Development and validation of a sexual functioning measure for use in diverse women's health outcome studies

Lee A. Learman, Alison J. Huang, Sanae Nakagawa, Steven E. Gregorich, Miriam Kuppermann

Research output: Contribution to journalArticle

23 Scopus citations


Objective: The objective of the study was to evaluate the psychometric properties of the Sexual Health Outcomes in Women Questionnaire (SHOW-Q). Study Design: SHOW-Q was developed to assess the impact of pelvic problems on sexual desire, frequency, satisfaction, orgasm, and discomfort. A total of 1833 English- or Spanish-speaking women enrolled in 5 studies across the United States completed relevant items at baseline and, for 4 studies, periodically thereafter. Participants also completed measures of pelvic symptomatology and health-related quality-of-life including mental and physical component scales (MCS, PCS). Results: Factor analysis revealed a 12-item scale with high internal consistency reliability (Cronbach's α = 0.86) and 4 reliable subscales (α = 0.73 to 0.84). Among sexually active women, SHOW-Q scores showed statistically significant correlations (P < .001) with MCS (0.267), PCS (0.378), body image (.360), and symptom resolution (.237). The SHOW-Q subscales were also correlated with these other measures at baseline and over time. Conclusion: SHOW-Q is a reliable, valid, and sensitive measure of sexual functioning for use in diverse women's health outcome studies.

Original languageEnglish (US)
Pages (from-to)710.e1-710.e11
JournalAmerican Journal of Obstetrics and Gynecology
Issue number6
StatePublished - Jun 2008


  • scale development
  • sexual functioning
  • women's health outcomes

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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