Murat YASSA, Mehmet Akif SARGIN, Neslişah DERELİ, Yusuf Özay ÖZDEMİR, Gizem AKÇA, Taner GÜNAY, Niyazi TUĞ

The validity and reliability of the Turkish version of the Quality of Sexual Experience Scale

Objective: Quality of Sexual Experience Scale (QSES) that evaluates the quality of the last any sexual relationship stands out amongst other questionnaires with its event-level design. It was aimed to cross-culturally adapt, validate the QSE scale for use in Turkish population and strengthen the construct validity of the original scale. Methods: After cross-cultural adaptation procedure, the Turkish version of QSE and Female Sexual Function Index (FSFI) were administered. The content/face validity, exploratory factor analysis, floor and ceiling effects, internal consis- tency, reliability and criterion validity were appropriately assessed. Predefined and specific two hypotheses were formulated for the construct validity. The QSE, FSFI, and Hospital Anxiety and Depression Scale (HADS) were administered to women with and without diabetes mellitus for between-subjects comparisons. Finally, the QSE, Golombok Rust Inventory of Sexual Satisfaction and HADS were administered to couples with vaginismus before and after one comprehensive session of sexual counseling. Results: Our findings indicated excellent content/face validity, internal consistency (Cronbach’s alpha: 0.940), test-retest reliability (ICC: 0.992), sufficient criterion (r=0.731) and construct validity by proving the two hypotheses. Analyses formed one factor structure and no floor and ceiling effects. Discussion: This tool enables between-subject comparisons and within-subject comparisons across sexual events. The QSES was successfully adapted and validated for the Turkish population use in the assessment of quality of sexual experience. Its event-level design and simple structure contribute to be liberally used as a practical instrument in the gynecology, sexual medicine and psychiatry settings, as well as in clinical studies.

Cinsel Deneyim Kalitesi Ölçeğinin Türkçe sürümünün geçerlilik ve güvenilirlik çalışması

Amaç: Cinsel Deneyim Kalitesi Ölçeği (CDKÖ) eşleniklerinden olay-bazlı deseni ile öne çıkmaktadır. Bu çalışmada, CDKÖ’nün Türk popülasyonunda kullanılmak üzere kültürlerarası uyarlaması, geçerliliği ve özgün ölçeğin yapısal geçerliliğinin güçlendirilmesi amaçlandı. Yöntem: Katılımcılara CDKÖ ve Kadın Cinsel Fonksiyon İndeksi (KCFI) uygulandı. İçerik/yüz yüze geçerlilik, araştırıcı faktör analizi, tavan-taban etkisi, iç tutarlılık, güvenilirlik ve ölçüt güvenilirliği 70 kadında değerlendirildi. Yapısal geçerlilik amacıyla bağımsız ve özgül iki hipotez kuruldu. CDKÖ, KCFI ve Hastane Anksiyete ve Depresyon Skalası (HADS) diyabetes mellitus olan ve olmayan 60 hastaya uygu-landı. CDKÖ, Golombok Rust Cinsel Deneyim Envanteri ve HADS vajinismus olan 10 çifte cinsel eğitim terapisi öncesi ve sonrasında uygulandı. Bulgular: Analiz sonuçları çok iyi düzeyde içerik geçerliliği, iç tutarlılık (Cronbach alfa: 0.940), test-tekrar test güvenilirliği (ICC: 0.992), yeterli düzeyde kriterion (r=0.731) ve iki hipotezin başarılı şekilde doğrulanması ile yeterli yapısal geçerlilik sundu. Analiz tek faktör yapısı ve taban-tavan etkisi olmadığını gösterdi. Sonuç: CDKÖ’nün Türk popülasyonunda başarılı şekilde kullanılmak üzere kültürlerarası uyarlaması ve geçerliliği gösterildi. Bu araç, kadınlar arasında ve aynı kadında farklı cinsel olaylar arasında karşılaştırmalar yapa-bilmeye olanak sağlamaktadır. Olay-bazlı deseni ve basit yapısı jinekoloji, cinsel tıp ve psikiyatri klinik uygulama ve klinik araştırma alanlarında yaygın şekilde kullanılmasını kolaylaştırmaktadır.

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