Escala para medir la disfunción sexual femenina (Female Sexual Distress Scale – FSDS)
Aunque muchas veces subestimada, la disfunción sexual femenina es un fenómeno significativo, con un fuerte impacto en la calidad de vida y bienestar de las mujeres
Una herramienta clave en la evaluación de la angustia relacionada con la disfunción es la Female Sexual Distress Scale (FSDS), una medida validada y confiable que brinda una visión holística y multidimensional de la experiencia sexual y emocional de las pacientes.
¿Qué es la FSDS y cuál es su importancia y aplicaciones en el ámbito de la salud sexual femenina?
La FSDS es un cuestionario psicométrico diseñado específicamente para medir la angustia relacionada con la disfunción sexual en mujeres.
Se compone de 13 ítems cuidadosamente formulados que evalúan aspectos emocionales, cognitivos y relacionales de la función sexual femenina. Estos ítems abordan temas como la pérdida de interés sexual, dificultades para alcanzar la excitación, el orgasmo y el dolor durante el acto sexual.
Cada ítem se califica en una escala de cinco puntos, desde «nada» hasta «extremadamente». Las puntuaciones más altas indican niveles más elevados de angustia sexual.
¿POR QUÉ ES TAN IMPORTANTE?
La FSDS identifica y cuantifica los cambios en la angustia sexual a lo largo del tiempo, obteniendo una perspectiva comprensiva de la vivencia de la paciente.
De esta manera se logra brindar una atención personalizada y ajustar los tratamientos de manera oportuna, precisa y adaptativa.
Su ventaja radica en la capacidad para capturar tanto los aspectos físicos como los psicológicos de la experiencia sexual (autoestima, autoimagen y relaciones interpersonales).
La FSDS proporciona una base cuantitativa para monitorear la progresión de los síntomas a lo largo del tiempo y constituye un punto de referencia para diseñar tratamientos individualizados y evaluar su eficacia y efectividad.
¿REALMENTE FUNCIONA?
En las etapas iniciales del desarrollo y validación del instrumento (a principios del 2000) se realizaron tres estudios para evaluar la confiabilidad y la validez de la escala en diferentes muestras de mujeres con función sexual normal y disfuncional.
Entre los principales hallazgos obtenidos destaca una alta capacidad discriminatoria para distinguir entre mujeres con disfunción sexual y funcionales.
Asimismo, se observaron correlaciones positivas moderadas con otras medidas de angustia conceptualmente relacionadas, pero no sexuales, lo que respalda la validez del constructo de la escala.
Dichos resultados brindaron un sólido respaldo a la FSDS como una medida válida y confiable para evaluar la angustia personal en torno a la sexualidad en las mujeres.
Referencias:
Derogatis, L. R., Rosen, R. C., Leiblum, S. R., Burnett, A. L., & Heiman, J. R. (2002). The Female Sexual Distress Scale (FSDS): Initial validation of a standardized scale for assessment of sexually related personal distress in women. Journal of Sex & Marital Therapy, 28(4), 317-330. https://doi.org/10.1080/00926230290001448
Derogatis, L. R., Clayton, A. H., Lewis-D’Agostino, D., Wunderlich, G., & Fu, Y. (2008). Validation of the Female Sexual Distress Scale-Revised for assessing distress in women with Hypoactive Sexual Desire Disorder. The Journal of Sexual Medicine, 5(2), 357-364. https://doi.org/10.1111/j.1743-6109.2007.00672.x
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