Skip to main content
Log in

Reliable and Valid Self-Report Outcome Measures in Sexual (Dys)function: A Systematic Review

  • Published:
Archives of Sexual Behavior Aims and scope Submit manuscript

Abstract

This paper examines the published reliability and validity of non-disease specific, self-report measures of sexual function. Relevant papers were found in a search of the Embase electronic bibliographic database, for English language papers (published 1980–99) reporting on the psychometric testing of sexual function questionnaires. Existing published reviews or collections of such instruments were also searched, and the reference lists of all papers obtained were “back-searched” to identify other measures. Included measures were evaluated in a systematic manner using published standards concerning the validity, internal consistency, and reproduceability of health measurement scales and quality of life measures. Twenty-three self-report measures were identified for inclusion in this review. A further 2 measures were identified by reviewers of this paper after the main searches were undertaken. One measure was found not to be exclusively self-report. Eleven (46% of 24 included measures) did not meet minimum published standards for reliability, internal consistency, and validity. However one of these was reliable and valid in the female-version only. Of the 14 reliable and valid measures, or versions thereof (58% of 24), 2 (8% of 24) met “superior” psychometric standards. Many measures were developed for use with patients in sex or marital therapy, and are mainly suitable for administration to people with long-term sex partners. It is sensible to assume that instruments are only reliable and valid in the often specialized populations in which they were developed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

REFERENCES

  • Adams, J., DeJesus, Y., Trujillo, M., & Cole, F. (1997). Assessing sexual dimensions in Hispanic women: Development of an instrument. Cancer Nursing, 20, 251-259.

    Google Scholar 

  • Adams, S. G., Dubbert, P. M., Chupurdia, K. M., Jones, A., Jr., Lofland, K. R., & Leermakers, E. (1996). Assessment of sexual beliefs and information in aging couples with sexual dysfunction. Archives of Sexual Behavior, 25, 249-260.

    Google Scholar 

  • Bailes, S., Creti, L., Fichten, C. S., Libman, E., & Amsel, R. (1998). Sexual Self-Efficacy Scale for Female Functioning. In C. M. Davis, W. L. Yarber, R. Bauserman, G. Schreer, & S. L. Davis (Eds.), Handbook of sexuality-related measures (pp. 531-533). London: Sage.

    Google Scholar 

  • Bland, J. M., & Altman, D. G. (1997). Statistics notes: Cronbach's alpha. British Medical Journal, 314, 572.

    Google Scholar 

  • Cappelleri, J. C., Rosen, R. C., Smith, M. D., Quirk, F., Maytom, M. C., Mishra, A., et al. (1999). Some developments on the International Index of Erectile Function (IIEF). Drug Information Journal, 33, 179-190.

    Google Scholar 

  • Clayton, A. H., McGarvey, E. L., & Clavet, G. J. (1997). The Changes in Sexual Functioning Questionnaire (CSFQ): Development, reliability, and validity. Psychopharmacology Bulletin, 33, 731-745.

    Google Scholar 

  • Clayton, A. H., McGarvey, E. L., Clavet, G. J., & Piazza, L. (1997). Comparison of sexual functioning in clinical and nonclinical populations using the Changes in Sexual Functioning Questionnaire (CSFQ). Psychopharmacology Bulletin, 33, 747-753.

    Google Scholar 

  • Conte, H. R. (1983). Development and use of self-report techniques for assessing sexual functioning: A review and critique. Archives of Sexual Behavior, 12, 555-576.

    Google Scholar 

  • Corty, E. W., Althof, S. E., & Kurit, D. M. (1996). The reliability and validity of a sexual functioning questionnaire. Journal of Sex and Marital Therapy, 22, 27-34.

    Google Scholar 

  • Creti, L., Fichten, C. S., Amsel, R., Brender, W., Schover, L. R., Kalogeropoulos, D., et al. (1998). Global sexual functioning: A single summary score for Nowinski and LoPiccolo's Sexual History Form (SHF). In C. M. Davis, W. L. Yarber, R. Bauserman, G. Schreer, & S. L. Davis (Eds.), Handbook of sexuality-related measures (pp. 261-267). London: Sage.

    Google Scholar 

  • Croog S. H., Levine S., Testa M. A., Brown B., Bulpitt, C. J., Jenkins, C. D., et al. (1986). The effects of antihypertensive therapy on the quality of life. New England Journal of Medicine, 314, 1657-1664.

