Psychometric properties of the spanish version of the changes in sexual functioning questionnaire short-form (CSFQ-14) in patients with severe mental disorders

  1. Garcia-Portilla, M.P. 7
  2. Saiz, P.A. 7
  3. Fonseca, E. 7
  4. Al-Halabi, S. 1
  5. Bobes-Bascaran, M.T. 5
  6. Arrojo, M. 2
  7. Benabarre, A. 4
  8. Goikolea, J.M. 4
  9. Sanchez, E. 6
  10. Sarramea, F. 3
  11. Bobes, J. 7
  1. 1 Centro de Investigacion Biomedica en Red de Salud Mental
    info

    Centro de Investigacion Biomedica en Red de Salud Mental

    Madrid, España

    ROR https://ror.org/009byq155

  2. 2 Complexo Hospitalario Universitario de Santiago
    info

    Complexo Hospitalario Universitario de Santiago

    Santiago de Compostela, España

    ROR https://ror.org/00mpdg388

  3. 3 Department of Psychiatry, Distrito Sanitario Jaén Norte, Servicio Andaluz de Salud. Jaén, Spain
  4. 4 Hospital Clinic Barcelona
    info

    Hospital Clinic Barcelona

    Barcelona, España

    ROR https://ror.org/02a2kzf50

  5. 5 Hospital Clinico Universitario de Valencia
    info

    Hospital Clinico Universitario de Valencia

    Valencia, España

    ROR https://ror.org/00hpnj894

  6. 6 Hospital General Universitario Gregorio Marañón
    info

    Hospital General Universitario Gregorio Marañón

    Madrid, España

    ROR https://ror.org/0111es613

  7. 7 Universidad de Oviedo
    info

    Universidad de Oviedo

    Oviedo, España

    ROR https://ror.org/006gksa02

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Revista:
Journal of Sexual Medicine

ISSN: 1743-6095

Año de publicación: 2011

Volumen: 8

Número: 5

Páginas: 1371-1382

Tipo: Artículo

DOI: 10.1111/J.1743-6109.2010.02043.X PMID: 20946156 SCOPUS: 2-s2.0-79955144950 GOOGLE SCHOLAR

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.