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Establishing Evidence for the Painful Intercourse Self-Efficacy Scale-Interstitial Cystitis.
A Grace Kelly1,2, Susanna L Sutherland3, Elizabeth G Walsh3
1Department of Psychology, George Mason University, Fairfax, Virginia, USA.
Women'S Health Reports (New Rochelle, N.Y.)
|May 1, 2025
Summary
A new scale, the PISES-IC, effectively measures sexual self-efficacy in women with interstitial cystitis/bladder pain syndrome (IC/BPS). It addresses unique challenges like pain flares and relationship impacts, improving care for female sexual dysfunction (FSD).
Area of Science:
- Urology
- Sexual Medicine
- Psychometrics
Background:
- Female sexual dysfunction (FSD) and low sexual self-efficacy are prevalent in interstitial cystitis/bladder pain syndrome (IC/BPS).
- Existing measures do not fully address IC/BPS-specific sexual challenges, including symptom flares, rewarding sexual activity, and relationship impacts.
- There is a need for tailored measurement tools for FSD and sexual self-efficacy in the IC/BPS population.
Purpose of the Study:
- To adapt the Painful Intercourse Self-Efficacy Scale-Interstitial Cystitis (PISES-IC) for patients with IC/BPS.
- To develop a measurement tool that captures unique sexual challenges faced by individuals with IC/BPS.
Main Methods:
- The PISES-IC was formed by adding three items to the PISES pain self-efficacy subscale.
- Items were informed by qualitative interviews with IC/BPS patients and literature review.
- Validity and reliability were assessed using baseline data from 71 female participants in an IC/BPS clinical trial.
Main Results:
- The PISES-IC demonstrated validity and reliability as a measure of sexual self-efficacy in the IC/BPS population.
- Items addressing pain flares, rewarding sexual activity, and relationship interference were particularly relevant to FSD in IC/BPS patients.
Conclusions:
- The PISES-IC effectively captures crucial aspects of sexual experiences in IC/BPS patients not assessed by other measures.
- This scale can be used in research and clinical settings to enhance patient care and understanding of sexual experiences in IC/BPS.
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