Skip to main content
Top
Published in: Quality of Life Research 10/2023

Open Access 16-05-2023

Dutch normative data of the sexual distress scale and the body image scale

Authors: Anouk S. Huberts, Noëlle J. M. C. Vrancken Peeters, Z. L. Rana Kaplan, Reinier C. A. van Linschoten, H. Pastoor, C. Janneke van der Woude, Linetta B. Koppert

Published in: Quality of Life Research | Issue 10/2023

Login to get access

Abstract

Purpose

Sexual health is an important contributing factor for health-related quality of life, but research in this domain is scarce. Moreover, normative data are needed to interpret patient-reported outcome measures on sexual health. The aim of this study was to collect and describe normative scores of the Female Sexual Distress Scale (FSDS) and the Body Image Scale (BIS) from the Dutch population and assess the effect of important demographic and clinical variables on the outcome. As the FSDS is also validated in men, we refer to it as SDS.

Method

Dutch respondents completed the SDS and BIS between May and August 2022. Sexual distress was defined as a SDS score > 15. Descriptive statistics were calculated to present normative data per age group per gender after post-stratification weighting was applied. Multiple logistic and linear regression analyses were conducted to assess the effect of age, gender, education, relationship status, history of cancer and (psychological) comorbidities on SDS and BIS.

Results

For the SDS 768 respondents were included with a weighted mean score of 14.41 (SD 10.98). Being female (OR 1.77, 95% CI [1.32; 2.39]), having a low educational level (OR 2.02, CI [1.37; 2.39]) and psychological comorbidities (OR: 4.86, 95% CI [2.17; 10.88]) were associated with sexual distress. For the BIS, 696 respondents were included. Female gender (β: 2.63, 95% CI [2.13; 3.13]), psychological comorbidities (β: 2.45, 95% CI [1.43; 3.47]), higher age (β: −0.07, 95% CI [−0.09; −0.05]), and a high educational level (β:−1.21, CI: −1.79 to −0.64) were associated with the non-disease related questions of the Body Image Scale.

