The Female Sexual Function Index: Translation and Validation of an Iranian Version

Journal of Sexual Medicine

Volumn 9, Issue 2, 2012, Pages 514-523

  Fakhri, Ahmad ^a   Pakpour, Amir H ^b   Burri, Andrea ^c   Morshedi, Hadi ^b   Zeidi, Isa Mohammadi ^b  

^a AHVAZ JUNDISHAPUR UNIVERSITY OF MEDICAL SCIENCES   (Iran)

^b QAZVIN UNIVERSITY OF MEDICAL SCIENCES   (Iran)

^c KING'S COLLEGE LONDON   (United Kingdom)

Author keywords

Female sexual dysfunction; FSFI; Iranian version; IV FSFI; Psychometric properties; Validation

Indexed keywords

ADULT; ARTICLE; CLINICAL ASSESSMENT TOOL; CONSTRUCT VALIDITY; DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS; FEMALE; FEMALE SEXUAL FUNCTION INDEX IRANIAN VERSION; HEALTH STATUS; HUMAN; IRAN; MAJOR CLINICAL STUDY; OUTPATIENT DEPARTMENT; PILOT STUDY; PRINCIPAL COMPONENT ANALYSIS; PRIORITY JOURNAL; PSYCHOMETRY; SEXUAL FUNCTION; SEXUAL HEALTH; TEST RETEST RELIABILITY; VALIDATION STUDY;

EID: 84856511749     PISSN: 17436095     EISSN: 17436109     Source Type: Journal    
DOI: 10.1111/j.1743-6109.2011.02553.x     Document Type: Article

References (51)

