Cross-cultural adaptation for Brazilian Portuguese and measurement properties of sexual function questionnaires for women: a systematic review

ABSTRACT This article aims to list questionnaires used to assess female sexual function, as well as to analyze the cross-cultural adaptation process for Brazilian Portuguese and the measurement properties tested. Search strategies were performed in the PubMed, Embase, CINAHL and LILACS databases, using words in English, Portuguese, and Spanish. Based on the inclusion criteria, data about the translation, cross-cultural adaptation, and measurement properties of each eligible questionnaire were extracted. The measurement properties reported were evaluated by two evaluators using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) checklist. The search returned a total of 46,987 studies, of which 131 were read in full, and only 12 were included in the review. Of the seven instruments that assess female sexual function found only three had their psychometric properties evaluated as good, with the Female Sexual Function Index (FSFI) being the most validated instrument for different clinical populations. There is a need to improve the validated versions of sexual dysfunction assessment instruments for the female population throughout their life cycle.

摘要 本研究旨在罗列用于评估女性性功能的各类问卷，并分析针对巴西葡萄牙语的跨文化调适流程，以及已检验的测量学属性。本研究在PubMed、Embase、CINAHL及LILACS数据库中构建检索策略，检索词涵盖英语、葡萄牙语及西班牙语词汇。依据纳入标准，提取每一份符合要求的问卷的翻译、跨文化调适及测量学属性相关数据。由两名评估者采用《健康测量工具遴选共识标准（Consensus-based Standards for the Selection of Health Measurement Instruments, COSMIN）》清单，对所报告的测量学属性进行评估。本次检索共获取46987项研究，其中131项进行了全文阅读，最终仅12项被纳入本综述。在检索到的7款女性性功能评估工具中，仅3款的心理测量学属性被评定为良好，其中女性性功能指数（Female Sexual Function Index, FSFI）是针对不同临床人群验证最为充分的工具。当前仍需针对女性全生命周期的性功能障碍评估工具，优化其已验证的译制版本。