Use of the Female Sexual Function Index in Women with Vulvar Intraepithelial Neoplasia

Likes, Wendy; Stegbauer, Cheryl; Hathaway, Donna; Brown, Candice; Tillmanns, Todd

doi:10.1080/00926230600575348

Cited by 36 publications

(35 citation statements)

References 6 publications

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“…The BACH FSFI total score was found to correlate highly with the original FSFI total score in this clinical sample (Pearson r = .98, p < .001) and had high internal reliability (Cronbach's alpha = .92). The original FSFI instrument was additionally validated using empirically derived cutoff scores and normative data from different samples (Likes, Stegbauer, Hathaway, Brown, & Tillmanns, 2006;Masheb, Lozano-Blanco, Kohorn, Minkin, & Kerns, 2004;Meston, 2003;Sidi, Puteh, Abdullah, & Midin, 2006). For the original FSFI, a cutoff score of 26.5 was determined based on a sensitivity score of .80 and a specificity score of .85 (Wiegel et al, 2005), and scores equal to or below the cut-off score were used to indicate the presence of sexual problems.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and Correlates of Sexual Activity and Function in Women: Results from the Boston Area Community Health (BACH) Survey

et al. 2008

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Relatively few studies have measured sexual functioning in women using a large, diverse, community-based sample with measures that allow for direct comparisons with previous findings. In this article, we: (1) describe prevalence of sexual activity in women by key sociodemographic characteristics, including age, race/ethnicity, marital status, and socioeconomic status; and (2) estimate the influence of key correlates on sexual problems. Data were analyzed from the Boston Area Community Health (BACH) Survey, a 2002-2005 community-based epidemiologic study of urologic and gynecologic symptoms, sociodemographics, health status, and psychosocial characteristics in a diverse sample of Boston area residents (N = 3,205 women aged 30-79 years). Analyses of sexual activity prevalence and reasons for inactivity were conducted on the full sample, while analyses of sexual problems and their correlates were conducted for the subset of women who engaged in sexual activity with a partner in the previous 4 weeks. A total of 49% of participants were not sexually active, citing lack of interest (51.5%) and lack of a partner (60.8%) as the most common reasons. Data pertaining to five dimensions of sexual functioning were gathered through a self-administered questionnaire adapted from the Female Sexual Function Index, measuring desire among all women and arousal, lubrication, orgasm, and pain among those who were sexually active. Among the sexually active, we obtained a 38.4% prevalence rate of sexual problems and 34.9% of those participants reported that they were also dissatisfied with their sex lives. Therefore, only 13.7% of the sexually active sample exhibited both sexual problems and dissatisfaction with their overall sex lives. Age was strongly and positively associated with sexual problems. In terms of psychosocial factors, depression, sexual and physical abuse in adulthood, global mental health functioning, and alcohol were associated with sexual problems, with variation across racial/ethnic groups.

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Section: Methodsmentioning

confidence: 99%

Prevalence and Correlates of Sexual Activity and Function in Women: Results from the Boston Area Community Health (BACH) Survey

et al. 2008

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“…12,21,22 It has also shown good reliability. 1,21,22 The Chinese version of the FSFI is an accepted screening tool because of its excellent wording, clear scale structure and demonstrated validity and reliability (a range from 0.81 to 0.92). 17 The internal consistency alpha values were 0.94 for the overall scale and 0.76-0.95 for its subscales in this study.…”

Section: Instrumentmentioning

confidence: 99%

“…[1][2][3][4][5] However, the role of the pelvic floor in sexual function has not been fully elucidated. 6 Despite the fact that the anus is a part of the pelvic floor structure, the clinical attention given to sexual problems in hemorrhoidectomy patients has been negligible.…”

Section: Introductionmentioning

confidence: 99%

The impact of hemorrhoidectomy on sexual function in women: a preliminary study

et al. 2009

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The purpose of this study was to explore the prevalence of sexual problems in posthemorrhoidectomy females. The study consisted of a surgical group and a control group of women between the ages of 22 and 74 years, 39 with and 39 without hemorrhoidectomy. Female sexual function was evaluated using the Female Sexual Function Index (FSFI). The level of sexual function was calculated for each domain and compared across domains and demographic variables for each group. The prevalence of sexual dysfunction among the post-hemorrhoidectomy participants was 48.7% (19/39) and among the healthy women 7.7% (3/39). The average FSFI score was significantly lower in the surgical group (46.38 ± 28.13) than in the control group (65.69 ± 18.48) (P ¼ 0.001). All the FSFI domain scores, with the exception of the desire domain, were significantly lower for the surgical group relative to the healthy group (Po0.05). Logistic regression analysis revealed that group (P ¼ 0.001) and age (P ¼ 0.013) were predictors of problems in female sexual functioning. This preliminary study shows that women who have had a hemorrhoidectomy are at higher risk of sexual function problems. The sexual function of women with hemorrhoidectomy should be evaluated to provide them with a better quality of life.

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“…The BACH FSFI total score was found to correlate highly with the FSFI total score in the original sample (Pearson r = .979, p < .001) and have high internal reliability (Cronbach's alpha = .917). The original FSFI instrument has been additionally validated using empirically derived cutoff scores and normative data from different samples (49)(50)(51). For the original FSFI, a cutoff score of 26.5 was determined based on a sensitivity score of .801 and a specificity score of .851 (46), and scores equal to or below the cut-off score are used to indicate presence of sexual dysfunction.…”

Section: Measurement Of Female Sexual Functioningmentioning

confidence: 99%

An examination of the association of abuse (physical, sexual, or emotional) and female sexual dysfunction: results from the Boston Area Community Health Survey

Lutfey

Link

Litman

et al. 2008

Fertility and Sterility

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Study objective-To examine associations between abuse (physical, sexual, and emotional) in childhood and adolescence/adulthood and sexual activity and dysfunction (FSD) in women.Design-We analyzed data from the Boston Area Community Health (BACH) Survey, a community-based epidemiologic study of urologic and sexual symptoms and risk factors in a racially/ ethnically diverse random sample of women aged 30-79 (N=3,205 women). Setting-Boston Area communityPatients-Participants were community residents.Interventions-Data were observational; no interventions were made.Main outcome measure-Sexual activity and dysfunction rates (FSD) were assessed by means of a validated questionnaire: the Female Sexual Function Index (FSFI).Results-Abuse history was not significantly associated with likelihood of sexual activity. Among those who were sexually active with a partner, a history of each of three types of abuse approximately doubles the risk of FSD. Specifically, childhood emotional (OR 2.13, 95% CI 1.28, 3.56), adult sexual (OR 1.94, 95% CI 1.23, 3.08), and adult emotional abuse (OR 1.86, 95% CI 1.15, 3.01) were all significantly and positively associated with sexual dysfunction (p < .05) after adjusting for covariates (including depression). Analyses of the six FSD domains showed that the relationships were strongest for pain (p = .006) and satisfaction (p < .001).Conclusions-These findings extend previous literature by identifying an association between FSD and multiple types of abuse, even after adjusting for depression.

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Use of the Female Sexual Function Index in Women with Vulvar Intraepithelial Neoplasia

Cited by 36 publications

References 6 publications

Prevalence and Correlates of Sexual Activity and Function in Women: Results from the Boston Area Community Health (BACH) Survey

Prevalence and Correlates of Sexual Activity and Function in Women: Results from the Boston Area Community Health (BACH) Survey

The impact of hemorrhoidectomy on sexual function in women: a preliminary study

An examination of the association of abuse (physical, sexual, or emotional) and female sexual dysfunction: results from the Boston Area Community Health Survey

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