Article

Development and validation of a new screening tool for hypoactive sexual desire disorder: The Brief Profile of Female Sexual Function (B-PFSF).

The Psychometrics Centre, University of Cambridge, Cambridge, UK.
Gynecological Endocrinology (Impact Factor: 1.14). 12/2007; 23(11):638-44. DOI: 10.1080/09513590701592306
Source: PubMed

ABSTRACT To develop a screening tool to allow a postmenopausal woman to determine whether to seek evaluation for hypoactive sexual desire disorder (HSDD).
The Brief Profile of Female Sexual Function (B-PFSF) was developed using items from the Profile of Female Sexual Function (PFSF) and the Personal Distress Scale (PDS). Logistic regression analysis was used to select items best able to discriminate between women with HSDD (n = 743) and controls (n = 226) and a screening cut-off score was identified. Cross-validation analyses were conducted using PFSF and PDS responses from an independent group of 147 HSDD women and 104 controls. Forty cognitive interviews were additionally conducted to assess validity of the final tool.
A seven-item instrument was found to provide good discrimination between postmenopausal women with HSDD and controls and to be a reliable and valid tool. Ninety-six percent of women with HSDD and 97% of control women in the independent validation were classified correctly using the identified cut-off score. In the cognitive interviews, all women stated that the questionnaire was easy to complete and covered relevant aspects of sexual function.
The Brief Profile of Female Sexual Function (B-PFSF) is psychometrically valid and appropriate for use as a self-administered screening tool.

0 Bookmarks
 · 
127 Views
  • [Show abstract] [Hide abstract]
    ABSTRACT: The study aimed to explore associations between sexual function, demographic variables, health and menopausal status among middle-aged Iranian women. Participants were 200 Iranian middle-aged women (40-65 years). All women completed the Female Sexual Function Index and the Brief Profile of Female Sexual Function. Data were analyzed using a Pearson correlation statistical test, a one-way analysis of variance, an independent t test, and a linear regression analysis. Advanced age, lower education, and socioeconomic status were significantly correlated with the lower scores on the Female Sexual Function Index. Lower scores on the Female Sexual Function Index were associated with being retired; having a hysterectomy or oophorectomy; and presence of hot flashes, vaginal dryness, health problems, prescription drug use, and cold sweats. There were no significant associations between middle-aged women's sexual function and ethnicity, body mass index, alcohol consumption, severity of hot flashes, and hot flash frequency. Sexual desire was decreased or absent in 94.5% of the postmenopausal respondents. Our findings appear that sexual function is associated with sociodemographic characteristics of Iranian middle-aged women. Gender-sensitive counseling and medical services for aging Iranian women can improve the quality of women's sexual lives.
    Journal of Sex and Marital Therapy 10/2013; · 1.27 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Complaints of decreasing sexual desire in women are common. Hypoactive Sexual Desire Disorder (HSDD) is defined as the loss of sexual desire, not attributable to any other medical cause, which results in marked personal distress and is the most frequently diagnosed female sexual dysfunction. Because urologists treat women for a variety of pelvic and vaginal disorders they should feel comfortable discussing female sexual issues and take the important opportunity to help women with HSDD. Taking a good sexual history and performing a proper exam are of utmost importance when evaluating women with low sexual desire. Unfortunately there is a paucity of literature within the urologic community on this topic*likely due to a lack of awareness among physicians. Herein we review the literature of the past decade on HSDD and provide the practitioner with the basic information needed to diagnose and treat HSDD. We discuss the use of testosterone as well as potential new therapies that are currently in development. Despite the prevalence of this distressing disease, there remains a lack of widely available and accepted treatments. Nevertheless, by better understanding HSDD, urologists can play a vital role in improving the sexual health of women with female sexual dysfunction.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Abstract Introduction: Survey data provide evidence that low sexual desire is commonly reported among pre- and postmenopausal women. About 10% of women with low sexual desire experience related personal distress. This survey assessed women's attitudes toward the condition and how it affects personal relationships, along with level of awareness of low sexual desire as a medical condition and treatment-seeking history. Methods: The online survey was conducted in a convenience sample of 450 pre- and postmenopausal women aged 20 to 60 years with self-described low sexual desire and related distress. The percentage reported is the ratio of responses over number of respondents for each point on visual analogy scales or option(s) on multiple-choice questions. Results: Twenty-seven percent of premenopausal and 34% of postmenopausal women were very dissatisfied with their current sexual desire level. Over 70% attributed personal and interpersonal difficulties to low sexual desire, most often negative impacts on body image and self-confidence. Feeling "less connectedness" was the most frequently selected impact on partner relationships. Approximately 90% of respondents would like to have or desire sex more often; 95% believed that one or two more satisfying sexual experiences per month would be meaningful. Most respondents did not realize that distressing low sexual desire was a treatable medical condition and had never mentioned their low sexual desire to health care providers. Conclusions: Despite reporting negative impacts of low sexual desire and a desire for more frequent sex, most women had not sought medical help. These results add to the evolving recognition of the importance of sexual functioning in women's lives.
    Journal of Women's Health 08/2014; · 1.90 Impact Factor