The Sexual Function Evaluation Questionnaire (SFEQ) to evaluate effectiveness of treatment for sexual difficulties: development and validation in a clinical sample

Mitchell, K. R. , Gurney, K., McAloney-Kocaman, K., Kiddy, C. and Parkes, A. (2022) The Sexual Function Evaluation Questionnaire (SFEQ) to evaluate effectiveness of treatment for sexual difficulties: development and validation in a clinical sample. Journal of Sex Research, 59(4), pp. 426-434. (doi: 10.1080/00224499.2021.1986800) (PMID:34781800)

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Abstract

Progress toward establishing the effectiveness of biopsychosocial treatment for patients with sexual problems is limited by the lack of brief measurement tools assessing change across various domains of the treatment model. We developed and psychometrically validated a new clinical evaluation tool, the Sexual Function Evaluation Questionnaire (SFEQ) to meet this gap. The SFEQ combines into a single scale the best performing items from two instruments that were piloted in a UK sexual problems clinic (n = 486): the Natsal-SF Clinical Version and the National Sexual Outcomes Group 1 measure. Internal construct validity evidence from exploratory and confirmatory factor analyses supported a 16-item measure consisting of one overarching dimension of overall sexual function distributed along four subscales: problem distress, partner relationship, sex life, and sexual confidence. The measure had satisfactory configural, metric, and scalar invariance over time and across groups based on gender, ethnicity, and age. Correlations with patient depression and anxiety demonstrated external validity. Change in scores over the course of therapy varied as predicted, with greater improvement in younger patients and in areas more amenable to change via therapy (sexual confidence and problem distress). The SFEQ is a brief clinical tool with the potential to assess sexual function and evaluate the effectiveness of biopsychosocial treatment programs.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Parkes, Dr Alison and Mitchell, Professor Kirstin
Authors: Mitchell, K. R., Gurney, K., McAloney-Kocaman, K., Kiddy, C., and Parkes, A.
College/School:College of Medical Veterinary and Life Sciences > Institute of Health and Wellbeing > MRC/CSO SPHSU
Journal Name:Journal of Sex Research
Publisher:Taylor and Francis
ISSN:0022-4499
ISSN (Online):1559-8519
Published Online:15 November 2021
Copyright Holders:Copyright © 2021 The Authors
First Published:First published in Journal of Sex Research 59(4): 426-434
Publisher Policy:Reproduced under a Creative Commons License

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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
727631Social Relationships & Health ImprovementLisa McDaidMedical Research Council (MRC)MC_UU_12017/11HW - MRC/CSO Social and Public Health Sciences Unit
3048231Relationships and healthKirstin MitchellMedical Research Council (MRC)MC_UU_00022/3HW - MRC/CSO Social and Public Health Sciences Unit
727631Social Relationships & Health ImprovementLisa McDaidChief Scientist Office (CSO)SPHSU11HW - MRC/CSO Social and Public Health Sciences Unit
3048231Relationships and healthKirstin MitchellChief Scientist Office (CSO)SPHSU18HW - MRC/CSO Social and Public Health Sciences Unit