1. Walsh KE. Sexual dysfunction in the older women: An overview of the current understanding and management. Drugs Aging 2004;21:655-75.
2. World Health Organization. Defining sexual health. Report of a technical consultation on sexual health, January 28-31 2002, Geneva.
3. Jones LRA. The use of validated questionnaires to assess female sexual dysfunction. World J Urol 2002;20:89-92.
4. Basson R, Berman J, Burnett A, Derogatis L, Ferguson D, Fourcroy J, Goldstein I, Graziottin A, Heiman J, Laan E, Leiblum S, Padma-Nathan H, Rosen R, Segraves K, Segraves RT, Shabsigh R, Sipski M, Wagner G, Whipple B. Report of the international consensus development conference on female sexual dysfunction: Definitions and classifications. J Urol 2000;163:888-93.
5. Goldmeier D, Judd A, Shroeder K. Prevalence of sexual dysfunction in new heterosexual attenders at a central London genitourinary medicine clinic in 1998. Sex Transm Infect 2000;76:208-9.
6. Safarinejad MR. Female sexual dysfunction in a population-based study in Iran: Prevalence and associated risk factors. Int J Impot Res 2006;18:382-95.
7. Derogatis LR, Burnett AL. The epidemiology of sexual dysfunctions. J Sex Med 2008;5:289-300.
8. Hayes RD, Dennerstein L, Bennett CM, Fairley CK. What is the "true" prevalence of female sexual dysfunctions and does the way we assess these conditions have an impact? J Sex Med 2008;5:777-87.
9. Althof SE, Rosen RC, DeRogatis L, Corty E, Quirk F, Symonds T. Outcome measurement in female sexual dysfunction clinical trials: Review and recommendations. J Sex Marital Ther 2005;31:153-66.
10. Quirk FH, Heiman JR, Rosen RC, Laan E, Smith MD, Boolell M. Development of a sexual function questionnaire for clinical trials of female sexual dysfunction. J Womens Health Gend Based Med 2002;11:277-89.
11. Derogatis LR. The Derogatis interview for sexual functioning (DISF/DISF-SR): An introductory report. J Sex Marital Ther 1997;23:291-304.
12. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D'Agostino R. The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000;26:191-208.
13. PROQOLID. Female Sexual Function Index (FSFI). Available at: (accessed June 1, 2011).
14. Chang SR, Chang TC, Chen KH, Lin HH. Developing and validating a Taiwan version of the female sexual function index for pregnant women. J Sex Med 2009;6:1609-16.
15. Takahashi M, Inokuchi T, Watanabe C, Saito T, Kai I. The Female Sexual Function Index (FSFI): Development of a Japanese version. J Sex Med 2011;8:2246-54.
16. Nicolosi A, Glasser DB, Kim SC, Marumo K, Laumann EO; GSSAB Investigators' Group. Sexual behaviour and dysfunction and help-seeking patterns in adults aged 40-80 years in the urban population of Asian countries. BJU Int 2005;95:609-14.
17. American Psychiatric Association. DSM-IV-TR: Diagnostic and statistical manual of mental disorders. 4th edition. Text revision. Washington, DC: American Psychiatric Association; 2000.
18. Fleiss JL. Measuring nominal scale agreement among many raters. Psychol Bull 1971;76:378-82.
19. Zwick R. Another look at interrater agreement. Psychol Bull 1988;103:374-8.
20. De Mast J. Agreement and kappa-type indices. Am Stat 2007;61:148-53.
21. Siegel S, Castellan NJ. Nonparametric statistics for the social sciences. 2nd edition. New York: McGraw-Hill; 1988.
22. Brennan RL, Prediger DJ. Coefficient kappa: Some uses, misuses, and alternatives. Educ Psychol Meas 1981;41:687-99.
23. Wewers ME, Lowe NK. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health 1990;13:227-36.
24. Meston CM, Derogatis LR. Validated instruments for assessing female sexual function. J Sex Marital Ther 2002;28:155-64.
25. Wiegel M, Meston C, Rosen R. The female sexual function index (FSFI): Cross-validation and development of clinical cutoff scores. J Sex Marital Ther 2005;31:1-20.
26. Masheb RM, Lozano-Blanco C, Kohorn EI, Minkin MJ, Kerns RD. Assessing sexual function and dyspareunia with the Female Sexual Function Index (FSFI) in women with vulvodynia. J Sex Marital Ther 2004;30:315-24.
27. Likes WM, Stegbauer C, Hathaway D, Brown C, Tillmanns T. Use of the female sexual function index in women with vulvar intraepithelial neoplasia. J Sex Marital Ther 2006;32:255-66.
28. Sogni F, Zacchero M, Parola A, Carboni F, Terrone C, Gontero P. Sexual function in women undergoing hemodialytic treatment assessed using the female sexual function index (FSFI) and the somatic inkblot series (SIS) test. Clin Nephrol 2008;70:48-53.
29. Ziaei-Rad M, Vahdaninia M, Montazeri A. Sexual dysfunctions in patients with diabetes: A study from Iran. Reprod Biol Endocrinol 2010;8:50.
30. Sepideh Bakhta S, Najafib S. Body image and sexual dysfunctions: Comparison between breast cancer patients and healthy women. Proced Soc Behav Sci 2010;5:1493-7.
31. Castellini G, Mannucci E, Mazzei C, Lo Sauro C, Faravelli C, Rotella CM, Maggi M, Ricca V. Sexual function in obese women with and without binge eating disorder. J Sex Med 2010;7:3969-78.
32. Ozkan S, Ogce F, Cakir D. Quality of life and sexual function of women with urinary incontinence. Jpn J Nurs Sci 2011;8:11-9.
33. Sidi H, Asmidar D, Hod R, Guan NC. Female sexual dysfunction in patients treated with antidepressant-comparison between escitalopram and fluoxetine. J Sex Med 2011 Apr 7. [Epub ahead of print] doi: 10.1111/j.1743-6109.2011.02256.x.
34. Florence E, Schrooten W, Dreezen C, Gordillo V, Schonnesson LN, Asboe D, Koitz G, Colebunders R. Prevalence and factors associated with sexual dysfunction among HIV-positive women in Europe. AIDS Care 2004;16:550-7.
35. Woranitat W, Taneepanichskul S. Sexual function during the postpartum period. J Med Assoc Thai 2007;90:1744-8.
36. Chedraui P, Perez-Lopez FR, San Miguel G, Avila C. Assessment of sexuality among middle-aged women using the Female Sexual Function Index. Climacteric 2009;12:213-21.
37. Pauls RN, Occhino JA, Dryfhout VL. Effects of pregnancy on female sexual function and body image: A prospective study. J Sex Med 2008;5:1915-22.
38. Leiblum S, Symonds T, Moore J, Soni P, Steinberg S, Sisson M. A methodology study to develop and validate a screener for hypoactive sexual desire disorder in postmenopausal women. J Sex Med 2006;3:455-64.
39. The MAPI linguistic validation process. Available at: (accessed June 5, 2011).
40. Nunnally JC, Bernstein IR. Psychometric theory. 3rd edition. New York: McGraw-Hill; 1994.
41. Bartko JJ. Intraclass correlation coefficient as a measure of reliability. Psychol Rep 1996;19:3-11.
42. Hays R, Anderson R, Reviki DA. Assessing reliability and validity of measurement in clinical trials. In: Staquet MJ, Hays RD, Fayers PM, eds. Quality of life assessment in clinical trials. New York: Oxford University Press; 1998:169-82.
43. Benjamini Y, Hochberg Y. Controlling the false discovery rate: A practical and powerful approach to multiple testing. J R Stat Soc Ser B Stat Methodol 1995;57:289-300.
44. Benjamini Y, Krieger AM, Yekutieli D. Adaptive linear step-up procedures that control the false discovery rate. Biometrika 2006;93:491-507.
45. Hays RD, Hayashi T. Beyond internal consistency reliability: Rationale and user's guide for multitait analysis program on the microcomputer. Behav Res Methods 1990;22:167-75.
46. Byrne BM. Structural equation modelling. Mahwah, NJ: Lawrence Erlbaum Associates Publishers; 1998.
47. Browne MW, Cudeck R. Alternative ways of assessing model fit. Sociol Methods Res 1992;21:230-58.
48. ter Kuile MM, Brauer M, Laan E. The Female Sexual Function Index (FSFI) and the Female Sexual Distress Scale (FSDS): Psychometric properties within a Dutch population. J Sex Marital Ther 2006;32:289-304.
49. Sun X, Li C, Jin L, Fan Y, Wang D. Development and validation of Chinese version of female sexual function index in a Chinese population-A pilot study. J Sex Med 2011;8:1101-11.
50. Burri A, Cherkas L, Spector T. Replication of psychometric properties of the FSFI and validation of a modified version (FSFI-LL) assessing lifelong sexual function in an unselected sample of females. J Sex Med 2010;7:3929-39.
51. Sidi H, Abdullah N, Puteh SE, Midin M. The Female Sexual Function Index (FSFI): Validation of the Malay version. J Sex Med 2007;4:1642-54.