Psychometric Properties of the Spanish Version of the Changes in Sexual Functioning Questionnaire Short-Form (CSFQ-14) in Patients with Severe Mental Disorders

Authors

  • Maria Paz Garcia-Portilla MD, PhD,

    Corresponding author
    1. Department of Psychiatry, University of Oviedo, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Oviedo, Spain
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  • Pilar Alejandra Saiz MD, PhD,

    1. Department of Psychiatry, University of Oviedo, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Oviedo, Spain
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  • Eduardo Fonseca Psych, PhD,

    1. Department of Psychology, University of Oviedo, Spain
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  • Susana Al-Halabi Psych, PhD,

    1. Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Oviedo, Spain
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  • Maria Teresa Bobes-Bascaran Psych,

    1. Department of Psychiatry, Hospital Clínico, Valencia. Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Valencia, Spain
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  • Manuel Arrojo MD, PhD,

    1. Department of Psychiatry, Complexo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, Spain
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  • Antonio Benabarre MD, PhD,

    1. Department of Psychiatry, Hospital Clinic, Barcelona, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
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  • Jose Manuel Goikolea MD, PhD,

    1. Department of Psychiatry, Hospital Clinic, Barcelona, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Barcelona, Spain
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  • Emilio Sanchez MD, PhD,

    1. Department of Psychiatry, Hospital General Universitario Gregorio Marañón, Madrid, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Madrid, Spain
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  • Fernando Sarramea MD, PhD,

    1. Department of Psychiatry, Distrito Sanitario Jaén Norte, Servicio Andaluz de Salud. Jaén, Spain
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  • Julio Bobes MD, PhD

    1. Department of Psychiatry, University of Oviedo, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Oviedo, Spain
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Maria Paz Garcia-Portilla, MD, PhD, Department of Psychiatry, School of Medicine, University of Oviedo, Julian Claveria 6, Oviedo, 33006, Spain. Tel: +34 985 104219; Fax: +34 985 103552; E-mail: albert@uniovi.es

ABSTRACT

Introduction.  Sexual dysfunction in patients with severe mental disorders is often underestimated or overlooked by psychiatrists. A brief and valid self-report instrument for assessing sexual functioning may well contribute to changing this situation.

Aims.  To validate the Short Form of the Changes in Sexual Functioning Questionnaire (CSFQ-14) in Spanish patients with severe mental disorders.

Methods.  Naturalistic, cross-sectional, multicenter, validation study. Eighty-nine patients with schizophrenia and 82 with bipolar disorder were evaluated using the CSFQ-14, the Visual Analogue Scale for Sexual Functioning Satisfaction (VAS-SFS), and the Clinical Global Impression—Severity scales for mental disorders (CGI-S) and for Sexual Dysfunction (CGI-SSD).

Main Outcome Measures.  The 14-item Changes in Sexual Functioning Questionnaire.

Results.  Internal reliability (Cronbach's alpha) = 0.90. Construct validity = 3 principal components, of which the first, arousal-orgasm, explained 46.4% of the total variance. Convergent validity: Pearson correlation coefficients between CSFQ-14 and VAS-SFS = 0.33 (P < 0.01) and between CSFQ-14 and CGI-SDS = −0.71 (P < 0.01). Discriminant validity: The CSFQ-14 was able to discriminate among patients with no, mild, moderate, and severe sexual dysfunction according to CGI-SDS scores, both in males (P < 0.001) and females (P < 0.001). In males, the area under the curve (AUC) was 0.833 and a cutoff point of 49 provided a sensitivity of 92.9% and a specificity of 59.5%. In females, the AUC was 0.834 and a cutoff point of 43 provided a sensitivity of 91.9% and a specificity of 62.5%.

Conclusion.  The Spanish version of the CSFQ-14 is a reliable and valid instrument for assessing sexual functioning in patients with severe mental disorders. As a brief, self-rated instrument, the CSFQ-14 scale seems to be appropriate for use in everyday clinical practice as a means of identifying and monitoring changes in sexual functioning. Garcia-Portilla MP, Saiz PA, Fonseca E, Al-Halabi S, Bobes-Bascaran MT, Arrojo M, Benabarre A, Goikolea JM, Sanchez E, Sarramea F, and Bobes J. Psychometric properties of the Spanish version of the Changes in Sexual Functioning Questionnaire Short-Form (CSFQ-14) in patients with severe mental disorders. J Sex Med 2011;8:1371–1382.

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