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169 - INTERNAL CONSISTENCY AND RELIABILITY OF THE POLISH VERSION OF THE PELVIC ORGAN PROLAPSE/INCONTINENCE SEXUAL QUESTIONNAIRE, IUGA-REVISED (PISQ-IR)

169

INTERNAL CONSISTENCY AND RELIABILITYOF THE POLISH VERSION OF THE PELVIC ORGAN PROLAPSE/INCONTINENCESEXUAL QUESTIONNAIRE, IUGA-REVISED (PISQ-IR)

M. E. GRZYBOWSKA1, J.PIASKOWSKA-CALA 2, D. G. WYDRA 3;
1Departmentof Gynecology, Gynecological Oncology and GynecologicalEndocrinology, Med. Univ. of Gdańsk, Gdańsk, Poland, 2Med.Univ. of Gdańsk, Gdańsk, Poland, 3MU of Gdansk, Gdansk,Poland.

Introduction: Pelvic OrganProlapse/Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR)has been introduced to evaluate sexual function in both sexuallyactive and inactive women with pelvic floor disorders (PFD). In orderto use a questionnaire in different language population its culturaladaptation and linguistic validation is required.
Objective:The aim of the study was to translate and asses internal consistencyand reliability of the Polish version of the PISQ-IR.
Methods:After translation, back-translation and cognitive interviews, thefinal version of the PISQ-IR was submitted to the IUGA Working Group.The study group included 174 consecutive women with PFD, whopresented to the gynecology clinic, 75 not sexually active (NSA) and99 sexually active (SA). Medical history was taken, patientsunderwent clinical evaluation. The degree of prolapse was assessedusing the Pelvic Organ Prolapse Quantification (POP-Q). Subjects wereasked to complete the PISQ-IR. In 99 patients (43 NSA and 56 SA) thequestionnaire was administered twice at 2 weeks interval. Internalconsistency and test-retest reliability, separately for NSA and SAwomen, in PISQ-IR subscales were assessed. Mean scores weretransformed to a 0-100 range. In the NSA group higher scores indicatea greater negative impact of condition on sexual function, while inSA women higher scores indicate better sexual function.
Results:Participants’ mean age was 60.5 ± 10.1 years, with mean BMI 27.8 ±4.8 kg/m2 and parity 2.4±1.3. Postmenopausal patientsconstituted 81.9% of the study group (Table 1). Out of 75 NSA womenwith PFD - 21 (28%) were diagnosed with urinary incontinence (UI), 25(33.3%) with pelvic organ prolapse (POP), and 29 (38.7%) with UI andPOP. In SA group 29 (29.3%), 30 (30.3%) and 40 (40.4%) patients werediagnosed respectively. Fifteen (20%) subjects in NSA group and 13(13.1%) in SA group confirmed fecal incontinence. Assessment of POP-Qrevealed 0 stage in 5.7% and 4.3%, I stage - 4.3% and 7.5%, II stage- 27.1% and 33.3%, III stage - 47.1% and 46.2% and IV stage - 15.7%and 8.6% in NSA and SA women respectively. The groups of NSA and SAwomen did not differ in terms of clinical diagnosis, POP-Q assessmentand previous surgical history.
The PISQ-IR Polish version provedto have good internal consistency with Cronbach’s alpha rangingfrom 0.713 to 0.858 in NSA and from 0.650 to 0.878 in SA women (Table2). Strong internal consistency was observed for all subscales insexually inactive women (NSA): Condition Specific (α=0.713), GlobalQuality (α=0.858), Condition Impact (α=0.808) and in four out offive subscales in sexually active patients (SA): Arousal Orgasm(α=0.753), Condition Specific (α=0.702), Global Quality (α=0.878),Condition Impact (α=0.821), Desire (α=0.721). Internal consistencywas moderate among sexually active women in Partner Related scale(α=0.650).
The analysis revealed a strong correlation betweenconsecutive scores in all NSA and SA subscales with Pearson’scoefficient ranging from 0.759 to 0.899, p<0.001 (Table 3 and4).
Table 1 Patient characteristics


NotSexually Active n = 75

SexuallyActive n = 99

p

Ageyears

64.9±7.6

57.1±10.4

<0.001

BMIkg/m2

28.7±4.5

27.2±4.9

<0.05

Parity

2.3±1.7

2.4±1.0

0.13

Deliverytype



0.31

Allvaginal

69(93.2)

86(86.9)


Allcesarean section

2(2.7)

3(3.0)


Both

3(4.0)

10(10.1)


Postmenopausal

69(92.0)

75(75.7)

<0.05


Data presented as n(%) ormean±SD
Table 2 Mean transformed sum score and Cronbach’sα for each subscale

Scale

No.of items

Transformedsum score mean±SD

α

NSA-PR

2

57.2±31.5

n.a.

NSA-CS

3

31.9±30.9

0.713

NSA-GQ

4

45.7±34.0

0.858

NSA-CI

3

36.2±33.7

0.808

SA-AO

4

51.7±20.1

0.753

SA-PR

3

77.4±16.0

0.650

SA-CS

3

78.9±23.3

0.702

SA-GQ

4

54.9±29.7

0.878

SA-CI

4

54.7±27.7

0.821

SA-D

3

44.2±18.2

0.721


n.a. - not assessed, only 2 itemsin the scale
Table 3 Pearson’s correlation coefficientfor each subscale of the PISQ-IR in sexually inactive women

Scale

No.of women

ΔTransformed sum score mean±SD

R

NSA-PR(partner related)

43

3.1±23.9

0.759

NSA-CS(condition specific)

43

7.5±23.4

0.779

NSA-GQ(global quality)

43

-2.6±19.4

0.835

NSA-CI(condition impact)

43

2.8±16.3

0.899


p<0.001 for all subscales
Table4 Pearson’s correlation coefficient for each subscale of thePISQ-IR in sexually active women

Scale

Noof women

ΔTransformed sum score mean±SD

R

SA-AO(arousal orgasm)

56

1.9±10.7

0.857

SA-PR(partner related)

54

0.6±10.7

0.813

SA-CS(condition specific)

54

1.6±15.5

0.812

SA-GQ(global quality)

56

4.1±15.4

0.817

SA-CI(condition impact)

56

3.9±18.7

0.782

SA-D(desire)

56

1.1±9.4

0.865


p<0.001 for allsubscales

Conclusions: The study confirms that thePISQ-IR Polish version is a reliable and consistent tool forevaluating sexual function in sexually active and inactive women withPFD.
References: N/A