Psychometric evaluation of the Swedish version of the PROMIS Sexual Function and Satisfaction Measures in clinical and nonclinical young adult populations
Open accessAbstract
Background: The Patient-Reported Outcomes Measurement Information System (PROMIS®) Sexual Function and Satisfaction (SexFS) version 2.0 measurement tool was developed to assess sexual functioning and satisfaction in the general population regardless of health condition and sexual orientation. Aim: The study aimed to evaluate the psychometric properties of the Swedish version of the PROMIS SexFS measure in clinical and nonclinical populations of young adults (aged <40 years). Methods: = 324) from the general population. Psychometric properties were evaluated by examining data quality (score distribution, floor and ceiling effects, proportion of missing data), construct validity (corrected item, total correlation, scaling success), and reliability (Cronbach α). Outcomes: The following domains of the SexFS 2.0 were investigated: Vaginal Lubrication, Vaginal Discomfort, Vulvar Discomfort- Clitoral, Vulvar Discomfort- Labial, Erectile Function, Interest in Sexual Activity, Satisfaction With Sex Life, Orgasm- Ability, and Orgasm- Pleasure. Results: The Swedish version of the SexFS 2.0 generated data of acceptable quality. Some noteworthy floor or ceiling effects were identified across domains and respondent groups. Corrected item totals were used to express the coherence between an item and the other items in the domain. The correlation coefficients were above 0.40 for all items, except for 1 of the items within the Vaginal Discomfort domain and for the items in the Erectile Function domain in the nonclinical group of men. High proportions of scaling success were noted across domains (96%-100%). Reliability was satisfactory (α = 0.74-0.92) for all domains, expect for Erectile Function of the nonclinical group (α = 0.53), due to low variability in item responses, which was improved somewhat (α = 0.65) when combined with the clinical group. Clinical Implications: A flexible tool to measure self-reported sexual function and satisfaction in young men and women is available for researchers and clinicians in Sweden. Strengths and Limitations: The nationwide population-based sample of patients with cancer, identified from national quality registers, minimized selection bias. However, men in the general population had a lower response rate (34%) compared to the other groups, which introduced a risk of bias in estimates. The psychometric evaluation was limited to young adults (aged 19-40 years). Conclusion: The results provide evidence for the validity and reliability of the Swedish version of the SexFS measure for the assessment of sexual functioning and satisfaction in young adults from both clinical and nonclinical populations.
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The Swedish version of the SexFS has demonstrated adequate psychometric properties.
“The Swedish version has demonstrated adequate psychometric properties (Hovén et al., 2023).”
From Efficacy of a web-based psychoeducational intervention, Fex-can sex, for young adult childhood cancer survivors with sexual dysfunction: A randomized controlled trial (2024) · cites this paper as Hovén et al., 2023
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Fagerkvist, K., Jahnukainen, K., Ljungman, L., Lampic, C., & Wettergren, L. (2024) · Internet Interventions · doi:10.1016/j.invent.2024.100739 · Cited by 8 · see citing works
Self-citation
- Authors
- Hovén, E., Flynn, K. E., Weinfurt, K. P., Eriksson, L. E., & Wettergren, L.
- Affiliations
- Uppsala University (SE)
- Medical College of Wisconsin (US)
- Duke University (US)
- University of London (GB)
- Corresponding author
- Wettergren, Lena
- Venue
- Sexual Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2023-01-12
- Volume
- 11
- Issue
- 1
- Pages
- qfac006-qfac006
- ISSN
- 2050-1161 (ISSN-L)
- PMC
- PMC10065179
- OpenAlex
- W4315709384
- Cited by
- 9
- References
- 2
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 4 · 2023: 1 · 2022: 1
- FWCI
- 1.63
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Sexual Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Uppsala University Publications (Uppsala University) (submittedVersion, other-oa)
- City Research Online (City University London) (submittedVersion)
- Funders
- Swedish Cancer Society (CAN 2013/886, CAN 2016/615, 190196Pj)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Social Sciences › Decision Sciences › Management Science and Operations Research › Psychometric Methodologies and Testing
- Social Sciences › Education › Health Education and Validation
- Keywords
- sexual function, sexual satisfaction, young adults, Swedish translation, psychometric properties, construct validity, reliability statistics, floor and ceiling effects, erectile function, orgasm, vaginal lubrication, cancer patients, patient-reported outcomes, cross-cultural adaptation, male sexual health, sexual orientation, sexual orientation and gender identity
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