Heleen van Dongen1, Huub van der Vaart2, Kirsten B Kluivers3, Henk Elzevier4, Jan Paul Roovers5, Alfredo L Milani6. 1. Department of Obstetrics and Gynecology, Groene Hart Hospital, Bleulandweg 10, 2803 HH, Gouda, The Netherlands. h_vandongen@hotmail.com. 2. Department of Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands. 3. Department of Gynecology, Radboud University Medical Center, Nijmegen, The Netherlands. 4. Department of Urology and Department of Medical Decision Making, Leiden University Medical Center, Leiden, The Netherlands. 5. Department of Gynecology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. 6. Department of Obstetrics and Gynecology, Reinier de Graaf Hospital, Delft, The Netherlands.
Abstract
INTRODUCTION AND HYPOTHESIS: Condition-specific sexual questionnaires are important patient-reported outcome measures. The aim of this study was to translate and validate the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-International Urogynecology Association Revised (PISQ-IR) into Dutch. METHODS: The translated PISQ-IR was linguistically validated, followed by psychometrical validation among women presenting with symptoms of pelvic floor dysfunction in urogynecology clinics. For analysis of the criterion validity, the Pelvic Floor Dysfunction Inventory-20 (PFDI-20) and Female Sexual Function Index (FSFI) were used. Descriptive statistics, floor and ceiling effects, internal consistency using Cronbach's alpha coefficient and Pearson's and Spearman's correlations were calculated for all PISQ-IR subscales. RESULTS: The PISQ-IR was completed by 220 women, of whom 61 (27.7%) considered themselves not sexually active (NSA) and 159 (72.3%) sexually active (SA). The mean age of participating women was 57 years; 49.5% reported symptoms of pelvic organ prolapse (POP), 66.8% urinary incontinence and 2.3% anal incontinence. The PISQ-IR subscales were analyzed separately for SA and NSA women with Cronbach's alpha coefficient ranging from 0.61 to 0.87. Moderate to high correlations were observed between PISQ-IR subscales and corresponding FSFI subscales and a moderate correlation between urinary distress and the condition impact (CI) subscale among NSA subjects. CONCLUSIONS: The Dutch PISQ-IR demonstrated a good internal consistency and criterion validity compared with the FSFI, but criterion validity compared with the PFDI-20 was poor except for urinary distress in NSA women and needs further attention.
INTRODUCTION AND HYPOTHESIS: Condition-specific sexual questionnaires are important patient-reported outcome measures. The aim of this study was to translate and validate the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire-International Urogynecology Association Revised (PISQ-IR) into Dutch. METHODS: The translated PISQ-IR was linguistically validated, followed by psychometrical validation among women presenting with symptoms of pelvic floor dysfunction in urogynecology clinics. For analysis of the criterion validity, the Pelvic Floor Dysfunction Inventory-20 (PFDI-20) and Female Sexual Function Index (FSFI) were used. Descriptive statistics, floor and ceiling effects, internal consistency using Cronbach's alpha coefficient and Pearson's and Spearman's correlations were calculated for all PISQ-IR subscales. RESULTS: The PISQ-IR was completed by 220 women, of whom 61 (27.7%) considered themselves not sexually active (NSA) and 159 (72.3%) sexually active (SA). The mean age of participating women was 57 years; 49.5% reported symptoms of pelvic organ prolapse (POP), 66.8% urinary incontinence and 2.3% anal incontinence. The PISQ-IR subscales were analyzed separately for SA and NSA women with Cronbach's alpha coefficient ranging from 0.61 to 0.87. Moderate to high correlations were observed between PISQ-IR subscales and corresponding FSFI subscales and a moderate correlation between urinary distress and the condition impact (CI) subscale among NSA subjects. CONCLUSIONS: The Dutch PISQ-IR demonstrated a good internal consistency and criterion validity compared with the FSFI, but criterion validity compared with the PFDI-20 was poor except for urinary distress in NSA women and needs further attention.
Entities:
Keywords:
Pelvic floor dysfunction; Pelvic organ prolapse; Sexual function questionnaire; Urinary and/or anal incontinence; Validation
Authors: Sascha F M Schulten; Rosa A Enklaar; Kirsten B Kluivers; Sanne A L van Leijsen; Marijke C Jansen-van der Weide; Eddy M M Adang; Jeroen van Bavel; Heleen van Dongen; Maaike B E Gerritse; Iris van Gestel; G G Alec Malmberg; Ronald J C Mouw; Deliana A van Rumpt-van de Geest; Wilbert A Spaans; Annemarie van der Steen; Jelle Stekelenburg; E Stella M Tiersma; Anneke C Verkleij-Hagoort; Astrid Vollebregt; Chantal B M Wingen; Mirjam Weemhoff; Hugo W F van Eijndhoven Journal: BMC Womens Health Date: 2019-04-02 Impact factor: 2.809
Authors: Eva V Vodegel; Sandra E Zwolsman; Astrid Vollebregt; Ruben G Duijnhoven; Judith E Bosmans; Leonie Speksnijder; Eveline J Roos; Wilbert Spaans; Franca Gerards; Albert Adriaanse; Flora Vernooij; Alfredo L Milani; Marko Sikkema; Mirjam Weemhoff; Marieke Mous; Anne Damoiseaux; Heleen van Dongen; Marinus V/D Ploeg; Joggem Veen; Geerte van de Pol; Bart Broekman; Pieternel Steures; Fernando Tjin-Asjoe; Jolande van der Stege; Ronald Mouw; Carl H van der Vaart; Jan-Paul W R Roovers Journal: BMC Womens Health Date: 2021-12-31 Impact factor: 2.809