A new measure of sexual function in women with pelvic floor disorders (PFD): the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR)

作者：Rogers R G^*; Rockwood T H; Constantine M L; Thakar R; Kammerer Doak D N; Pauls R N; Parekh M; Ridgeway B; Jha S; Pitkin J; Reid F; Sutherland S E; Lukacz E S; Domoney C; Sand P; Davila G W; Espuna Pons M E

来源：International Urogynecology Journal and Pelvic Floor Dysfunction, 2013, 24(7): 1091-1103.

DOI：10.1007/s00192-012-2020-8

• Sexual function questionnaire
• Pelvic organ prolapse
• Urinary and/or anal incontinence

The objective of this study was to create a valid, reliable, and responsive sexual function measure in women with pelvic floor disorders (PFDs) for both sexually active (SA) and inactive (NSA) women. %26lt;br%26gt;Expert review identified concept gaps and generated items evaluated with cognitive interviews. Women underwent Pelvic Organ Prolapse Quantification (POPQ) exams and completed the Incontinence Severity Index (ISI), a prolapse question from the Epidemiology of Prolapse and Incontinence Questionnaire (ISI scores), the Pelvic Floor Distress Inventory-20 (PFDI-20), and the Female Sexual Function Index (FSFI). Principle components and orthogonal varimax rotation and principle factor analysis with oblique rotation identified item grouping. Cronbach%26apos;s alpha measured internal consistency. Factor correlations evaluated criterion validation. Change scores compared to change scores in other measures evaluated responsiveness among women who underwent surgery. %26lt;br%26gt;A total of 589 women gave baseline data, 200 returned surveys after treatment, and 147 provided test-retest data. For SA women, 3 subscales each in 2 domains (21 items) and for NSA women 2 subscales in each of 2 domains (12 items) emerged with robust psychometric properties. Cronbach%26apos;s alpha ranged from .63 to .91. For SA women, correlations were in the anticipated direction with PFDI-20, ISI, and FSFI scores, POPQ, and EPIQ question #35 (all p %26lt; .05). PFDI-20, ISI, and FSFI subscale change scores correlated with Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire International Urogynecological Association-revised (PISQ-IR) factor change scores and with mean change scores in women who underwent surgery (all p %26lt; .05). For NSA women, PISQ-IR scores correlated with PFDI-20, ISI scores, and with EPIQ question #35 (all p %26lt; .05). No items demonstrated differences between test and retest (all p a parts per thousand yenaEuro parts per thousand.05), indicating stability over time. %26lt;br%26gt;The PISQ-IR is a valid, reliable, and responsive measure of sexual function.

• 出版日期2013-7
• 单位西北大学