    Google Scholar 

  • Cull, A. M. (1992). The assessment of sexual function in cancer patients. European Journal of Cancer, 28A, 1680-1686.

    Google Scholar 

  • Davis, C. M., Yarber, W. L., Bauserman, R., Schreer, G., & Davis, S. L. (Eds.). (1998). Handbook of sexuality-related measures. London: Sage.

    Google Scholar 

  • Derogatis, L. R. (1997). The Derogatis Interview for Sexual Functioning (DISF/DISF-SR): An introductory report. Journal of Sex and Marital Therapy, 23, 291-304.

    Google Scholar 

  • Derogatis, L. R. (1998). The Derogatis Sexual Functioning Inventory. In C. M. Davis, W. L. Yarber, R. Bauserman, G. Schreer, & S. L. Davis (Eds.), Handbook of sexuality-related measures (pp. 269-271). London: Sage.

    Google Scholar 

  • Fallowfield, L. (1990). The quality of life: The missing measurement in health care. London: Souvenir Press.

    Google Scholar 

  • Fichten, C. S., Spector, I., Amsel, R., Creti, L., & Libman, E. (1998). Sexual Self-Efficacy Scale-Erectile Functioning. In C. M. Davis, W. L. Yarber, R. Bauserman, G. Schreer, & S. L. Davis (Eds.), Handbook of sexuality-related measures (pp. 534-536). London: Sage.

    Google Scholar 

  • Fineman, K. R., & Rettinger, H. I. (1991). Development of the Male Function Profile/Impotence Questionnaire. Psychological Reports, 68, 1151-1175.

    Google Scholar 

  • Frenken, J., & Vennix, P. (1981). Sexuality Experience Scales: Manual (Netherlands Institute for Social Sexological Research). Zeist, Netherlands: Swets & Zeitlinger.

    Google Scholar 

  • Ganz, P. A., Rowland, J. H., Desmond, K., Meyerowitz, B. E., & Wyatt, G. E. (1998). Life after breast cancer: Understanding women's health-related quality of life and sexual functioning. Journal of Clinical Oncology, 16, 501-514.

    Google Scholar 

  • Glick, H. A., McCarron, T. J., Althof, S. E., Corty, E.W., & Wilke, R. J. (1997). Construction of scales for the Center for Marital and Sexual Health (CMASH) sexual functioning questionnaire. Journal of Sex and Marital Therapy, 23, 103-117.

    Google Scholar 

  • Hays, R. D., Anderson, R. T., & Revicki, D. (1998). Assessing the reliability and validity of measurement in clinical trials. In M. J. Staquet, R. D. Hays, & P.M. Fayers (Eds.), Quality of life assessment in clinical trials: Methods and practice (pp. 169-182). New York: Oxford University Press.

    Google Scholar 

  • Hudson, W. W. (1998). Index of Sexual Satisfaction. In C. M. Davis, W. L. Yarber, R. Bauserman, G. Schreer, & S. L. Davis (Eds.), Handbook of sexuality-related measures (pp. 512-513). London: Sage.

    Google Scholar 

  • Hudson, W.W., Harrison, D. F., & Crosscup, P. C. (1981). A short-form scale to measure sexual discord in dyadic relationships. Journal of Sex Research, 17, 157-174.

    Google Scholar 

  • Jensen, B. J., Witcher, D. B., & Upton, L. R. (1987). Readability assessment of questionnaires frequently used in sex and marital therapy. Journal of Sex and Marital Therapy, 13, 137-141.

    Google Scholar 

  • Laumann, E. O., Paik, A., & Rosen, R. C. (1999). Sexual dysfunction in the United States: Prevalence and predictors. Journal of the American Medical Association, 281, 537-544.

    Google Scholar 

  • LoPiccolo, J., & Steger, J. C. (1974). The Sexual Interaction Inventory: A new instrument for assessment of sexual dysfunction. Archives of Sexual Behavior, 3, 585-595.

    Google Scholar 

  • McCabe, M. P. (1998a). Sexual Dysfunction Scale. In C. M. Davis, W. L. Yarber, R. Bauserman, G. Schreer, & S. L. Davis (Eds.), Handbook of sexuality-related measures (pp. 191-192). London: Sage.

    Google Scholar 

  • McCabe, M. P. (1998b). Sexual Function Scale. In C. M. Davis, W. L. Yarber, R. Bauserman, G. Schreer, & S. L. Davis (Eds.), Handbook of sexuality-related measures (pp. 275-276). London: Sage.

