Psychometric properties of the Brazilian version of the Female Sexual Function Index in women with breast cancer

Authors

DOI:

https://doi.org/10.15253/2175-6783.20242594008

Keywords:

Validation Study; Factor Analysis, Statistical; Breast Neoplasms; Sexuality.

Abstract

Objective: to evaluate the measurement properties of the Female Sexual Function Index – Brazilian version in women with breast cancer. Methods: this methodological study involved 246 patients treated at two specialized breast cancer outpatient clinics. Data were collected using two instruments: a sociodemographic and clinical characterization questionnaire and the Brazilian version of the FSFI. Construct validity was assessed through confirmatory factor analysis, and reliability was evaluated using composite reliability. Results: in the factor analysis, the model achieved satisfactory results with acceptable fit indices (p=0.270; χ²/df=1.070; Comparative Fit Index=0.999; Tucker-Lewis Index=0.999; Standardized Root Mean Residual=0.061; Root Mean Square Error of Approximation=0.019). Evidence of reliability was also confirmed (composite reliability: 0.980). Conclusion: the instrument demonstrated satisfactory validity and reliability for assessing sexual function in women with breast cancer. Contributions to practice: this study provides methodological support for using this tool to assist in the nursing diagnosis of "Sexual dysfunction" in women with breast cancer.

References

Benedict C, Shaffer KM, Wirtz MR, Ford JS, Reese B. Current considerations in interventions to address sexual function and improve care for women with cancer. Curr Sex Health Rep. 2022;14:222-30. doi: https://doi.org/10.1007/s11930-022-00343-w

Den Ouden MEM, Pelgrum-Keurhorst MN, Uitdehaag MJ, Vocht HM. Intimacy and sexuality in women with breast cancer: professional guidance needed. Breast Cancer. 2019;26(3):326-32. doi: http://doi.org/10.1007/s12282-018-0927-8

Reese JB, Sorice K, Lepore SJ, Daly MB, Tulsky JA, Beach MC. Patient-clinician communication about sexual health in breast cancer: a mixed-methods analysis of clinic dialogue. Patient Educ Couns. 2019;102(3):436-42. doi: https://dx.doi.org/10.1016/j.pec.2018.10.003

Hosseini SE, Ilkhani M, Rohani C, Nasrabadi AN, Gheshlagh RG, Moini A. Prevalence of sexual dysfunction in women with cancer: a systematic review and meta-analysis. Int J Reprod Biomed. 2022;20(1):1-12. doi: https://doi.org/10.18502/ijrm.v20i1.10403

Pelster ADK, Coleman JD, Jawed-Wessel S, Irwin JA, Heerten-Rodriguez L, Fisher CM. Sexuality, breast cancer survivorship, and script theory. Sex Res Social Policy. 2023;20(2):529-38. doi: https://doi.org/10.1007/s13178-021-00672-w

Kufel-Grabowska J, Podolak A, Maliszewski D, Bartoszkiewicz M, Ramlau R, Lukaszuk K. Fertility counseling in BRCA1/2-mutated women with breast cancer and healthy individuals. J Clin Med. 2022;11(14):3996. doi: https://doi.org/10.3390/jcm11143996

Oliveira MCN, Leite HDCS, Lopes VCA, Cruz JVOM, Vasconcelos CDA, Nogueira LT. Reasons correlated with omission of nursing care. Rev Esc Enferm USP. 2022;56:e20220171. doi: https://dx.doi.org/10.1590/1980-220x-reeusp-2022-0171en

Herdman TH, Kamitsuru S, Lopes CT. NANDA International Nursing Diagnoses: Definitions and Classification 2021-2023. New York: Thieme; 2021. doi: https://doi.org/10.1055/b000000515

Meston CM, Freihart BK, Handy AB, Kilimnik CD, Rosen RC. Scoring and interpretation of the FSFI: What can be learned from 20 years of use? J Sex Med. 2020;17(1):17-25. doi: https://dx.doi.org/10.1016/j.jsxm.2019.10.007

Gagnier JJ, Lai J, Mokkink LB, Terwee CB. COSMIN reporting guideline for studies on measurement properties of patient-reported outcome measures. Qual Life Res. 2021;30(8):2197-218. doi: http://doi.org/10.1007/s11136-021-02822-4

García AJ. Investigaciones psicométricas de escalas psicosociales en trabajadores mexicanos. México: Plaza y Valdés Editores, UAEM; 2015.

