title: Psychometric properties of the Iranian version of the female sexual distress scale-revised in women.
abstract: BACKGROUND
  Several tools for the assessment of sexuality-related distress are now available. The Female Sexual Distress Scale (FSDS) and its revised version (FSDS-R) are extensively validated and among the most widely used tools to measure sexually related personal distress.
  
  
  OBJECTIVE
  The aim of the study was to determine the psychometric properties of the Iranian version of the FSDS-R in a population sample of Iranian women.
  
  
  METHODS
  A total of 2,400 married and potentially sexually active women were recruited and categorized into three groups including (i) a healthy control group; (ii) a group of women with hypoactive sexual desire disorder (HSDD); and (iii) a group of women suffering from other female sexual dysfunction (FSD). Participants were asked to complete a set of questionnaires including the Iranian version of the Female Sexual Function Index (FSFI-IV), the FSDS-R, and the Hospital Anxiety and Depression Scale.
  
  
  METHODS
  Sexuality-related distress and FSD as assessed by the Iranian version of the FSDS-R and the FSFI-IV are the main outcome measures.
  
  
  RESULTS
  Internal consistencies and test-retest reliability of the FSDS-R across the three assessments points for the three groups were >0.70. The FSDS-R correlated significantly with anxiety, depression, and the FSFI total score. Significant differences in the FSDS-R scores were found between healthy women, women with HSDD, and women with other types of FSD. Factor analysis of the FSDS-R yielded a single-factor model with an acceptable fit.
  
  
  CONCLUSIONS
  The Persian version of the FSDS-R is a valid and reliable instrument for the assessment of sexuality-related distress in Iranian women and can be used to screen patients with HSDD.
authors.affiliation: Vali-e-Asr Reproductive Health Research CenterTehran University of Medical SciencesTehranIran.
authors.forename: Elham
authors.initials: E
authors.lastname: Azimi Nekoo
authors.affiliation: Department of PsychologyUniversity of ZurichZurichSwitzerland.
authors.forename: Andrea
authors.initials: A
authors.lastname: Burri
authors.affiliation: Neurology Research CenterDepartment of MidwiferySchool of Nursing and MidwiferyKerman University of Medical SciencesKermanIran.
authors.forename: Farzaneh
authors.initials: F
authors.lastname: Ashrafti
authors.affiliation: School of Health SciencesJönköping UniversityJönköpingSweden.
authors.forename: Bengt
authors.initials: B
authors.lastname: Fridlund
authors.affiliation: Departments of Medicine and PsychiatryDuke University Medical CenterDurhamNCUSA; Department of MedicineKing Abdulaziz UniversityJeddahSaudi Arabia.
authors.forename: Harold G
authors.initials: HG
authors.lastname: Koenig
authors.affiliation: Center for Sexual Medicine at Sheppard PrattDepartment of PsychiatryJohns Hopkins University School of MedicineBaltimoreMDUSA.
authors.forename: Leonard R
authors.initials: LR
authors.lastname: Derogatis
authors.affiliation: Social Determinants of Health Research CenterQazvin University of Medical SciencesQazvinIran; Department of Public HealthQazvin University of Medical SciencesQazvinIran. Electronic address: Pakpour_Amir@yahoo.com.
authors.forename: Amir H
authors.initials: AH
authors.lastname: Pakpour
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007492:Iran / Q000208:ethnology; D017063:Outcome Assessment, Health Care; D011569:Psychiatric Status Rating Scales; D011594:Psychometrics; D015203:Reproducibility of Results; D012725:Sexual Behavior / Q000208:ethnology / Q000523:psychology; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis* / Q000208:ethnology / Q000523:psychology; D013315:Stress, Psychological / Q000175:diagnosis* / Q000208:ethnology; D011795:Surveys and Questionnaires
keywords: Female Sexual Distress Scale-Revised; Iranian Version; Psychometrics; Sexually Related Personal Distress