnosing sexual dysfunction in Iranian women.
type of study: Descriptive |
Subject:
Reproductive Health
Received: 2023/10/31 | Accepted: 2024/06/15 | ePublished ahead of print: 2024/09/15 | Published: 2024/10/8
Received: 2023/10/31 | Accepted: 2024/06/15 | ePublished ahead of print: 2024/09/15 | Published: 2024/10/8
References
1. Klein V, Laan E, Brunner F, Briken P. Sexual pleasure matters (especially for women)-Data from the German sexuality and health survey (GeSiD). Sexuality Research and Social Policy 2022;19:1879-87 [DOI:10.1007/s13178-022-00694-y]
2. García-Duarte S, Nievas-Soriano BJ, Fischer-Suárez N, Castro-Luna G, Parrón-Carreño T, Aguilera-Manrique G. Quality of Sexuality during Pregnancy, We Must Do Something, Survey Study. International Journal of Environmental Research and Public Health 2023;20:965 Available from: https://ww.mdpi.com/1660-4601/20/2/965/htm [DOI:10.3390/ijerph20020965]
3. Basson R. Women's sexual dysfunction: revised and expanded definitions. Canadian Medical Association Journal 2005;172:1327-33 [DOI:10.1503/cmaj.1020174]
4. Güleryüz A, Altay B. Relationship between sexual quality of life and life satisfaction in women with urinary incontinence: A cross-sectional survey. Urologia Journal 2023; 90:741-747 [DOI:10.1177/03915603231184088]
5. Panahi R, Anbari M, Javanmardi E, Ghoozlu KJ, Dehghankar L. The effect of women's sexual functioning on quality of their sexual life. Journal of Preventive Medicine and Hygiene 2021;62:E776-81
6. Clayton AH, Juarez EMV. Female sexual dysfunction. Medical Clinics 2019;103:681-98 [DOI:10.1016/j.mcna.2019.02.008]
7. Stephenson KR, Meston CM. Why is impaired sexual function distressing to women? The primacy of pleasure in female sexual dysfunction. Journal of Sexual Medicine 2015;12:728-37 [DOI:10.1111/jsm.12804]
8. McCool ME, Zuelke A, Theurich MA, Knuettel H, Ricci C, Apfelbacher C. Prevalence of female sexual dysfunction among premenopausal women: a systematic review and meta-analysis of observational studies. Sexual Medicine Review 2016;4:197-212 [DOI:10.1016/j.sxmr.2016.03.002]
9. Ramezani MA, Ahmadi K, Ghaemmaghami A, Marzabadi EA, Pardakhti F. Epidemiology of sexual dysfunction in iran: A systematic review and meta-analysis. Journal of Preventive Medicine and Hygiene 2015; 6:43 [DOI:10.4103/2008-7802.157472]
10. Ramezani Tehrani F, Farahmand M, Simbar M, Afzali HM. Factors associated with sexual dysfunction; a population based study in Iranian reproductive age women. Archive of Iranian Medicine 2014;17:679-84
11. Ghassami M, Shairi MR, Asghari Moghadam MA, Rahmati N. The study of the psychometric properties of the 6-item version of the female sexual function index (FSFI-6) amongest Iranian women, Nursing And Midwifery Journal 2014;12:532-43 [Persian] http://unmf.umsu.ac.ir/article-1-1619-fa.html
12. Fatehi S, Maasoumi R, Atashsokhan G, Hamidzadeh A, Janbabaei G, Mirrezaie SM. The effects of psychosexual counseling on sexual quality of life and function in Iranian breast cancer survivors: a randomized controlled trial. Breast Cancer Research and Treatment 2019;175:171-9 [DOI:10.1007/s10549-019-05140-z]
13. Banaei M, Azizi M, Moridi A, Dashti S, Yabandeh AP, Roozbeh N. Sexual dysfunction and related factors in pregnancy and postpartum: a systematic review and meta-analysis protocol. Systematic Reviews 2019;8:1-5 [DOI:10.1186/s13643-019-1079-4]
14. Pakgohar M, Sabetghadam S, Rahimparvar SFV, Kazemnejad A. Sexual function and help seeking for urinary incontinence in postmenopausal women. Journal of Women & Aging 2016;28:1-5 [DOI:10.1080/08952841.2014.950546]
15. Neijenhuijs KI, Hooghiemstra N, Holtmaat K, Aaronson NK, Groenvold M, Holzner B, et al. The Female Sexual Function Index (FSFI)-a systematic review of measurement properties. Journal of Sexual Medicine 2019;16:640-60 [DOI:10.1016/j.jsxm.2019.03.001]
16. Isidori AM, Pozza C, Esposito K, Giugliano D, Morano S, Vignozzi L, et al. Development and validation of a 6-item version of the female sexual function index (FSFI) as a diagnostic tool for female sexual dysfunction. Journal of Sexual Medicine 2010;7:1139-46 [DOI:10.1111/j.1743-6109.2009.01635.x]
17. 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-6K). Yonsei Medical Journal 2014;55:1442-6 [DOI:10.3349/ymj.2014.55.5.1442]
18. Chedraui P, Pérez-López FR, Sánchez H, Aguirre W, Martínez N, Miranda O, et al. Assessment of sexual function of mid-aged Ecuadorian women with the 6-item Female Sexual Function Index. Maturitas 2012;71:407-12 [DOI:10.1016/j.maturitas.2012.01.013]
19. Maroufizadeh S, Riazi H, Lotfollahi H, Omani-Samani R, Amini P. The 6-item Female Sexual Function Index (FSFI-6): factor structure, reliability, and demographic correlates among infertile women in Iran. Middle East Fertility Society Journal 2020;24:1-6 [DOI:10.1186/s43043-019-0008-8]
20. Heinemann J, Atallah S, Rosenbaum T. The Impact of Culture and Ethnicity on Sexuality and Sexual Function. Current Sexual Health Reports 2016;8:144-50 [DOI:10.1007/s11930-016-0088-8]
21. Maasoumi R, Taket A, Zarei F. How Iranian Women Conceptualize the Role of Cultural Norms in Their Sexual Lives. Sexuality & Culture 2018;22:1376-90 [DOI:10.1007/s12119-018-9531-5]
22. Basson R, Berman J, Burnett A, Derogatis L, Ferguson D, Fourcroy J, et al. Report of the International Consensus Development Conference on female sexual dysfunction: Definitions and classifications. Journal of Sex and Marital Therapy 2001;27:83-94 [DOI:10.1080/00926230152051707]
23. Sabetghadam S, Maasoumi R, Keramat A, Talebi SS, Aghayan SS. Women's Help-Seeking Behaviors for Sexual Health Issues and the Related Factors: A Cross-Sectional Study from Iran. Journal of Sex and Marital Therapy 2021;48:65-78 [DOI:10.1080/0092623X.2021.1965057]
Send email to the article author
| Rights and Permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |