The Validation of the Female Sexual Function Index, Male Sexual Function Index, and Profile of Female Sexual Function for Use in Healthy Young Adults
Tóm tắt
Past research has typically used clinical samples to evaluate the validity of sexual function measures. As normal variations in sexually healthy individuals are of important research and clinical interest, evaluating the applicability of common sexual function measures to these populations is important. Factor structures of the Female Sexual Function Index (FSFI), Male Sexual Function Index (MSFI) (adapted for this investigation), and Profile of Female Sexual Function (PFSF) were examined in young, healthy men and women. We predicted the factor structures to be consistent with past evaluations. In a cross-sectional study, 1,258 participants (M age = 19.56 years; 59 % women) completed these measures. Confirmatory factor analyses did not initially support the factor structures. However, factor loadings showed marked differences between positively and negatively worded items. As such, each measure’s factor structure was tested using multi-trait multi-method confirmatory factor analysis which accounted for variance due to item valence. These models supported the predicted structures of the FSFI and MSFI, whereas the PFSF’s Responsiveness scale required modification, resulting in an Avoidance scale for both genders. This study was one of few to validate the FSFI in young, healthy adults and the first to examine the MSFI and PFSF in these populations. Additionally, this investigation was the first to propose a reconceptualization of the PFSF Responsiveness scale into an Avoidance scale. Lastly, our study highlights the significant impact of item valence on how individuals respond to questions regarding their sexual functioning.
Tài liệu tham khảo
Borello-France, D., Dusi, J., O’Leary, M., Misplay, S., Okonski, J., Leng, W., … Chancellor, M. (2008). Test-retest reliability of the urge-urinary distress inventory and Female Sexual Function Index in women with multiple sclerosis. Urologic Nursing, 28, 30–35.
Brotto, L. A. (2009). The Female Sexual Function Index [Letter to the Editor]. Journal of Sex and Marital Therapy, 35, 161–163. doi:10.1080/00926230802712327.
Carvalho, S., Moreira, A., Rosado, M., Correia, D., Maia, D., & Pimentel, P. (2011). Female premature orgasm: Does this exist? Sexologies, 20, 215–220. doi:10.1016/j.sexol.2011.08.008.
Carvalho, J., Vieira, A. L., & Nobre, P. (2012). Latent structures of female sexual functioning. Archives of Sexual Behavior, 41, 907–917. doi:10.1007/s10508-011-9865-7.
Davis, S. N., Binik, Y. M., & Carrier, S. (2009). Sexual dysfunction and pelvic pain in men: A male sexual pain disorder? Journal of Sex and Marital Therapy, 35, 182–205. doi:10.1080/00926230802716310.
DeRogatis, L. R., Rust, J., Golombok, S., Bouchard, C., Nachtigall, L., Rodenberg, C., … McHorney, C. A. (2004). Validation of the Profile of Female Sexual Function (PFSF) in surgically and naturally menopausal women. Journal of Sex and Marital Therapy, 30, 25–36. doi:10.1080/00926230490247183.
Dunn, K. M., Croft, P. R., & Hackett, G. I. (1999). Association of sexual problems with social, psychological, and physical problems in men and women: A cross sectional population survey. Journal of Epidemiology and Community Health, 53, 144–148. doi:10.1136/jech.53.3.144.
Fabrigar, L. R., Wegener, D. T., MacCallum, R. C., & Strahan, E. J. (1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods, 4, 272–298. doi:10.1037/1082-989X.4.3.272.
Hu, L. T., & Bentler, P. M. (1998). Fit indices in covariance structure modeling: Sensitivity to underparameterized model misspecification. Psychological Methods, 3, 424–453. doi:10.1037/1082-989X.3.4.424.
Kalmbach, D. A., Ciesla, J. A., Janata, J. W., & Kingsberg, S. A. (2012). Specificity of anhedonic depression and anxious arousal with sexual problems among sexually healthy young adults. Journal of Sexual Medicine, 9, 505–513. doi:10.1111/j.1743-6109.2011.02533.x.
Kennedy, S. H., Dickens, S. E., Eisfeld, B. S., & Bagby, R. M. (1999). Sexual dysfunction before antidepressant therapy in major depression. Journal of Affective Disorders, 56, 201–208. doi:10.1016/S0165-0327(99)00050-6.