Ferreira IS, Fernandes AFC, Rodrigues AB, Santiago JCDS, Sousa VEC, Lopes MVO, et al. Accuracy of the defining characteristics of the sexual dysfunction nursing diagnosis in women with breast cancer. Int J Nurs Knowl. 2020;31(1):37-43. doi: http://doi.org/10.1111/2047-3095.12266

Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26(2):191-208. doi: https://doi.org/10.1080/009262300278597

Thiel RRC, Dambros M, Palma PCR, Thiel M, Riccetto CLZ, Ramos MF. Tradução para português, adaptação cultural e validação do Female Sexual Function Index. Rev Bras Ginecol Obstet. 2008;30(10):504-10. doi: https://dx.doi.org/10.1590/S0100-72032008001000005

Pfadt JM, Van den Bergh D, Sijtsma K, Moshagen M, Wagenmakers EJ. Bayesian estimation of single-test reliability coefficients. Multivariate Behav Res. 2022;57(4):620-41. doi: http://doi.org/10.1080/00273171.2021.1891855

Hair JF, Howard MC, Nitzl C. Assessing measurement model quality in PLS-SEM using confirmatory composite analysis. J Bus Res. 2020;109(5-6):101-10. doi: http://dx.doi.org/10.1016/j.jbusres.2019.11.069

Tarriño-Concejero L, Gil-García E, Barrientos-Trigo S, García-Carpintero-Muñoz MLÁ. Instruments used to measure dating violence: a systematic review of psychometric properties. J Adv Nurs. 2023;79(4):1267-89. doi: https://dx.doi.org/10.1111/jan.15374

Li CH. Statistical estimation of structural equation models with a mixture of continuous and categorical observed variables. Behav Res Methods. 2021;53(5):2191-213. doi: https://dx.doi.org/10.3758/s13428-021-01547-z

Alavi M, Visentin DC, Thapa DK, Hunt GE, Watson R, Cleary M. Chi-square for model fit in confirmatory factor analysis. J Adv Nurs. 2020;76(9):2209-11. doi: https://doi.org/10.1111/jan.14399

Chen J. A generalized partially confirmatory factor analysis framework with mixed Bayesian lasso methods. Multivariate Behav Res. 2022;57(6):879-94. doi: http://doi.org/10.1080/00273171.2021.1925520

Harerimana A, Mtshali NG. Using Exploratory and Confirmatory Factor Analysis to understand the role of technology in nursing education. Nurse Educ Today. 2020;92:104490. doi: https://doi.org/10.1016/j.nedt.2020.104490

Hauck-Filho N, Valentini F. Coeficientes de fidedignidade e violações dos pressupostos essencialmente tau-equivalentes. Aval Psicol. 2020;19(3):1-2. doi: http://doi.org/10.15689/ap.2020.1903.ed

Neijenhuijs KI, Hooghiemstra N, Holtmaat K, Aaronson NK, Groenvold M, Holzner B, et al. The Female Sexual Function Index (FSFI)—a systematic review of measurement properties. J Sex Med. 2019;16(5):640-60. doi: http://doi.org/10.1016/j.jsxm.2019.03.001

Almeida AAB, Oliveira CDB, Freitas FFQ, Sousa KA, Carolino MTS, Dantas RCO. Influences of climacteric in female sexual activity. Rev Rene. 2021;17(3):422-6. doi: https://dx.doi.org/10.15253/2175-6783.2016000300017

Published

2024-10-30

How to Cite

Vaz, I. S. F., Silva, D. M. da, Fernandes, A. F. C., Castro, R. C. M. B., Rodrigues, A. B., & Coelho, M. de M. F. (2024). Psychometric properties of the Brazilian version of the Female Sexual Function Index in women with breast cancer. Rev Rene, 25, e94008. https://doi.org/10.15253/2175-6783.20242594008

Issue

Section

Research Article

Most read articles by the same author(s)

1 2 3 4 5 6 7 8 9 10 > >>