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Arabic translation of female sexual function index and validation in an egyptian population

Article type: Published article


Objective: Female sexual dysfunction (FSD) is a prevalent health problem that has been inadequately investigated in the Arab world. A validated Arabic assessment instrument is urgently needed. The aim of the study is to validate the Arabic version of the Female Sexual Function Index (ArFSFI). Methods: This is a cross-sectional study conducted between January and April 2010. Eight hundred and fifty five women (16-60 years old) participated in the study. Validation was carried out on aspects of face, content, discriminant, and criterion (concurrent) validity. Construct validity was evaluated using principal component analysis. Reliability studies on test-retest and on internal consistency were conducted with Pearson correlation and Cronbach's alpha respectively. The best cutoff point for the ArFSFI to differentiate cases and non-cases was determined using a Receiver Operating Characteristic (ROC) curve. Results: ArFSFI total score and scores of various domains showed high test-retest reliability (r from 0.92 to 0.98). ArFSFI domains showed high internal consistency (α from 0.85 to 0.94). Six hundred and forty-four women (75.32%) met the DSM-IV criteria for diagnosis of sexual dysfunction while 211 women (24.68%) showed normal function. The ArFSFI was found to have good discriminant validity. There were significant differences between the mean scores of women with sexual dysfunction and those of women without sexual dysfunction. A total score of 28.1 was taken as the cutoff point for the ArFSFI to distinguish between women with FSD and women with normal function (Sensitivity 96.7%, Specifi city 93.2%). The ArFSFI showed an excellent overall performance (AUC = 0.985, 95% confidence interval 0.978-0.992) Conclusion: The ArFSFI is a validated, reliable, and locally accepted tool for use in the assessment of FSD in the Egyptian population.

Full citation

Anis T, Aboul Gheit S. Arabic translation of female sexual function index and validation in an egyptian population. Journal of Sexual Medicine. 2011;8:455.


Methods Condition Gender Age Country Setting Sample size
Female 16 - 60 Egypt

Number of items

19 items


Measure does not require training

Required time

Not available

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Articles last updated: December 2020