# Cross-cultural adaptation and psychometric validation of the Female Sexual Function Index-6 (FSFI-6) Bangla version

## TL;DR

This study adapted and validated a shortened sexual function questionnaire for Bangla-speaking women, showing it is reliable and effective for screening sexual dysfunction.

## Contribution

The study provides the first cultural adaptation and psychometric validation of the FSFI-6 in Bangla for use in Bangladesh.

## Key findings

- The Bangla FSFI-6 demonstrated high internal consistency with a Cronbach’s alpha of 0.887.
- A cutoff score of 19 showed 96% sensitivity and 100% specificity in identifying sexual dysfunction.
- The majority of participants (54.34%) reported issues with sexual desire.

## Abstract

The 6-item Female Sexual Function Index (FSFI-6) is the shortened version of the widely used 19-item FSFI-19, designed for efficient screening of female sexual dysfunction in outpatient settings. However, this shorter FSFI-6 tool has not yet been validated for use in Bangladesh.

The purpose of this study was to culturally adapt and validate the FSFI-6 in Bangla.

The FSFI-6 was translated into Bangla using standard adaptation protocols. We interviewed 100 married, sexually active women aged 18 years and over from the outpatient and psychiatric sex clinic of a psychiatry department. Of these women, 50 were clinically diagnosed with sexual disorders based on the Diagnostic and Statistical Manual of Mental Disorders, 5th edition, criteria. After obtaining written informed consent, participants completed a semi-structured questionnaire to provide sociodemographic information and the Bangla-adapted version of the FSFI-6. We assessed reliability and construct validity using the Statistical Package for Social Sciences, version 25, along with Classical and Bayesian Instrument Development software.

Study outcomes were internal consistency, factor structure, and sensitivity and specificity.

The study involved 100 participants with a mean ± SD age of 30 ± 5.4 years, ranging from 18 to 48 years. The majority of respondents (54.34%) reported issues related to sexual desire. The overall mean score on the Bangla-adapted FSFI-6 was 18.4 ± 5.4. Reliability analysis showed a high internal consistency, with a Cronbach’s alpha of 0.887 indicating robust reliability. Both inter-item correlations and item-total correlations were within the acceptable range. A cutoff value of 19 for the FSFI-6 demonstrated high discriminative power, effectively distinguishing between individuals with sexual disorders and those without sexual disorders or with other psychiatric conditions. The sensitivity at this cutoff was 96%, with a specificity of 100%.

The FSFI-6 Bangla version can be used to screen patients for female sexual dysfunction in an outpatient setting.

The internal consistency of this study, indicated by a Cronbach’s alpha of 0.887, was robust. The instrument is time efficient, user friendly, and well suited for outpatient settings. However, the sampling technique utilized was nonrandomized, confined to a single institution, and did not incorporate assessments for concurrent validity or test–retest reliability.

The FSFI-6 Bangla version showed good reliability and validity in this study, supporting its usability as a valuable tool for screening sexual dysfunction in female.