ArticleSexual medicine2026
Development and validation of Thai version of female sexual function index for a Thai population.
Article in Sexual medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: The lack of a valid and reliable Thai version of the Female Sexual Function Index (FSFI) applicable across relationship statuses and sexual orientations represents an important gap in Thailand. Aim: This study aimed to develop and validate a Thai version of the FSFI (FSFI-TH) for use among Thai women with varied marital statuses and sexual orientations. Methods: A total of 243 women aged 18-66 years (mean age 31.96 ± 9.78 years) participated in the study. The FSFI-TH was developed through forward translation, back translation, expert committee review, and a pilot study. Reliability was assessed using Cronbach's alpha coefficients and test-retest reliability with intraclass correlation coefficients. Validity was evaluated on aspects of content and construct validity. Outcomes: The primary outcomes were the psychometric reliability and validity of the FSFI-TH. Results: Item-Objective Congruence demonstrated good content validity, with linguistic refinements informed by the pilot study. The FSFI-TH showed strong internal consistency, with Cronbach's alpha values above .80 for the total scale and most domains. Construct validity assessed using principal component analysis revealed a five-factor structure, with the Desire and Arousal domains loading onto a single factor. Clinical Implications: The FSFI-TH is a valid and reliable instrument for assessing sexual function among Thai women. Strengths and Limitations: A key strength of this study is the inclusive applicability of the FSFI-TH across diverse relationship statuses and sexual orientations. However, the limited representation of postmenopausal women means that its applicability in this group should be interpreted with caution. Conclusion: The FSFI-TH is a valid and reliable instrument for measuring multidimensional aspects of sexual function in Thai women.
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