TY - JOUR
T1 - A new measure of sexual function in women with pelvic floor disorders (PFD)
T2 - The Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR)
AU - Rogers, R. G.
AU - Rockwood, Todd H
AU - Constantine, Melissa L
AU - Thakar, R.
AU - Kammerer-Doak, D. N.
AU - Pauls, R. N.
AU - Parekh, M.
AU - Ridgeway, B.
AU - Jha, S.
AU - Pitkin, J.
AU - Reid, F.
AU - Sutherland, S. E.
AU - Lukacz, E. S.
AU - Domoney, C.
AU - Sand, P.
AU - Davila, G. W.
AU - Espuna Pons, M. E.
N1 - Funding Information:
Acknowledgments This study was funded by the International Urogynecological Association. University of Minnesota, Grant Award Number CON000000021500, Todd H Rockwood, Ph.D., PI.
PY - 2013/7
Y1 - 2013/7
N2 - Introduction and hypothesis 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. Methods 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'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. Results A total of 589 women gave baseline data, 200 returned surveys after treatment, and 147 provided test-retest data. For SAwomen, 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'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 <.05). PFDI-20, ISI, and FSFI subscale change scores correlated with Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire International Urogynecological Associationrevised (PISQ-IR) factor change scores and with mean change scores in women who underwent surgery (all p <.05). For NSA women, PISQ-IR scores correlated with PFDI-20, ISI scores, and with EPIQ question #35 (all p ≥.05). No items demonstrated differences between test and retest (all p≥.05), indicating stability over time. Conclusions The PISQ-IR is a valid, reliable, and responsive measure of sexual function.
AB - Introduction and hypothesis 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. Methods 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'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. Results A total of 589 women gave baseline data, 200 returned surveys after treatment, and 147 provided test-retest data. For SAwomen, 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'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 <.05). PFDI-20, ISI, and FSFI subscale change scores correlated with Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire International Urogynecological Associationrevised (PISQ-IR) factor change scores and with mean change scores in women who underwent surgery (all p <.05). For NSA women, PISQ-IR scores correlated with PFDI-20, ISI scores, and with EPIQ question #35 (all p ≥.05). No items demonstrated differences between test and retest (all p≥.05), indicating stability over time. Conclusions The PISQ-IR is a valid, reliable, and responsive measure of sexual function.
KW - Pelvic organ prolapse
KW - Sexual function questionnaire
KW - Urinary and/or anal incontinence
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U2 - 10.1007/s00192-012-2020-8
DO - 10.1007/s00192-012-2020-8
M3 - Article
C2 - 23632798
AN - SCOPUS:84885897927
SN - 0937-3462
VL - 24
SP - 1091
EP - 1103
JO - International Urogynecology Journal
JF - International Urogynecology Journal
IS - 7
ER -