Conclusion

This study provides age- and gender-dependent normative values for the SDS and the non-disease related questions of the BIS. Sexual distress and body image are influenced by gender, education level, relationship status and psychological comorbidities. Moreover, age is positively associated with Body Image.
Appendix
Available only for authorised users
Literature
1.
go back to reference Haraldstad, K., Wahl, A., Andenæs, R., Andersen, J. R., Andersen, M. H., Beisland, E., et al. (2019). A systematic review of quality of life research in medicine and health sciences. Quality of Life Research, 28(10), 2641–2650.CrossRefPubMedPubMedCentral Haraldstad, K., Wahl, A., Andenæs, R., Andersen, J. R., Andersen, M. H., Beisland, E., et al. (2019). A systematic review of quality of life research in medicine and health sciences. Quality of Life Research, 28(10), 2641–2650.CrossRefPubMedPubMedCentral
2.
go back to reference Bullinger, M. (2002). Assessing health related quality of life in medicine. An overview over concepts, methods and applications in international research. Restorative Neurology and Neuroscience, 20(3–4), 93–101.PubMed Bullinger, M. (2002). Assessing health related quality of life in medicine. An overview over concepts, methods and applications in international research. Restorative Neurology and Neuroscience, 20(3–4), 93–101.PubMed
3.
go back to reference Dennerstein, L., Guthrie, J. R., Hayes, R. D., DeRogatis, L. R., & Lehert, P. (2008). Sexual function, dysfunction, and sexual distress in a prospective, population-based sample of mid-aged, Australian-born women. The Journal of Sexual Medicine, 5(10), 2291–2299.CrossRefPubMed Dennerstein, L., Guthrie, J. R., Hayes, R. D., DeRogatis, L. R., & Lehert, P. (2008). Sexual function, dysfunction, and sexual distress in a prospective, population-based sample of mid-aged, Australian-born women. The Journal of Sexual Medicine, 5(10), 2291–2299.CrossRefPubMed
4.
go back to reference Jedel, S., Hood, M. M., & Keshavarzian, A. (2014). Getting personal: A review of sexual functioning, body image, and their impact on quality of life in patients with inflammatory bowel disease. Inflammatory Bowel Diseases., 21(4), 923–938.CrossRef Jedel, S., Hood, M. M., & Keshavarzian, A. (2014). Getting personal: A review of sexual functioning, body image, and their impact on quality of life in patients with inflammatory bowel disease. Inflammatory Bowel Diseases., 21(4), 923–938.CrossRef
5.
go back to reference Haugstvedt, A., Jørgensen, J., Strandberg, R. B., Nilsen, R. M., Haugstvedt, J. F., Pop-Busui, R., et al. (2022). Sexual dysfunction in women with type 1 diabetes in Norway: A cross-sectional study on the prevalence and associations with physical and psychosocial complications. Diabetic Medicine, 39(1), e14704.CrossRefPubMed Haugstvedt, A., Jørgensen, J., Strandberg, R. B., Nilsen, R. M., Haugstvedt, J. F., Pop-Busui, R., et al. (2022). Sexual dysfunction in women with type 1 diabetes in Norway: A cross-sectional study on the prevalence and associations with physical and psychosocial complications. Diabetic Medicine, 39(1), e14704.CrossRefPubMed
6.
go back to reference Leenhardt, R., Rivière, P., Papazian, P., Nion-Larmurier, I., Girard, G., Laharie, D., et al. (2019). Sexual health and fertility for individuals with inflammatory bowel disease. World Journal of Gastroenterology, 25(36), 5423–5433.CrossRefPubMedPubMedCentral Leenhardt, R., Rivière, P., Papazian, P., Nion-Larmurier, I., Girard, G., Laharie, D., et al. (2019). Sexual health and fertility for individuals with inflammatory bowel disease. World Journal of Gastroenterology, 25(36), 5423–5433.CrossRefPubMedPubMedCentral
7.
go back to reference Longo, M., Cirillo, P., Scappaticcio, L., Tomasuolo, M., Pernice, V., Caruso, P., et al. (2021). Female sexual function in young women with type 1 diabetes and additional autoimmune diseases. The Journal of Sexual Medicine, 18(1), 219–223.CrossRefPubMed Longo, M., Cirillo, P., Scappaticcio, L., Tomasuolo, M., Pernice, V., Caruso, P., et al. (2021). Female sexual function in young women with type 1 diabetes and additional autoimmune diseases. The Journal of Sexual Medicine, 18(1), 219–223.CrossRefPubMed
8.
go back to reference Zamponi, V., Mazzilli, R., Bitterman, O., Olana, S., Iorio, C., Festa, C., et al. (2020). Association between type 1 diabetes and female sexual dysfunction. BMC Women’s Health, 20(1), 73.CrossRefPubMedPubMedCentral Zamponi, V., Mazzilli, R., Bitterman, O., Olana, S., Iorio, C., Festa, C., et al. (2020). Association between type 1 diabetes and female sexual dysfunction. BMC Women’s Health, 20(1), 73.CrossRefPubMedPubMedCentral