    Google Scholar 

  • McCoy, N. L., & Matyas, J. R. (1998). McCoy Female Sexuality Questionnaire. In C. M. Davis, W. L. Yarber, R. Bauserman, G. Schreer, & S. L. Davis (Eds.), Handbook of sexuality-related measures (pp. 249-251). London: Sage.

    Google Scholar 

  • Reinhardt, R. N. (1998). The Sexual Interaction Inventory. In C. M. Davis, W. L. Yarber, R. Bauserman, G. Schreer, & S.L. Davis (Eds.), Handbook of sexuality-related measures (pp. 278-280). London: Sage.

    Google Scholar 

  • Reynolds, C. F., Frank, E., Thase, M. E., Houck, J., Jennings R., Howell, J. R., et al. (1988). Assessment of sexual function in depressed, impotent, and healthy men: Factor analysis of a Brief Sexual Function Questionnaire for men. Psychiatry Research, 24, 231-250.

    Google Scholar 

  • Rosen, R., Brown, C., Heiman, J., Leiblum, S., Meston, C., Shabsigh, R., et al. (2000). The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex and Marital Therapy, 26, 191-208.

    Google Scholar 

  • Rosen, R. C., Riley, A., Wagner, G., Osterloh, I. H., Kirkpatrick, J., & Mishra, A. (1997). The International Index of Erectile Function (IIEF): A multidimensional scale for assessment of erectile dysfunction. Urology, 49, 822-830.

    Google Scholar 

  • Rosen, R. C., Taylor, J. F., & Leiblum, S. R. (1998). Brief Index of Sexual Functioning for Women. In C. M. Davis, W. L. Yarber, R. Bauserman, G. Schreer, & S. L. Davis (Eds.), Handbook of sexuality-related measures (pp. 251-255). London: Sage.

    Google Scholar 

  • Rust, J., & Golombok, S. (1986). The GRISS: A psychometric instrument for the assessment of sexual dysfunction. Archives of Sexual Behavior, 15, 157-165.

    Google Scholar 

  • Rust, J., & Golombok, S. (1998). The GRISS: A psychometric scale and profile of sexual dysfunction. In C. M. Davis, W. L. Yarber, R. Bauserman, G. Schreer, & S. L. Davis (Eds.), Handbook of sexuality-related measures (pp. 192-194). London: Sage.

    Google Scholar 

  • Sanders, C., Egger, M., Donovan, J., Tallon, D., & Frankel, S. (1998). Reporting on quality of life in randomised controlled trials: Bibliographic study. British Medical Journal, 317, 1191-1194.

    Google Scholar 

  • Streiner, D. L., & Norman, G. R. (1995). Health measurement scales: A practical guide to their development and use (2nd ed.). New York: Oxford University Press.

    Google Scholar 

  • Taylor, J. F., Rosen, R. C., & Leiblum, S. R. (1994). Self-report assessment of female sexual function: Psychometric evaluation of the Brief Index of Sexual Functioning for Women. Archives of Sexual Behavior, 23, 627-643.

    Google Scholar 

  • Thirlaway, K., Fallowfield, L., & Cuzick, J. (1996). The Sexual Activity Questionnaire: A measure of women's sexual functioning. Quality of Life Research, 5,81-90.

    Google Scholar 

  • Wagner, T. H., Patrick, D. L., McKenna, S. P., & Froese, P. S. (1996). Cross-cultural development of a quality of life measure for men with erection difficulties. Quality of Life Research, 5, 443-449.

    Google Scholar 

  • Woody, J. D., & D'Souza, H. J. (1994). The Sexual Interaction System Scale: A new inventory for assessing sexual dysfunction and sexual distress. Journal of Sex and Marital Therapy, 20, 210-228.

    Google Scholar 

  • Woody, J. D., & D'Souza, H. J. (1998). Sexual Interaction System Scale. In C. M. Davis, W. L. Yarber, R. Bauserman, G. Schreer, & S. L. Davis (Eds.), Handbook of sexuality-related measures (pp. 281-283). London: Sage.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Daker-White, G. Reliable and Valid Self-Report Outcome Measures in Sexual (Dys)function: A Systematic Review. Arch Sex Behav 31, 197–209 (2002). https://doi.org/10.1023/A:1014743304566

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1014743304566

Navigation