Kingsberg, S. A., & Althof, S. E. (2011). Satisfying sexual events as outcome measures in clinical trial of female sexual dysfunction. Journal of Sexual Medicine, 8, 3262–3270. doi:10.1111/j.1743-6109.2011.02447.x.
Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York: Guilford Press.
Kline, R. B. (2013). Exploratory and confirmatory factor analysis. In Y. Petscher & C. Schatsschneider (Eds.), Applied quantitative analysis in the social sciences (pp. 171–207). New York: Routledge.
Laumann, E. O., Paik, A., & Rosen, R. C. (1999). Sexual dysfunction in the United States: Prevalence and predictors. Journal of the American Medical Association, 281, 537–544. doi:10.1001/jama.281.6.537.
Levine, S. B. (2003). The nature of sexual desire: A clinician’s perspective. Archives of Sexual Behavior, 32, 279–285. doi:10.1023/A:1023421819465.
Likes, W. M., Stegbauer, C., Hathaway, D., Brown, C., & Tillmanns, T. (2006). Use of the Female Sexual Function Index in women with vulvar intraepithelial neoplasia. Journal of Sex and Marital Therapy, 32, 255–266. doi:10.1080/00926230600575348.
Luzzi, G. A., & Law, L. A. (2006). The male sexual pain syndromes. International Journal of STD and AIDS, 17, 720–726. doi:10.1258/095646206778691220.
Masheb, R. M., Lozano-Blanco, C., Kohorn, E. I., Minkin, M. J., & Kerns, R. D. (2004). Assessing sexual function and dyspareunia with the Female Sexual Function Index (FSFI) in women with vulvodynia. Journal of Sex and Marital Therapy, 30, 315–324. doi:10.1080/00926230490463264.
McHorney, C. A., Rush, J., Golombok, S., Davis, S., Bouchard, C., Brown, C., … DeRogatis, L. (2004). Profile of Female Sexual Function: A patient-based, international, psychometric instrument for the assessment of hypoactive sexual desire in oophorectomized women. Menopause, 11, 474–483. doi:10.1080/00926230490247183.
Meston, C. M. (2003). Validation of the Female Sexual Function Index (FSFI) in women with female orgasmic disorder and in women with hypoactive sexual desire disorder. Journal of Sex and Marital Therapy, 29, 39–46. doi:10.1080/713847100.
Meyer-Bahlburg, H. F. L., & Dolezal, C. (2007). The Female Sexual Function Index: A methodological critique and suggestions for improvement. Journal of Sex and Marital Therapy, 33, 217–224. doi:10.1080/00926230701267852.
Opperman, E. A., Benson, L. E., & Milhausen, R. R. (2013). Confirmatory factor analysis of the Female Sexual Function Index. Journal of Sex Research, 50, 29–36. doi:10.1080/00224499.2011.628423.
Rosen, R. C. (2000). Prevalence and risk factors of sexual dysfunction in men and women. Current Psychiatry Reports, 2, 189–195. doi:10.1007/s11920-996-0006-2.
Rosen, R. C., & Bachmann, G. A. (2008). Sexual well-being, happiness, and satisfaction, in women: The case for a new conceptual paradigm. Journal of Sex and Marital Therapy, 34, 291–297. doi:10.1080/00926230802096234.
Rosen, C., Brown, J., Heiman, S., Leiblum, C., Meston, R., Shabsigh, R., … D’Agostino, R. (2000). The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex and Marital Therapy, 26, 191–208. doi:10.1080/009262300278597.
Rosen, R. C., Riley, A., Wagner, G., Osterloh, I. H., Kirkpatrick, J., & Mishra, A. (1997). The International Index of Erectile Function (IIEF): A multidimensional scale for assessment of erectile dysfunction. Urology, 49, 822–830. doi:10.1016/S0090-4295(97)00238-0.
Velicer, W. F., & Fava, J. L. (1998). Affects of variable and subject sampling on factor pattern recovery. Psychological Methods, 3, 231–251. doi:10.1037/1082-989X.3.2.231.
Verit, F. F., & Verit, A. (2007). Validation of the Female Sexual Function Index in women with chronic pelvic pain. Journal of Sexual Medicine, 4, 1635–1641. doi:10.1111/j.1743-6109.2007.00604.x.
Wiegel, M., Meston, C., & Rosen, R. (2005). The Female Sexual Function Index (FSFI): Cross-validation and development of clinical cutoff scores. Journal of Sex and Marital Therapy, 31, 1–20. doi:10.1080/00926230590475206.