title: Sexual function in cervical cancer patients: Psychometric properties and performance of a Chinese version of the Female Sexual Function Index.
abstract: OBJECTIVE
  This study aimed to examine the psychometric properties and performance of a Chinese version of the Female Sexual Function Index (FSFI) among a sample of Chinese women with cervical cancer.
  
  
  METHODS
  A cross-sectional survey design was used. The respondents included 215 women with cervical cancer in an oncology hospital in China. A translated Chinese version of the FSFI was used to investigate their sexual functioning. Psychometric testing included internal consistency reliability (Cronbach's alpha coefficient and item-total correlations), test-retest reliability, construct validity (principal component analysis via oblique rotation and confirmatory factor analysis), and variability (floor and ceiling effects).
  
  
  RESULTS
  The mean score of the total scale was 20.65 ± 4.77. The Cronbach values were .94 for the total scale, .72-.90 for the domains. Test-retest correlation coefficients over 2-4 weeks were .84 (p < .05) for the total scale, .68-.83 for the subscales. Item-total correlation coefficients ranged between .47 and .83 (p < .05). A five-factor model was identified via principal component analysis and established by confirmatory factor analysis, including desire/arousal, lubrication, orgasm, satisfaction, and pain. There was no evidence of floor or ceiling effects.
  
  
  CONCLUSIONS
  With good psychometric properties similar to its original English version, this Chinese version of the FSFI is demonstrated to be a reliable and valid instrument that can be used to assess sexual functioning of women with cervical cancer in China. Future research is still needed to confirm its psychometric properties and performance among a large sample.
authors.affiliation: Department of Nursing, Hunan Cancer Hospital, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University Changsha, Hunan, 410013, PR China. Electronic address: liuhy19850422@163.com.
authors.forename: Huayun
authors.initials: H
authors.lastname: Liu
authors.affiliation: Faculty of Life Sciences and Education, University of South Wales, Pontypridd, CF37 1DL, UK. Electronic address: juping.yu@southwales.ac.uk.
authors.forename: Juping
authors.initials: J
authors.lastname: Yu
authors.affiliation: Department of Nursing, Hunan Cancer Hospital, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University Changsha, Hunan, 410013, PR China. Electronic address: 416447181@qq.com.
authors.forename: Yongyi
authors.initials: Y
authors.lastname: Chen
authors.affiliation: School of Nursing, University of South China, Hengyang, Hunan, 421001, PR China. Electronic address: hpp-612@163.com.
authors.forename: Pingping
authors.initials: P
authors.lastname: He
authors.affiliation: Department of Nursing, Hunan Cancer Hospital, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University Changsha, Hunan, 410013, PR China.
authors.forename: Lianqing
authors.initials: L
authors.lastname: Zhou
authors.affiliation: Department of Nursing, Hunan Cancer Hospital, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University Changsha, Hunan, 410013, PR China.
authors.forename: Xinhui
authors.initials: X
authors.lastname: Tang
authors.affiliation: Department of Nursing, Hunan Cancer Hospital, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University Changsha, Hunan, 410013, PR China.
authors.forename: Xiangyu
authors.initials: X
authors.lastname: Liu
authors.affiliation: Department of Nursing, Hunan Cancer Hospital, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University Changsha, Hunan, 410013, PR China.
authors.forename: Xuying
authors.initials: X
authors.lastname: Li
authors.affiliation: School of Nursing, University of South China, Hengyang, Hunan, 421001, PR China.
authors.forename: Yanping
authors.initials: Y
authors.lastname: Wu
authors.affiliation: Department of Nursing, Hunan Cancer Hospital, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University Changsha, Hunan, 410013, PR China.
authors.forename: Yuhua
authors.initials: Y
authors.lastname: Wang
mesh_terms: D000328:Adult; D044466:Asian People / Q000523:psychology*; D002681:China; D003430:Cross-Sectional Studies; D004739:England; D005163:Factor Analysis, Statistical; D005260:Female; D006801:Humans; D008875:Middle Aged; D011594:Psychometrics / Q000295:instrumentation*; D015203:Reproducibility of Results; D012725:Sexual Behavior / Q000523:psychology*; D012735:Sexual Dysfunction, Physiological / Q000175:diagnosis*; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis*; D014177:Translations; D002583:Uterine Cervical Neoplasms / Q000150:complications*; D055815:Young Adult
keywords: Chinese; FSFI; Female sexual function; Instrument; Psychometric properties; Scale