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Introduction <p>The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire, IUGA Revised (PISQ-IR) is a validated tool for assessing sexual health in women with pelvic floor disorders, divided into sections for sexually active (SA) and not sexually active (NSA) women. Although widely used, it has not yet been implemented in Denmark. This study aims to translate and validate the Danish translation of PISQ-IR.</p> Methods <p>Following the IUGA PISQ-IR Translation Protocol, the Danish version was approved and distributed digitally to women with pelvic floor disorders recruited from four hospitals in Denmark. Participants completed PISQ-IR, PFDI-20, PFIQ-7, and ICIQ-UI questionnaires both at baseline and 10-days retest. Internal reliability, test–retest reliability, and criterion validity were tested, followed by confirmatory (CFA) and exploratory factor analysis (EFA).</p> Results <p>Of 305 invited women, 201 (66%) completed the PISQ-IR; 82 (NSA) and 119 (SA). In general, internal reliability was good (Cronbach’s alpha &gt; 0.8). Test–retest reliability was acceptable (ICC 0.59–0.89 NSA; 0.54–0.83 SA). Criterion validity was better in the SA group but below standard. CFA showed acceptable factor loadings but poor fit indices (RMSEA 0.177 NSA, 0.096 SA; TLI 0.660 NSA, 0.840 SA). EFA revealed a three-factor solution (NSA) and two-factor solution (SA), with high uniqueness in several items, correlating with the low fit in the CFA.</p> Conclusions <p>The Danish PISQ-IR showed good internal consistency and test–retest reliability, supporting its use in Denmark. However, low fit indices and factor loadings in several items suggest the need for further revision.</p>

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Danish Translation and Validation of the Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire, IUGA-Revised (PISQ-IR)

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  • 发表日期：

    2025年12月13日

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  • Greta Puriene,
  • Sofie Ronja Petersen,
  • Bashayir Said Muse Issa,
  • Saskia Denise Marxen,
  • Mette Hulbaek

摘要

Introduction

The Pelvic Organ Prolapse/Urinary Incontinence Sexual Questionnaire, IUGA Revised (PISQ-IR) is a validated tool for assessing sexual health in women with pelvic floor disorders, divided into sections for sexually active (SA) and not sexually active (NSA) women. Although widely used, it has not yet been implemented in Denmark. This study aims to translate and validate the Danish translation of PISQ-IR.

Methods

Following the IUGA PISQ-IR Translation Protocol, the Danish version was approved and distributed digitally to women with pelvic floor disorders recruited from four hospitals in Denmark. Participants completed PISQ-IR, PFDI-20, PFIQ-7, and ICIQ-UI questionnaires both at baseline and 10-days retest. Internal reliability, test–retest reliability, and criterion validity were tested, followed by confirmatory (CFA) and exploratory factor analysis (EFA).

Results

Of 305 invited women, 201 (66%) completed the PISQ-IR; 82 (NSA) and 119 (SA). In general, internal reliability was good (Cronbach’s alpha > 0.8). Test–retest reliability was acceptable (ICC 0.59–0.89 NSA; 0.54–0.83 SA). Criterion validity was better in the SA group but below standard. CFA showed acceptable factor loadings but poor fit indices (RMSEA 0.177 NSA, 0.096 SA; TLI 0.660 NSA, 0.840 SA). EFA revealed a three-factor solution (NSA) and two-factor solution (SA), with high uniqueness in several items, correlating with the low fit in the CFA.

Conclusions

The Danish PISQ-IR showed good internal consistency and test–retest reliability, supporting its use in Denmark. However, low fit indices and factor loadings in several items suggest the need for further revision.