title: Sexual dysfunction and distress--development of a Polish version of the female sexual distress scale-revised.
abstract: BACKGROUND
  The concept of sexually related personal distress, central to the diagnosis of all female sexual dysfunction (FSD), is currently a subject of scientific debate. Several psychometric instruments have been used to measure sexually related personal distress in women, including the Female Sexual Distress Scale (FSDS) and its revised version (FSDS-R).
  
  
  OBJECTIVE
  To develop a Polish version of the FSDS-R (PL-FSDS-R).
  
  
  METHODS
  In total, 210 women aged 18-55 years were included in the study. Seventy-five were diagnosed with hypoactive sexual desire disorder (HSDD), 31 were diagnosed with another FSD, and 104 were control. All subjects completed the PL-FSDS-R at baseline (day 0), day 7, and day 28. Internal consistencies were evaluated by Cronbach's α. Intraclass correlation coefficient was used to assess test-retest reliability. Discriminant validity was assessed by comparing mean scores of the FSD and control groups in a between-groups analysis of variance. Receiver operating characteristic (ROC) analysis was performed to determine optimal cutoff values of the PL-FSDS-R.
  
  
  METHODS
  To measure the validity and reliability of the PL-FSDS-R and to determine optimal cutoff values.
  
  
  RESULTS
  Mean total PL-FSDS-R score was statistically higher in women with HSDD and other FSD compared to healthy individuals, showing the test had discriminant validity. The frequency of sexual intercourse and quality of relationship with sexual partner but not other sexual behaviors were statistically correlated with the PL-FSDS-R score. ROC analysis confirmed these findings. All domains of the PL-FSDS-R demonstrated satisfactory internal consistencies, with a Cronbach's α-value of >0.70 for the entire sample. Test-retest coefficients were between 0.86-0.92, with the best reliability for a 7-day recall period.
  
  
  CONCLUSIONS
  The PL-FSDS-R is a reliable questionnaire with good psychometric and discriminative validity, and can be used to measure sexually related personal distress in Polish women with FSD with a cutoff score of ≥13.
authors: Department of Gynecology and Obstetrics, Specialist Teaching Hospital, Tychy, Poland. krzysnowosilcow@yahoo.com
authors: Krzysztof
authors: K
authors: Nowosielski
authors: Beata
authors: B
authors: Wróbel
authors: Urszula
authors: U
authors: Sioma-Markowska
authors: Ryszard
authors: R
authors: Poręba
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008875:Middle Aged; D010549:Personal Satisfaction; D011044:Poland; D015203:Reproducibility of Results; D012725:Sexual Behavior / Q000523:psychology*; D020018:Sexual Dysfunctions, Psychological / Q000523:psychology*; D011795:Surveys and Questionnaires; D055815:Young Adult