ORIGINAL RESEARCH—OUTCOMES ASSESSMENT: Development of a Korean Version of the Female Sexual Distress Scale


Du Geon Moon, MD, PhD, Department of Urology, Korea University Hospital, 126-1, 5-Ka, Anam-dong, Sungbuk-ku Seoul 136-045, Korea. Tel: +8229205367; Fax: +8229287864; E-mail: urobae@genetherapy.or.kr


Introduction.  This article presents data based on the responses of more than 100 women who contributed to the development of a Korean version of the Female Sexual Distress Scale (FSDS).

Aim.  The FSDS was developed to measure sexually related personal distress in women. This article aims to test the usefulness and analyze factors of the 20-item version of the FSDS in a Korean female sample.

Methods.  The original two-item FSDS was translated with cultural modifications. A total of 104 healthy, married women were recruited through a survey. A second survey was undertaken after 2 weeks for test–retest reliability. Validity, internal consistency reliability, and test–retest reliability were evaluated. An exploratory factor analysis was also performed.

Main Outcome Measures.  A Korean version of the FSDS.

Results.  The test–retest coefficients of stability over a 2-week period was 0.99 (P < 0.01). The 20 items of the FSDS have good internal consistency, with an alpha of 0.96. The FSDS discriminated between women with and without sexually related distress (t = −7.34, P < 0.01). The optimal cut-off score was 20 (sensitivity 71.4%, specificity 92.2%). By principal axis factoring, the Korean version of the FSDS was found to consist of two factors. A 16-item FSDS had good internal consistency with an alpha of 0.97. The test–retest reliability was good (r = 0.99, P < 0.01). The items of the 16-item FSDS were somewhat different from the original 12-item FSDS.

Conclusions.  The Korean version of the FSDS (20-item) might be a useful tool for screening sexually distressed women in Korea. Instead of the 12-item version of the original FSDS, the 16-item FSDS was validated in this study. These results could reflect cultural differences between Eastern Asian and Western societies. Bae JH, Han CS, Kang SH, Shim KS, Kim JJ, and Moon DG. Development of a Korean version of the Female Sexual Distress Scale. J Sex Med 2006;3:1013–1017.