Reliability and validity of the Japanese version of the pelvic floor distress inventory-short form 20
Abstract
Introduction and hypothesis The aim of this study was to translate the Pelvic Floor Distress Inventory-Short Form 20 (PFDI-20) into Japanese and test its reliability and validity among Japanese women.Methods Fifty-nine women with and without pelvic floor disorders (age 55.8 ± 16.8 years, mean ± SD) completed the Japanese PFDI-20 (J-PFDI-20) questionnaire at baseline and 2 weeks later. Intraclass correlation coefficients (ICC) and the Bland and Altman method for test-retest reliability and Cronbach's alpha for internal consistency of the J-PFDI-20 were used. Scores of total and subscales were compared between women with and without pelvic floor disorders for known-groups validity. Spearman's correlation coefficients between the J-PFDI-20 and the severity of pelvic floor disorders and Urinary Incontinence Quality of Life Scale (I-QOL) were used for construct validity.Results The PFDI-20 was successfully translated from English into Japanese with face validity through rigorous cross-cultural validation. Test-retest reliability of the J-PFDI-20 and three subscales was good to excellent (ICC=0.77-0.90). The Bland and Altman analysis showed that differences between the first and second scores of total J-PFDI-20 and its subscales were not significantly different from 0 and largely fell within the range of 0 ± 1.96 SD. Cronbach's alpha values were 0.52-0.83. Analysis of known-groups validity showed differences in scores of the J-PFDI-20 between women with and without pelvic floor disorders. Acceptable construct validity was found in J-PFDI-20 total and subscale scores with positive correlations to severity of pelvic floor disorders (ρ>0.35) and negative correlations to I-QOL (ρ<-0.39).Conclusions The results suggest that the J-PFDI-20 is a reliable and valid condition-specific quality of life instrument for women with pelvic floor disorders.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Patients completed validated questionnaires, including the PFDI-20, during the 1-year follow-up evaluation.
“During the 1‐year follow‐up evaluation, the patients completed validated questionnaires, including the PFDI‐20.”
From Composite Failure Associated With Sacrohysteropexy and Sacrocolpopexy With Supracervical Hysterectomy for Advanced Pelvic Organ Prolapse (2025) · cites this paper as [13]
Cites
STATISTICAL METHODS FOR ASSESSING AGREEMENT BETWEEN TWO METHODS OF CLINICAL MEASUREMENT
Martin Bland, J., & Altman, D. (1986) · The Lancet · doi:10.1016/s0140-6736(86)90837-8 · Cited by 47,965 · see citing works
Beckett, A. H., Rowland, M., & TURNER, P. (1965) · The Lancet · doi:10.1016/s0140-6736(65)91037-8 · Cited by 16,917 · see citing works
Quality of Life: The assessment, analysis and interpretation of patient-reported outcomes
Fayers, P. M., & Machin, D. (2007) · Cited by 1,419 · see citing works
Barber, M. D., Walters, M. D., & Bump, R. C. (2005) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2004.12.025 · Cited by 1,357 · see citing works
Fecal incontinence quality of life scale
Rockwood, T. H., Church, J. M., Fleshman, J. W., Kane, R. L., Mavrantonis, C., Thorson, A. G., Wexner, S. D., Bliss, D. Z., & Lowry, A. C. (2000) · Diseases of the Colon & Rectum · doi:10.1007/bf02237236 · Cited by 1,234 · see citing works
Shumaker, S. A., Wyman, J. F., Uebersax, J. S., McClish, D. K., & Fantl, J. A. (1994) · Quality of Life Research · doi:10.1007/bf00451721 · Cited by 1,098 · see citing works
Quality of Life: The Assessment, Analysis and Interpretation of Patient‐Reported Outcomes
Fayers, P. M., & Machin, D. (2007) · doi:10.1002/9780470024522 · Cited by 865 · see citing works
Barber, M. D., Kuchibhatla, M. N., Pieper, C. F., & Bump, R. C. (2001) · American Journal of Obstetrics and Gynecology · doi:10.1067/mob.2001.118659 · Cited by 617 · see citing works
Patrick, D. L., Martin, M. L., Bushnell, D. M., Yalcin, I., Wagner, T. H., & Buesching, D. P. (1999) · Urology · doi:10.1016/s0090-4295(98)00454-3 · Cited by 503 · see citing works
Digesu, G. A., Khullar, V., Cardozo, L., Robinson, D., & Salvatore, S. (2004) · International Urogynecology Journal · doi:10.1007/s00192-004-1225-x · Cited by 276 · see citing works
