Measuring the psychological burden of women with pelvic floor complaints: The psychometric characteristics of a new instrument

Alma Brand*, Wim Waterink, Scott Rosas, Jacques van Lankveld

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review


Background: To be able to optimize pelvic healthcare, it would be helpful to specifically assess women’s psychological burden with pelvic floor complaints. In the absence of such an instrument, a new instrument was developed to measure this burden in women who seek help. In previous research, a comprehensive overview was yielded of women’s restrictions and distress with pelvic floor complaints, and a conceptual model was developed of seven types of distress that were reflected by 33 statements. The present study was performed to investigate the psychometric properties of the new instrument, termed the Pelvic Floor Complaint-related Psychological Burden Inventory (PFC-PBI). Methods: In an online survey data was collected from women with and without pelvic floor complaints on the 33 statements. The internal consistency of the types of distress was tested, Principal Component and Confirmatory Factor Analyses were performed, and the convergent and divergent validity of the types of distress was examined against existing questionnaires. Results: Based on the factor analyses, a 10-item instrument was tested. Outcomes show excellent internal consistency of this instrument, comprising a single component. The PFC-PBI demonstrated satisfactory convergent and divergent validity. Conclusions: This new measure appears to be a promising tool to inventory the psychological burden of women suffering from pelvic floor complaints. Research into its further development, implementation, and clinical use appears warranted.
Original languageEnglish
Pages (from-to)1-13
Number of pages13
JournalOpen Research Europe
Publication statusPublished - 17 May 2023


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