development and psychometric validation of the fsbwq

This study introduces the Female Sexual Well-being Questionnaire (FSWBQ), a culturally specific tool designed to measure sexual well-being among Iranian women by encompassing cognitive, emotional, relational, and physiological dimensions. Unlike existing measures that mainly focus on dysfunction or physical aspects, the FSWBQ was developed through comprehensive literature reviews, expert consultations, and focus groups, leading to the refinement of 67 initial items into a 31-item questionnaire with seven subscales: Frequency and Quality of Relationship, Emotional Sensitivity, Satisfaction with Orgasm and Sexual Pleasure, Mood, Awareness, Lubrication, and Emotional Relationship. Data collected from 355 sexually active Iranian women demonstrated the FSWBQ's strong psychometric properties, including excellent internal consistency and construct validity. By addressing the limitations of existing tools and incorporating elements like relational dynamics, emotional intimacy, and self-awareness, the FSWBQ provides a holistic approach to assessing sexual well-being. Its cultural specificity ensures that it aligns with the experiences of Iranian women, filling gaps left by adapted Western instruments, and it is designed for both research and clinical applications, offering a foundation for exploring sexual well-being in Persian-speaking populations.