Transcultural Adaptation and Validation of the Spanish Version of the Sexual Satisfaction Scale for Women (SSS-W-E)

Abstract

Background: Sexual satisfaction is a complex and multidimensional concept. It encompasses physical, emotional, relational and cultural dimensions, and constitutes an essential component of sexual health, as well as an indicator of quality of life and wellbeing. The Sexual Satisfaction Scale for Women (SSS-W) was designed in the United States, and it is a valid and reliable tool to measure women’s sexual satisfaction. Aim: The aim of this study was to culturally adapt and translate the SSS-W into Spanish and analyze its psychometric properties. Methods: First, the original instrument was culturally adapted and translated from English to Spanish. Then, we tested the psychometric properties of the instrument in its Spanish version in a sample of 316 women who attended a family planning clinic in Logroño, Spain. Internal consistency reliability of the whole scale and each subscale separately was measured using Cronbach’s alpha. Factorial validity of the SSS-W in its Spanish version was analyzed using exploratory factor analysis through the Kaiser–Meyer–Olkin measure of sample adequacy and Bartlett’s Sphericity test. Results: The Cronbach’s alpha coefficients of the total scale and each subscale were satisfactory (>0.7). Exploratory factor analysis confirmed the five hypothetical dimensions of the scale in its Spanish version. The five dimensions (contentment, communication, compatibility, relational concern, and personal concern) explained 60% of the total variance of the scale; factor analysis using varimax rotation revealed strong loads in each of the five components. Conclusions: The SSS-W in its Spanish version is a valid and reliable tool to assess sexual satisfaction in Spanish women of reproductive age and, therefore, can be used both in clinical practice and for the investigation of sexual health.

Spanish Questionnaires for the Assessment of Pelvic Floor Dysfunctions in Women: A Systematic Review of the Structural Characteristics and Psychometric Properties

“…After reading the titles and applying the selection criteria to the complete documents, 13 articles and a total of 15 questionnaires were selected [ 8 , 14 , 15 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 ].…”

“…Four questionnaires have been identified that assess QoL [ 8 , 14 , 26 , 30 ], five of them measure the impact of PFD on sexual function [ 15 , 25 , 28 , 29 , 32 ], seven evaluate the symptoms of POP and UI [ 8 , 14 , 25 , 26 , 27 , 30 , 31 ], and one was focused on pregnant women [ 26 ].…”

“…Sexual function can be assessed with the five questionnaires that have been found in the studies (PISQ-12 [ 25 ], PISQ-IR [ 28 ], FSFI-postmenopausal [ 29 ], FSFI [ 15 ], SSS-W-E [ 32 ]). The main differences between the PISQ-IR and the PISQ-12 are found in the PISQ-IR difference between sexually active and non-active women [ 28 ], but both are focused on sexual function within pelvic floor dysfunctions.…”

“…There are five validated questionnaires in Spanish for the evaluation of sexual function [ 15 , 25 , 28 , 29 , 32 ], as already mentioned. In three of the studies the test–retest reliability was calculated, for example FSFI [ 15 ] with an ICC value of 0.96, and PISQ-12 [ 25 ] with an ICC value between 0.22 and 0.76.…”

“…Of the eight questionnaires identified for the evaluation of UI (ICIQ-SF, B-SAQ, PISQ-12, EPIQ, UDI-6, IIQ-7, Broome and PIKQ [ 14 , 23 , 24 , 25 , 26 , 27 , 31 ]), only the value taken by the ICC is available in five questionnaires [ 14 , 25 , 26 , 32 ], oscillating between 0.22 [ 25 ] and 0.99 [ 32 ].…”