9.
go back to reference Zhao, S., Wang, J., Liu, Y., Luo, L., Zhu, Z., Li, E., et al. (2018). Inflammatory bowel diseases were associated with risk of sexual dysfunction in both sexes: A meta-analysis. Inflammatory Bowel Diseases., 25(4), 699–707.CrossRef Zhao, S., Wang, J., Liu, Y., Luo, L., Zhu, Z., Li, E., et al. (2018). Inflammatory bowel diseases were associated with risk of sexual dysfunction in both sexes: A meta-analysis. Inflammatory Bowel Diseases., 25(4), 699–707.CrossRef
11.
go back to reference Dennerstein, L., Guthrie, J. R., Hayes, R. D., DeRogatis, L. R., & Lehert, P. (2008). Sexual function, dysfunction, and sexual distress in a prospective, population-based sample of mid-aged, Australian-born women. The Journal of Sexual Medicine, 5(10), 2291–2299.CrossRefPubMed Dennerstein, L., Guthrie, J. R., Hayes, R. D., DeRogatis, L. R., & Lehert, P. (2008). Sexual function, dysfunction, and sexual distress in a prospective, population-based sample of mid-aged, Australian-born women. The Journal of Sexual Medicine, 5(10), 2291–2299.CrossRefPubMed
12.
go back to reference Graham, C. A., Štulhofer, A., Lange, T., Hald, G. M., Carvalheira, A. A., Enzlin, P., et al. (2020). Prevalence and predictors of sexual difficulties and associated distress among partnered, sexually active older women in Norway, Denmark, Belgium, and Portugal. Archives of Sexual Behavior, 49(8), 2951–2961.CrossRefPubMedPubMedCentral Graham, C. A., Štulhofer, A., Lange, T., Hald, G. M., Carvalheira, A. A., Enzlin, P., et al. (2020). Prevalence and predictors of sexual difficulties and associated distress among partnered, sexually active older women in Norway, Denmark, Belgium, and Portugal. Archives of Sexual Behavior, 49(8), 2951–2961.CrossRefPubMedPubMedCentral
13.
go back to reference Hayes, R. D. (2008). Assessing female sexual dysfunction in epidemiological studies: Why is it necessary to measure both low sexual function and sexually-related distress? Sexual Health, 5(3), 215–218.CrossRefPubMed Hayes, R. D. (2008). Assessing female sexual dysfunction in epidemiological studies: Why is it necessary to measure both low sexual function and sexually-related distress? Sexual Health, 5(3), 215–218.CrossRefPubMed
14.
go back to reference Hayes, R. D., Dennerstein, L., Bennett, C. M., Koochaki, P. E., Leiblum, S. R., & Graziottin, A. (2007). Relationship between hypoactive sexual desire disorder and aging. Fertility and Sterility, 87(1), 107–112.CrossRefPubMed Hayes, R. D., Dennerstein, L., Bennett, C. M., Koochaki, P. E., Leiblum, S. R., & Graziottin, A. (2007). Relationship between hypoactive sexual desire disorder and aging. Fertility and Sterility, 87(1), 107–112.CrossRefPubMed
15.
go back to reference Hayes, R. D., Dennerstein, L., Bennett, C. M., Sidat, M., Gurrin, L. C., & Fairley, C. K. (2008). Risk factors for female sexual dysfunction in the general population: Exploring factors associated with low sexual function and sexual distress. The Journal of Sexual Medicine, 5(7), 1681–1693.CrossRefPubMed Hayes, R. D., Dennerstein, L., Bennett, C. M., Sidat, M., Gurrin, L. C., & Fairley, C. K. (2008). Risk factors for female sexual dysfunction in the general population: Exploring factors associated with low sexual function and sexual distress. The Journal of Sexual Medicine, 5(7), 1681–1693.CrossRefPubMed
16.
go back to reference ter Kuile, M., Brauer, M., & Ellen Laan. (2009). De female sexual function INdex (FSFI) en de Female Sexual Distress Scale (FSDS): Psychometrische eigenschappen in een Nederlandse populatie. Tijdschrfit voor Seksuologie, 33(3), 207–22. ter Kuile, M., Brauer, M., & Ellen Laan. (2009). De female sexual function INdex (FSFI) en de Female Sexual Distress Scale (FSDS): Psychometrische eigenschappen in een Nederlandse populatie. Tijdschrfit voor Seksuologie, 33(3), 207–22.
17.
go back to reference van Verschuer, V. M., Vrijland, W. W., Mares-Engelberts, I., & Klem, T. M. (2015). Reliability and validity of the Dutch-translated body image scale. Quality of Life Research, 24(7), 1629–1633.CrossRefPubMed van Verschuer, V. M., Vrijland, W. W., Mares-Engelberts, I., & Klem, T. M. (2015). Reliability and validity of the Dutch-translated body image scale. Quality of Life Research, 24(7), 1629–1633.CrossRefPubMed
18.
