Translation, cultural adaptation, and psychometric validation of the Female Sexual Function Index to Lebanese Arabic (FSFI-LB).

IF 2 3区医学 Q1 MEDICINE, GENERAL & INTERNAL

Sexual Medicine Pub Date : 2025-08-05 eCollection Date: 2025-08-01 DOI:10.1093/sexmed/qfaf055

Stephanie Zakhour, Walter Gonçalves, Hugo Santos, Douglas Rodrigues, Nadine El Kassis, David Atallah, Antonio Egídio Nardi, Aline Sardinha

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引用次数: 0

Abstract

Background: The Female Sexual Function Index (FSFI) is widely used to assess female sexual function, but its applicability in Lebanon is limited due to linguistic and cultural barriers.

Aim: This study aimed to develop and validate a Lebanese Arabic version of the FSFI (FSFI-LB) to improve accessibility for clinical and research use.

Methods: A study was conducted with 119 Lebanese women between April 2023 and June 2024 at Hôtel-Dieu de France Hospital, Beirut. The FSFI was translated, back-translated, and psychometrically validated using exploratory factor analysis, Cronbach's alpha, test-retest reliability, and factor correlations.

Outcomes: The FSFI-LB showed excellent internal consistency (Cronbach's alpha = 0.973) and test-retest reliability (r = 0.9997), with a Kaiser-Meyer-Olkin value of 0.925 and significant Bartlett's test of sphericity (P < .001). Test-retest reliability was assessed in a subsample of 42 participants after 4 weeks and demonstrated high consistency across all domains (r > 0.99) and total scale reliability (r = 0.9997).

Results: A six-factor model was retained for the FSFI-LB, aligning with the original FSFI, with the pain domain showing the weakest correlations with other domains. The questionnaire included English translations alongside Arabic terms for improved comprehension.

Clinical translation: The FSFI-LB is a reliable tool for assessing female sexual function in Lebanon, ensuring cultural and linguistic sensitivity for diverse populations.

Strengths and limitations: The study's strengths include robust psychometric validation and the adaptation of a widely used instrument. The limitations include the focus on a specific Lebanese population, which may limit generalizability to other Arabic-speaking communities.

Conclusion: The FSFI-LB is a valid and reliable tool for assessing female sexual function, contributing to the development of culturally appropriate measures in sexual health research and clinical practice.

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黎巴嫩阿拉伯语女性性功能指数（FSFI-LB）的翻译、文化适应和心理测量验证。

背景：女性性功能指数（FSFI）被广泛用于评估女性性功能，但由于语言和文化障碍，其在黎巴嫩的适用性受到限制。目的：本研究旨在开发和验证黎巴嫩阿拉伯语版本的FSFI (FSFI- lb)，以提高临床和研究使用的可及性。方法：2023年4月至2024年6月在贝鲁特Hôtel-Dieu de France医院对119名黎巴嫩妇女进行了一项研究。对FSFI进行翻译、反翻译，并使用探索性因子分析、Cronbach’s alpha、重测信度和因子相关性对其进行心理测量学验证。结果：FSFI-LB具有良好的内部一致性（Cronbach's alpha = 0.973）和重测信度（r = 0.9997）， Kaiser-Meyer-Olkin值为0.925,Bartlett's球形检验（P = 0.99）和总量表信度（r = 0.9997）显著。结果：FSFI- lb保留了一个六因素模型，与原始FSFI一致，疼痛域与其他域的相关性最弱。问卷包括英语翻译和阿拉伯语术语，以提高理解能力。临床翻译：FSFI-LB是评估黎巴嫩女性性功能的可靠工具，确保不同人群的文化和语言敏感性。优势和局限性：该研究的优势包括强大的心理测量验证和广泛使用的工具的适应性。这些限制包括集中于特定的黎巴嫩人口，这可能限制推广到其他讲阿拉伯语的社区。结论：FSFI-LB是一种有效、可靠的评估女性性功能的工具，有助于在性健康研究和临床实践中制定适合文化的措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Sexual Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

5.40

自引率

0.00%

发文量

103

审稿时长

22 weeks

期刊介绍： Sexual Medicine is an official publication of the International Society for Sexual Medicine, and serves the field as the peer-reviewed, open access journal for rapid dissemination of multidisciplinary clinical and basic research in all areas of global sexual medicine, and particularly acts as a venue for topics of regional or sub-specialty interest. The journal is focused on issues in clinical medicine and epidemiology but also publishes basic science papers with particular relevance to specific populations. Sexual Medicine offers clinicians and researchers a rapid route to publication and the opportunity to publish in a broadly distributed and highly visible global forum. The journal publishes high quality articles from all over the world and actively seeks submissions from countries with expanding sexual medicine communities. Sexual Medicine relies on the same expert panel of editors and reviewers as The Journal of Sexual Medicine and Sexual Medicine Reviews.