Using an FSDS-R Item to Screen for Sexually Related Distress: A MsFLASH Analysis.
Using an FSDS-R Item to Screen for Sexually Related Distress: A MsFLASH Analysis.
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DOI：
10.1002/sm2.53
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发表时间：
2015-03
期刊：
影响因子：
2.6
通讯作者：
Shifren, Jan L.
中科院分区：
文献类型：
--
作者：
Carpenter, Janet S.;Reed, Susan D.;Guthrie, Katherine A.;Larson, Joseph C.;Newton, Katherine M.;Lau, R. Jane;Learman, Lee A.;Shifren, Jan L.
女性性痛苦量表修订版（FSDS-R）的创建和验证，以评估与性功能受损相关的痛苦，但它是漫长的临床实践和研究时，评估性功能不是一个主要目标。该研究旨在评估是否可以从FSDS-R中确定一个项目，用于根据三个标准筛选中年女性的性功能障碍：（i）与总分高度相关;（ii）与女性性功能的常见评估领域相关;（iii）能够区分前一个月报告高和低性问题的女性。来自93名中年妇女的数据由更年期策略寻找症状和健康的持久答案（MsFLASH）研究网络收集。女性完成了FSDS-R、女性性功能指数（FSFI）和月经生活质量量表（MENQOL）。那些在过去一个月内报告MENQOL性变化的人被归类为高性关注组，而所有其他人则被归类为低性关注组。女性平均年龄为54.6岁（SD 3.1），大多数为白人（77.4%），受过大学教育（60.2%），已婚/已婚生活（64.5%）和绝经后（79.6%）。FSDS-R第1项“性生活困扰”：（i）与FSDS-R总分高度相关（r = 0.90）;（ii）与FSFI总分中度相关（r =-0.38）和FSFI欲望（r =-0.37）和满意度域（r =-0.40）;（iii）在高性关注组和低性关注组之间显示出最大的平均差异（P < 0.001）。其他FSDS-R项目符合一个或两个，但不是所有三个预先规定的标准（i，ii，iii）。当无法管理整个量表时，单个FSDS-R项目可能是一种有用的筛查工具，可以快速识别患有性相关困扰的中年女性，但还需要进一步验证。Carpenter JS，Reed SD，古特里KA，Larson JC，Newton KM，Lau RJ，Learman LA和Shifren JL。使用FSDS-R项目筛选性相关的困扰：MsFLASH分析。Sex Med 2015;3：7-13.
The Female Sexual Distress Scale-Revised (FSDS-R) was created and validated to assess distress associated with impaired sexual function, but it is lengthy for use in clinical practice and research when assessing sexual function is not a primary objective. The study aims to evaluate whether a single item from the FSDS-R could be identified to use to screen midlife women for bothersome diminution in sexual function based on three criteria: (i) highly correlated with total scores; (ii) correlated with commonly assessed domains of female sexual functioning; and (iii) able to differentiate between women reporting high and low sexual concerns during the prior month. Data from 93 midlife women were collected by the Menopause Strategies Finding Lasting Answers to Symptoms and Health (MsFLASH) research network. Women completed the FSDS-R, Female Sexual Function Index (FSFI), and Menopausal Quality of Life Scale (MENQOL). Those who reported a change in the past month on the MENQOL sexual were categorized into a high sexual concerns group, while all others were categorized into a low sexual concerns group. Women were an average of 54.6 years old (SD 3.1) and mostly Caucasian (77.4%), college educated (60.2%), married/living as married (64.5%), and postmenopausal (79.6%). The FSDS-R item number 1 “Distressed about sex life” was: (i) highly correlated with FSDS-R total scores (r = 0.90); (ii) moderately correlated with FSFI total scores (r = −0.38) and FSFI desire (r = −0.37) and satisfaction domains (r = −0.40); and (iii) showed one of the largest mean differences between high and low sexual concerns groups (P < 0.001). Other FSDS-R items met one or two, but not all three of the prespecified criteria (i, ii, iii). A single FSDS-R item may be a useful screening tool to quickly identify midlife women with sexually related distress when it is not feasible to administer the entire scale, though further validation is warranted. Carpenter JS, Reed SD, Guthrie KA, Larson JC, Newton KM, Lau RJ, Learman LA, and Shifren JL. Using an FSDS-R item to screen for sexually related distress: A MsFLASH analysis. Sex Med 2015;3:7–13.
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