go back to reference Santos-Iglesias, P., Mohamed, B., Danko, A., & Walker, L. M. (2018). Psychometric validation of the female sexual distress scale in male samples. Archives of Sexual Behavior, 47(6), 1733–1743.CrossRefPubMed Santos-Iglesias, P., Mohamed, B., Danko, A., & Walker, L. M. (2018). Psychometric validation of the female sexual distress scale in male samples. Archives of Sexual Behavior, 47(6), 1733–1743.CrossRefPubMed
19.
go back to reference Hopwood, P., Fletcher, I., Lee, A., & Al, G. S. (2001). A body image scale for use with cancer patients. European Journal of Cancer, 37(2), 189–197.CrossRefPubMed Hopwood, P., Fletcher, I., Lee, A., & Al, G. S. (2001). A body image scale for use with cancer patients. European Journal of Cancer, 37(2), 189–197.CrossRefPubMed
20.
go back to reference O’Connor, P. J. (1990). Normative data: Their definition, interpretation, and importance for primary care physicians. Family Medicine, 22(4), 307–311.PubMed O’Connor, P. J. (1990). Normative data: Their definition, interpretation, and importance for primary care physicians. Family Medicine, 22(4), 307–311.PubMed
21.
go back to reference ter Kuile, M. M., Brauer, M., & Laan, E. (2006). The female sexual function index (FSFI) and the female sexual distress scale (FSDS): Psychometric properties within a Dutch population. Journal of Sex and Marital Therapy, 32(4), 289–304.CrossRefPubMed ter Kuile, M. M., Brauer, M., & Laan, E. (2006). The female sexual function index (FSFI) and the female sexual distress scale (FSDS): Psychometric properties within a Dutch population. Journal of Sex and Marital Therapy, 32(4), 289–304.CrossRefPubMed
22.
go back to reference Derogatis, L. R., Rosen, R., Leiblum, S., Burnett, A., & Heiman, J. (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.CrossRef Derogatis, L. R., Rosen, R., Leiblum, S., Burnett, A., & Heiman, J. (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.CrossRef
23.
go back to reference McDermott, E., Moloney, J., Rafter, N., Keegan, D., Byrne, K., Doherty, G. A., et al. (2014). The body image scale: A simple and valid tool for assessing body image dissatisfaction in inflammatory bowel disease. Inflammatory Bowel Diseases, 20(2), 286–290.CrossRefPubMed McDermott, E., Moloney, J., Rafter, N., Keegan, D., Byrne, K., Doherty, G. A., et al. (2014). The body image scale: A simple and valid tool for assessing body image dissatisfaction in inflammatory bowel disease. Inflammatory Bowel Diseases, 20(2), 286–290.CrossRefPubMed
24.
go back to reference Melissant, H. C., Neijenhuijs, K. I., Jansen, F., Aaronson, N. K., Groenvold, M., Holzner, B., et al. (2018). A systematic review of the measurement properties of the body image scale (BIS) in cancer patients. Supportive Care in Cancer, 26(6), 1715–1726.CrossRefPubMedPubMedCentral Melissant, H. C., Neijenhuijs, K. I., Jansen, F., Aaronson, N. K., Groenvold, M., Holzner, B., et al. (2018). A systematic review of the measurement properties of the body image scale (BIS) in cancer patients. Supportive Care in Cancer, 26(6), 1715–1726.CrossRefPubMedPubMedCentral
26.
go back to reference Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. Journal of Chronic Diseases, 40(5), 373–383.CrossRefPubMed Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. Journal of Chronic Diseases, 40(5), 373–383.CrossRefPubMed
27.
go back to reference IBM Corp. Released 2017. IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp. IBM Corp. Released 2017. IBM SPSS Statistics for Windows, Version 25.0. Armonk, NY: IBM Corp.
28.
go back to reference De Graaf, H., Van der Borne, M., Nikkelen, S., Twisk, D., & Meijer, S. (2017). Seks onder je 25e: Uitgeverij Eburon. De Graaf, H., Van der Borne, M., Nikkelen, S., Twisk, D., & Meijer, S. (2017). Seks onder je 25e: Uitgeverij Eburon.
29.
go back to reference Woertman, L., & van den Brink, F. (2012). Body image and female sexual functioning and behavior: A review. Journal of Sex Research, 49(2–3), 184–211.CrossRefPubMed Woertman, L., & van den Brink, F. (2012). Body image and female sexual functioning and behavior: A review. Journal of Sex Research, 49(2–3), 184–211.CrossRefPubMed
30.
go back to reference De Graaf, H., & Wijsen, C. (2017). Seksuele Gezondheid in Nederland 2017: Uitgeverij Eburon; 2017. De Graaf, H., & Wijsen, C. (2017). Seksuele Gezondheid in Nederland 2017: Uitgeverij Eburon; 2017.
31.
go back to reference Latiff, A. A., Muhamad, J., & Rahman, R. A. (2018). Body image dissatisfaction and its determinants among young primary-school adolescents. Journal of Taibah University Medical Sciences, 13(1), 34–41.CrossRefPubMed Latiff, A. A., Muhamad, J., & Rahman, R. A. (2018). Body image dissatisfaction and its determinants among young primary-school adolescents. Journal of Taibah University Medical Sciences, 13(1), 34–41.CrossRefPubMed
