title: A new measure of sexual function in women with pelvic floor disorders (PFD): the Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR).
abstract: OBJECTIVE
  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 SA women, 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 Association-revised (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.
authors: University of New Mexico Health Sciences Center, Albuquerque, NM, USA. rrogers@salud.unm.edu
authors: R G
authors: RG
authors: Rogers
authors: T H
authors: TH
authors: Rockwood
authors: M L
authors: ML
authors: Constantine
authors: R
authors: R
authors: Thakar
authors: D N
authors: DN
authors: Kammerer-Doak
authors: R N
authors: RN
authors: Pauls
authors: M
authors: M
authors: Parekh
authors: B
authors: B
authors: Ridgeway
authors: S
authors: S
authors: Jha
authors: J
authors: J
authors: Pitkin
authors: F
authors: F
authors: Reid
authors: S E
authors: SE
authors: Sutherland
authors: E S
authors: ES
authors: Lukacz
authors: C
authors: C
authors: Domoney
authors: P
authors: P
authors: Sand
authors: G W
authors: GW
authors: Davila
authors: M E
authors: ME
authors: Espuna Pons
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008875:Middle Aged; D059952:Pelvic Floor Disorders / Q000150:complications*; D056887:Pelvic Organ Prolapse / Q000150:complications*; D011594:Psychometrics; D015203:Reproducibility of Results; D012735:Sexual Dysfunction, Physiological / Q000175:diagnosis* / Q000209:etiology; D011795:Surveys and Questionnaires
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