Development and Validation of Turkish Version of The Female Sexual Distress Scale-Revised

Abstract

IntroductionThe sexually related personal distress becomes an obligation for the diagnosis of female sexual dysfunction (FSD). The Female Sexual Distress Scale-Revised (FSDS-R) was developed, extensively validated, and is among the most widely used tools to measure distress associated with impaired sexual function.AimThis study aims to develop a Turkish version of the FSDS-R, to evaluate its psychometric reliability and validity, and to estimate the optimal cutoff score that corresponds best to the clinical diagnosis of sexual dysfunction.MethodsNinety-five participants were diagnosed with female sexual interest and arousal disorder (FSIAD), 25 participants were diagnosed with another FSD, and 128 participants were healthy. Alpha coefficients (α) were used as an indicator of internal consistency. Test–retest reliability over a 2-week period was estimated using intraclass correlation coefficients (ICCs). Correlation analysis conducted between the FSDS-R total score, the Female Sexual Function Index subscale, and total score was examined for convergent validity. Discriminant validity was assessed by comparing mean scores of the FSD and control groups in a between-groups analysis of variance. Receiver operating characteristic analysis was performed to determine optimal cutoff values of the Turkish version of Female Sexual Distress Scale-Revised (Tr-FSDS-R).Main Outcomes MeasuresSexuality-related distress measured by the Turkish version of the FSDS-R.ResultsInternal consistencies of the FSDS-R across the two assessments point for the three groups of women ranged from α = 0.87 to α = 0.99. ICCs ranged from 0.92 to 0.94 for baseline and day 15 for FSIAD, other FSD, and no FSD groups. One-factor unidimensional model explained 85.7% of the total variance of the Tr-FSDS-R items. The optimal cutoff score was found to be >11.5 to provide optimal sensitivity (97.9%) and specificity (83.2%). Significant differences in the FSDS-R scores were found between healthy women, women with hypoactive sexual desire disorder, and women with other types of FSD.ConclusionThe Turkish version of FSDS-R is a valid, reliable tool with well discriminative and psychometric validity for use in the Turkish female population and can be used as a screening questionnaire for females with sexual interest/arousal disorder. The score of ≥11.5 was proposed as a cutoff to detect the presence of sexually related personal distress in Turkish women with FSD.

Platelet-rich plasma administration to the lower anterior vaginal wall to improve female sexuality satisfaction

“…The following questionnaires were administered before the PRP administration in the 1 st , 2 nd , 3 rd , and 4 th month and at the 6 th month follow-up. The validated Turkish version of the FSFI, Female Genital Self-Image Scale (FGSIS), Female Sexual Distress Scale-Revised (FSDS-R), and the Rosenberg Self-Esteem Scale (RSES) were applied to all participants (11)(12)(13)(14) . The Patient Global Impression of Improvement (PGI-I) was completed at the 6 th month for the evaluation of the patient's satisfaction.…”

“…The total score, ranging from 0 to 52, can be computed by adding all 13 item scores. Higher scores indicate higher levels of sexual distress (13) . The RSES, developed by Rosenberg, is one of the most widely used tools to assess global self-esteem by measuring both positive and negative individual feelings (18) .…”

Assessment of sexually related personal distress accompanying premenopausal sexual dysfunction with an Arabic version of the Female Sexual Distress Scale

“…13,14 The Arabic version of the FSDS showed good internal consistency and a high degree of test-retest reliability, indicating that it can produce consistent results over time. The high acceptability of the material included in the Arabic FSDS, as well as in other translations, 13,14,18,19 shows that translated questionnaires can have the same utility as the original version despite cultural differences. 32 The present study has a few limitations.…”

“…17 The scales have been translated and validated in several languages, including Turkish, Dutch, Farsi, and Korean. 13,18,19 Possibly owing to the sensitivity of the topic and the lack of a properly translated version of the FSDS, however, female sexual distress has not yet been addressed in Arabic-speaking communities.…”

“…The scale has been applied in several clinical trials, including a large study evaluating personal distress and FSD in American women, and a study evaluating the associations among sexual dysfunction, distress, and partner compatibility in Finland . The scales have been translated and validated in several languages, including Turkish, Dutch, Farsi, and Korean . Possibly owing to the sensitivity of the topic and the lack of a properly translated version of the FSDS, however, female sexual distress has not yet been addressed in Arabic‐speaking communities.…”