Psychometric properties of the spanish version of the changes in sexual functioning questionnaire short-form (CSFQ-14) in patients with severe mental disorders
- Garcia-Portilla, M.P. 7
- Saiz, P.A. 7
- Fonseca, E. 7
- Al-Halabi, S. 1
- Bobes-Bascaran, M.T. 5
- Arrojo, M. 2
- Benabarre, A. 4
- Goikolea, J.M. 4
- Sanchez, E. 6
- Sarramea, F. 3
- Bobes, J. 7
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1
Centro de Investigacion Biomedica en Red de Salud Mental
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Centro de Investigacion Biomedica en Red de Salud Mental
Madrid, España
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2
Complexo Hospitalario Universitario de Santiago
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Complexo Hospitalario Universitario de Santiago
Santiago de Compostela, España
- 3 Department of Psychiatry, Distrito Sanitario Jaén Norte, Servicio Andaluz de Salud. Jaén, Spain
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Hospital Clinic Barcelona
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Hospital Clinico Universitario de Valencia
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Hospital General Universitario Gregorio Marañón
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Universidad de Oviedo
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ISSN: 1743-6095
Año de publicación: 2011
Volumen: 8
Número: 5
Páginas: 1371-1382
Tipo: Artículo
Otras publicaciones en: Journal of Sexual Medicine
Resumen
Introduction. Sexual dysfunction in patients with severe mental disorders is often underestimated or overlooked by psychiatrists. A brief and valid self-report instrument for assessing sexual functioning may well contribute to changing this situation. Aims. To validate the Short Form of the Changes in Sexual Functioning Questionnaire (CSFQ-14) in Spanish patients with severe mental disorders. Methods. Naturalistic, cross-sectional, multicenter, validation study. Eighty-nine patients with schizophrenia and 82 with bipolar disorder were evaluated using the CSFQ-14, the Visual Analogue Scale for Sexual Functioning Satisfaction (VAS-SFS), and the Clinical Global Impression-Severity scales for mental disorders (CGI-S) and for Sexual Dysfunction (CGI-SSD). Main Outcome Measures. The 14-item Changes in Sexual Functioning Questionnaire. Results. Internal reliability (Cronbach's alpha)=0.90. Construct validity=3 principal components, of which the first, arousal-orgasm, explained 46.4% of the total variance. Convergent validity: Pearson correlation coefficients between CSFQ-14 and VAS-SFS=0.33 (P<0.01) and between CSFQ-14 and CGI-SDS=-0.71 (P<0.01). Discriminant validity: The CSFQ-14 was able to discriminate among patients with no, mild, moderate, and severe sexual dysfunction according to CGI-SDS scores, both in males (P<0.001) and females (P<0.001). In males, the area under the curve (AUC) was 0.833 and a cutoff point of 49 provided a sensitivity of 92.9% and a specificity of 59.5%. In females, the AUC was 0.834 and a cutoff point of 43 provided a sensitivity of 91.9% and a specificity of 62.5%. Conclusion. The Spanish version of the CSFQ-14 is a reliable and valid instrument for assessing sexual functioning in patients with severe mental disorders. As a brief, self-rated instrument, the CSFQ-14 scale seems to be appropriate for use in everyday clinical practice as a means of identifying and monitoring changes in sexual functioning. © 2010 International Society for Sexual Medicine.