title: Design and validity of a questionnaire to assess sexuality in pregnant women.
abstract: BACKGROUND
  A review of validated methods for assessing female sexual dysfunction and a review of male and female sexual dysfunction did not refer to any specific questionnaire for evaluating sexuality during pregnancy. A study was performed at the Obstetrics and Gynecology Department of Botucatu Medical School, São Paulo State University, Brazil to design and validate a pregnancy sexuality questionnaire, the Pregnancy Sexual Response Inventory (PSRI).
  
  
  METHODS
  Women with a singleton pregnancy between 10 and 35 weeks of gestation were randomly recruited. There were five phases in the development of the PSRI: (1) item selection; (2) item development; (3) determination of internal consistency, reliability and convergence; (4) content validity; and (5) determination of inter-interviewer reliability. Internal consistency and reliability were evaluated using Cronbach's alpha. Inter-interviewer reliability was assessed by evaluating the responses of 18 academics at various institutions, using Kappa Index and Student t test.
  
  
  RESULTS
  Good internal consistency and reliability were obtained (Cronbach's alpha coefficient = 0.79). Among the 18 academics, 13 totally agreed (K = 1.0), three partially agreed (K = 0.67) and two disagreed (K = 0.33) with the proposed questions. Comparisons of the mean PSRI domain scores made between the primary investigators and the other interviewers showed no significant differences in all domains (p > 0.05).
  
  
  CONCLUSIONS
  PSRI is a new validated instrument for evaluating sexuality and sexual activity and related health concerns during pregnancy.
authors.affiliation: Institute of Community Medicine, Tromso, Norway. cirudge@yahoo.com.br
authors.forename: Cibele V C
authors.initials: CV
authors.lastname: Rudge
authors.forename: Iracema M P
authors.initials: IM
authors.lastname: Calderon
authors.forename: Adriano
authors.initials: A
authors.lastname: Dias
authors.forename: Gerson P
authors.initials: GP
authors.lastname: Lopes
authors.forename: Angélica P
authors.initials: AP
authors.lastname: Barbosa
authors.forename: Izildinha
authors.initials: I
authors.lastname: Maestá
authors.forename: Jon Oyvind
authors.initials: JO
authors.lastname: Odland
authors.forename: Marilza V C
authors.initials: MV
authors.lastname: Rudge