Turkish Adaptation of Female Sexual Distress Scale-R: A Validity and Reliability Study
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While female sexual disorders are highly prevalent in Turkey, the percentage of the women seeking help on the issue is extremely low. Hence, we believe there is a need for a simple instrument to diagnose female sexual disorders. The aim of this study was to define the validity and reliability of the Female Sexual Distress Scale-R in Turkish and to determine its cutoff point according to the Female Sexual Function Index. The scale was administered to 214 women aged 19–63 years and living in Ankara. For the reliability analysis of the scale, internal consistency, split half analyses was used. To test the validity of the scale, exploratory and confirmatory factor analyses were used. To define the breakpoint, ROC curve analysis was used. The Cronbach alpha value of the scale is .96; the Guttman split half value is .094. For the validity study, Kaiser–Meyer–Olkin was found to be .93 and Bartlett’s sphericity was χ2 = 2440; p < 0.001. A single factor model that explains 66.78% of the total variance was obtained. The fit indexes were χ2/df = 2.351, RMSEA = 0.079, CFI = 0.970, IFI = 0.970, GFI = 0.923, and NFI = 0.949. The item-total correlations were defined as .621–.837. The scale has a high negative correlation with FSFI and its per sub-dimensions. In the ROC analysis, the area under the curve was defined to be .76, and the breakpoint was 7.5. The sensitivity of the scale was 71%, specificity was 70%, positive prediction power was .786, and negative prediction power was .679. It was concluded that the Turkish-language version of FSDS-R is a valid and reliable instrument in identifying female sexual disorders.
KeywordsFemale Sexual disorders Turkey Sensitivity Specificity
We would like to thank our colleagues who offered their expert opinion in the translation of the scale into Turkish and retranslation into original language and retranslate into the original language. We would like to thank Dr. Leonard Derogatis for granting permission to validate the FSDS-R. And we would like to thank the women who participated in the study. Finally, our special thanks go to the members of the Academic Writing Center, Gazi University.
YK, AŞE designed the study and methodology. EAG recruited the sample. The data have been analyzed by YK and EAG. All the authors have read and approved the final manuscript.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflicts of interest.
All procedures (surveys) performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. An application was made to the Ethical Commission of Gazi University for ethical evaluation of the study and the ethical approval was granted (ethical approval number: 77082166-604.01.02-39521). The study started after the official permissions by Ankara Metropolitan Municipality and provincial municipalities were granted. The permission was granted for Turkish translation and distribution of the Female Sexual Distress Scale by the Dr. Leonard Derogatis who created the scale.
Informed consent was obtained from all individual participants included in the study.
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