32.
go back to reference Sánchez-Cabrero, R., León-Mejía, A. C., Arigita-García, A., & Maganto-Mateo, C. (2019). Improvement of body satisfaction in older people: An experimental study. Frontiers in Psychology, 10, 2823.CrossRefPubMedPubMedCentral Sánchez-Cabrero, R., León-Mejía, A. C., Arigita-García, A., & Maganto-Mateo, C. (2019). Improvement of body satisfaction in older people: An experimental study. Frontiers in Psychology, 10, 2823.CrossRefPubMedPubMedCentral
33.
go back to reference Webster, J., & Tiggemann, M. (2003). The relationship between women’s body satisfaction and self-image across the life span: The role of cognitive control. The Journal of Genetic Psychology., 164(2), 241–252.CrossRefPubMed Webster, J., & Tiggemann, M. (2003). The relationship between women’s body satisfaction and self-image across the life span: The role of cognitive control. The Journal of Genetic Psychology., 164(2), 241–252.CrossRefPubMed
34.
go back to reference DeFrank, J. T., Mehta, C. C., Stein, K. D., & Baker, F. (2007). Body image dissatisfaction in cancer survivors. Oncology Nursing Forum, 34(3), E36-41.CrossRefPubMed DeFrank, J. T., Mehta, C. C., Stein, K. D., & Baker, F. (2007). Body image dissatisfaction in cancer survivors. Oncology Nursing Forum, 34(3), E36-41.CrossRefPubMed
35.
go back to reference Ma, S., Veysey, M., Ersser, S., Mason-Jones, A., & Galdas, P. (2020). The impact of inflammatory bowel disease on sexual health in men: A scoping review. Journal of Clinical Nursing, 29(19–20), 3638–3651.PubMed Ma, S., Veysey, M., Ersser, S., Mason-Jones, A., & Galdas, P. (2020). The impact of inflammatory bowel disease on sexual health in men: A scoping review. Journal of Clinical Nursing, 29(19–20), 3638–3651.PubMed
36.
go back to reference Jedel, S., Hood, M. M., & Keshavarzian, A. (2015). Getting personal: A review of sexual functioning, body image, and their impact on quality of life in patients with inflammatory bowel disease. Inflammatory Bowel Diseases, 21(4), 923–938.CrossRefPubMed Jedel, S., Hood, M. M., & Keshavarzian, A. (2015). Getting personal: A review of sexual functioning, body image, and their impact on quality of life in patients with inflammatory bowel disease. Inflammatory Bowel Diseases, 21(4), 923–938.CrossRefPubMed
37.
go back to reference Zhao, S., Wang, J., Liu, Y., Luo, L., Zhu, Z., Li, E., et al. (2019). Inflammatory bowel diseases were associated with risk of sexual dysfunction in both sexes: A meta-analysis. Inflammatory Bowel Diseases, 25(4), 699–707.CrossRefPubMed Zhao, S., Wang, J., Liu, Y., Luo, L., Zhu, Z., Li, E., et al. (2019). Inflammatory bowel diseases were associated with risk of sexual dysfunction in both sexes: A meta-analysis. Inflammatory Bowel Diseases, 25(4), 699–707.CrossRefPubMed
38.
go back to reference Lammerink, E. A. G., de Bock, G. H., Pascal, A., van Beek, A. P., van den Bergh, A. C. M., Sattler, M. G. A., et al. (2017). A survey of female sexual functioning in the general Dutch population. The Journal of Sexual Medicine, 14(7), 937–949.CrossRefPubMed Lammerink, E. A. G., de Bock, G. H., Pascal, A., van Beek, A. P., van den Bergh, A. C. M., Sattler, M. G. A., et al. (2017). A survey of female sexual functioning in the general Dutch population. The Journal of Sexual Medicine, 14(7), 937–949.CrossRefPubMed
39.
go back to reference Hayes, R. D. (2008). Assessing female sexual dysfunction in epidemiological studies: Why is it necessary to measure both low sexual function and sexually-related distress? Sex Health, 5(3), 215–218.CrossRefPubMed Hayes, R. D. (2008). Assessing female sexual dysfunction in epidemiological studies: Why is it necessary to measure both low sexual function and sexually-related distress? Sex Health, 5(3), 215–218.CrossRefPubMed
40.
go back to reference Feiten, H., & Boss, E.-M. (2018). Handreiking-LHBTI-feiten. Movisie. Feiten, H., & Boss, E.-M. (2018). Handreiking-LHBTI-feiten. Movisie.
Metadata
Title
Dutch normative data of the sexual distress scale and the body image scale
Authors
Anouk S. Huberts
Noëlle J. M. C. Vrancken Peeters
Z. L. Rana Kaplan
Reinier C. A. van Linschoten
H. Pastoor
C. Janneke van der Woude
Linetta B. Koppert
Publication date
16-05-2023
Publisher
Springer International Publishing
Published in
Quality of Life Research / Issue 10/2023
Print ISSN: 0962-9343
Electronic ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03434-w

Other articles of this Issue 10/2023

Quality of Life Research 10/2023 Go to the issue