Total scores range from 2 to 30, with lower scores indicating worse sexual functioning. Overall model fit was examined using multiple fit criteria, as suggested in the literature. Inter-item correlations examine the extent to which scores on one item are related to scores on all other items in a scale. The corrected item-total correlation is the correlation between each item and the total scale score based on the other items.
Smaller values i. To examine the relationship of female sexual function i. Goodness of fit of the regression model was evaluated using the coefficient of determination R 2 , which is the proportion of variation in the dependent variable explained by the regression model. Table 1 outlines the demographic characteristics of infertile women.
The mean age of the participants was The majority of participants were unemployed The mean BMI was The mean FSFI-6 total score was The corrected item-total correlations and the inter-item correlations ranged 0. As can be seen in Fig. The model R 2 when demographics and infertility variables were in the model was equal to 0. Other variables were not related to FSFI-6 scores. To our knowledge, this is the first study to evaluate the reliability and validity of the FSFI-6 in a sample of infertile women.
This scale incorporates one item of each of the six domains of the original FSFI, thus allowing rapid screening of these domains. All inter-item correlations and corrected item-total correlations were also within an acceptable range, confirming good internal consistency. This finding was also reported in two studies conducted in middle-aged Brazilian and Portuguese women [ 25 , 26 ]. In a study conducted among mid-aged Ecuadorian women [ 36 ], total FSFI-6 scores positively correlated with coital frequency and female and partner educational level and inversely with female age, waist circumference, hot flush intensity, and partner age.
In another study performed among mid-aged sexually active Spanish women, total FSFI-6 scores displayed a positive correlation with female and partner education and negative correlation with female age [ 36 ]. Contrary to our findings, Iris et al. In the present study, several limitations should be pointed out. First, the sample was drawn from a single center and included only infertile women in Iran.
Therefore, the generalizability of the present findings may be limited. Second, because of the cross-sectional nature of this study, causal inference between FSFI-6 scores and demographic characteristics of women cannot be drawn. Third, the test-retest reliability of the FSFI-6 was not assessed in this study. Fourth, although the cutoff point is available for the original, Korean, and Ecuadorian versions, further research is required to determine the cutoff point for the Iranian population.
In sum, the FSFI-6 is a reliable and valid instrument that can be used to assess female sexual function in infertile women. Fertil Steril 3 — PubMed Article Google Scholar. Hum Reprod 22 6 — Health Qual Life Outcomes 16 1 Middle East Fertil Soc J 23 2 — Article Google Scholar. Middle East Fertil Soc J 23 4 — J Korean Public Health Nurs 30 1 — Maroufizadeh S, Karimi E, Vesali S, Omani Samani R Anxiety and depression after failure of assisted reproductive treatment among patients experiencing infertility.
Int J Gynaecol Obstet 3 — J Reprod Infertil:2 4. The importance of pregnancy attitudes and sexual pleasure. Contraception 91 4 — Middle East Fertil Soc J 12 3 — Google Scholar. A case-control study. Fertil Steril 94 6 — Arch Gynecol Obstet 4 — Urol Int 72 1 — Urol Clin North Am 29 3 — Arch Sex Behav 45 8 — J Sex Med 3 4 — Man: Wow, Dane Cook is not funny at all. What an asshole.
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