Evidence map›Paper›PMID 41613709›Full record

ArticleCureus2025

Development and Pilot Validation of the Sexual Satisfaction and Emotional Impact After Cesarean Section Scale (SSEI-CS-24): A Pilot Study.

Ana-Maria Brezeanu, Dragos Brezeanu, Stase Simona, Dan Cozmei, Vlad I Tica

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ana-Maria Brezeanu6th Department, Faculty of Medicine, Ovidius University, Constanta, ROU.
Dragos Brezeanu6th Department, Faculty of Medicine, Ovidius University, Constanta, ROU.
Stase Simona6th Department, Faculty of Medicine, Ovidius University, Constanta, ROU.
Dan Cozmei6th Department, Faculty of Medicine, Ovidius University, Constanta, ROU.
Vlad I Tica6th Department, Faculty of Medicine, Ovidius University, Constanta, ROU.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Cesarean section (CS) scars may negatively affect sexual function, body image, and emotional well-being, yet no validated tool specifically addresses these outcomes. Objective To develop and pilot-validate the Sexual Satisfaction and Emotional Impact after Cesarean Section Scale (SSEI-CS-24), a 24-item instrument assessing sexual, psychological, and relational adaptation after CS. Methods The SSEI-CS-24 was developed through literature review, qualitative interviews, and expert consensus. Content validity was quantified with the Content Validity Index. Fifty women completed the scale at 40 days postpartum. Reliability was assessed with Cronbach's α and intraclass correlation coefficient (ICC), while construct validity was examined using exploratory factor analysis (principal component analysis with Varimax rotation). Results The SSEI-CS-24 demonstrated excellent internal consistency (Cronbach's α=0.89) and good test-retest reliability (ICC=0.84). Factor analysis supported a five-domain structure - sexual satisfaction, body image/self-esteem, anxiety and stress, interpersonal relationships, and support/resources - explaining 68% of variance. Distributions were normal without floor or ceiling effects. Conclusions The SSEI-CS-24 demonstrates strong preliminary psychometric properties and shows promise as a multidimensional tool for assessing the sexual and emotional impact of cesarean section scars. Further confirmatory validation in larger, multicenter cohorts is warranted before routine clinical use.

Indexed as

body imagecesarean sectioninterpersonal relationshipspostpartum depressionscale validationsexual satisfaction

Identifiers

PMID41613709
PMCPMC12848548

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.