Barber, M. D., Chen, Z., Lukacz, E. S., Markland, A. D., Wai, C. Y., Brubaker, L. T., Nygaard, I., Weidner, A. C., Janz, N. K., & Spino, C. (2011) · Neurourology and Urodynamics · doi:10.1002/nau.20934 · Cited by 145 · see citing works
de Tayrac, R., Deval, B., Fernandez, H., & Marès, P. (2007) · Journal de gynécologie, obstétrique et biologie de la reproduction. Supplément/Journal de gynécologie obstétrique et biologie de la reproduction · doi:10.1016/j.jgyn.2007.08.002 · Cited by 104 · see citing works
Teleman, P. M., Stenzelius, K., Iorizzo, L., & Jakobsson, U. (2011) · Acta Obstetricia Et Gynecologica Scandinavica · doi:10.1111/j.1600-0412.2011.01085.x · Cited by 80 · see citing works
Chinese validation of Pelvic Floor Distress Inventory and Pelvic Floor Impact Questionnaire
Chan, S. S. C., Cheung, R. Y. K., Yiu, A. K. W., et al. (2011) · International Urogynecology Journal · doi:10.1007/s00192-011-1450-z · Cited by 45 · see citing works
Validation study of the Japanese version of the faecal incontinence quality of life scale
Ogata, H., Mimura, T., & Hanazaki, K. (2011) · Colorectal Disease · doi:10.1111/j.1463-1318.2011.02558.x · Cited by 29 · see citing works
Fujimura, T., Kume, H., Tsurumaki, Y., et al. (2011) · International Journal of Urology · doi:10.1111/j.1442-2042.2011.02848.x · Cited by 28 · see citing works
Prevalence of bowel symptoms in women with pelvic floor disorders
Raza-Khan, F., Cunkelman, J. A., Löwenstein, L., Shott, S., & Kenton, K. S. (2010) · International Urogynecology Journal · doi:10.1007/s00192-010-1143-z · Cited by 26 · see citing works
Portella, P. D. M., Feldner, P. C., da Conceição, J. C., et al. (2012) · European Journal of Obstetrics & Gynecology and Reproductive Biology · doi:10.1016/j.ejogrb.2011.11.009 · Cited by 26 · see citing works
Female Pelvic Floor Symptoms Before and After Bariatric Surgery
McDermott, C. D., Terry, C. L., Mattar, S. G., et al. (2012) · Obesity Surgery · doi:10.1007/s11695-012-0592-5 · Cited by 25 · see citing works
Omotosho, T. B., Hardart, A., Rogers, R. G., Schaffer, J. I., Kobak, W. H., & Romero, A. A. (2009) · International Urogynecology Journal · doi:10.1007/s00192-008-0792-7 · Cited by 24 · see citing works
Kim, Y. H., Kim, J., Kim, S. M., et al. (2011) · American Journal of Obstetrics and Gynecology · doi:10.1016/j.ajog.2011.02.047 · Cited by 24 · see citing works
Is pelvic pain associated with defecatory symptoms in women with pelvic organ prolapse?
Asfaw, T. S., Saks, E. K., Northington, G. M., & Arya, L. A. (2011) · Neurourology and Urodynamics · doi:10.1002/nau.21059 · Cited by 5 · see citing works
Mathlouthi, N., Elloumi, J., Trabelsi, H., et al. (2011) · PubMed · Cited by 2 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Ma, Y., Xu, T., Zhang, Y., Mao, M., Kang, J., & Zhu, L. (2019) · International Urogynecology Journal · doi:10.1007/s00192-018-3847-4 · Cited by 64 · see citing works
Sato, H., Otsuka, S., Abe, H., & Tsukada, S. (2023) · International Urogynecology Journal · doi:10.1007/s00192-023-05534-0 · Cited by 8 · see citing works
Sato, H., Otsuka, S., Sugita, K., Abe, H., & Tsukada, S. (2025) · Neurourology and Urodynamics · doi:10.1002/nau.25640 · Cited by 2 · see citing works
- Authors
- Yoshida, M., Murayama, R., Ota, E., Nakata, M., Kozuma, S., & Homma, Y.
- Affiliations
- The University of Tokyo (JP)
- University of Tokyo Hospital (JP)
- Mitsui Memorial Hospital (JP)
- Corresponding author
- Yoshida, Mikako
- Venue
- International Urogynecology Journal
- Published
- 2012-10-19
- Volume
- 24
- Issue
- 6
- Pages
- 1039-1046
- ISSN
- 0937-3462 (ISSN-L)
- 1433-3023
- OpenAlex
- W2126468883
- Cited by
- 32
- References
- 23
- Citations by year
- 2025: 4 · 2024: 3 · 2023: 5 · 2022: 6 · 2021: 3 · 2019: 1 · 2018: 4 · 2017: 3 · 2015: 1 · 2014: 1 · 2013: 1
- FWCI
- 0.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- International Urogynecology Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Keywords
- Japanese translation, cross-cultural validation, pelvic floor dysfunction, quality of life, test-retest reliability, construct validity, urinary incontinence, women
- MeSH terms
- Adult, Aged, Culture, Fecal Incontinence, Female, Humans, Language, Middle Aged, Quality of Life, Surveys and Questionnaires, Translating, Urinary Incontinence, Reproducibility of Results, Asian People, Pelvic Floor Disorders
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review