Development and Validation of Female Psychosexual Problems Scale (FPPS)




Married Females, Psychosexual Problems, Sexual Health, Sexuality Scale


The goal of the current study was to address married women's psychosexual difficulties in the context of Pakistani culture. Semi structured interviews were conducted on 35 married females as part of the study's initial phase in order to explore phenomenology, and 34 items were created as a result. Furthermore, 34 items were initially provided to experts for the evaluation of content validity. Repetitive statements were discarded after evaluation, and a scale of 32 items was kept and approved by professionals related to psychology field. 160 married female participants were given the final 32 item scale for data collection. Factor analysis revealed a strong KMO value, and Bartlett's test of sphericity revealed a substantial connection between the items. Kaiser's criteria were used to conduct a one factor analysis and only factors with Eigen values of .4 or higher were kept, while factors with Eigen values lower than .4 were removed from the sample. Three key themes found were problems with relationships, personal suffering, and religious concerns by component analysis. Data from sample of 50 married females underwent Confirmatory Factor Analysis (CFA) to verify the variables identified through Exploratory Factor Analysis (EFA), which overall demonstrated a strong construct validity of the scale and model fit. The constructed scale's Cronbach alpha value of .97 indicates a significant inter-item correlation. The research demonstrates information on a wide range of interventions.


Abbas, J., Aqeel, M., Ling, J., Ziapour, A., Raza, M. A., & Rehna, T. (2023). Exploring the relationship between intimate partner abuses, resilience, psychological, and physical health problems in Pakistani married couples: a perspective from the collectivistic culture. Sexual and Relationship Therapy, 38(3), 431-460.

Ahmed, F., Schumacher, J., Ahmad, G., & Brand, T. (2022). Understanding community resistance to sexuality education and exploring prospective implementation strategies in Pakistan: A content and network analysis of qualitative data. Frontiers in Psychology, 13, 864465.

Austin, P., Macdonald, J., & MacLeod, R. (2018). Measuring spirituality and religiosity in clinical settings: A scoping review of available instruments. Religions, 9(3), 70.

Berik, g. Ü. N. S. E. L. I. (2022). Towards improved measures of gender inequality: an evaluation of the undp gender inequality index and a proposal. United Nations Entity for Gender Equality and the Empowerment of Women (UN Women).

Cattell, R. B. (1952). The three basic factor-analytic research designs—their interrelations and derivatives. Psychological Bulletin, 49(5), 499.

Daker-White, G. (2002). Reliable and valid self-report outcome measures in sexual (dys) function: a systematic review. Archives of Sexual Behavior, 31(2), 197-209.

DeRogatis, L., Clayton, A., 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.

Gruskin, S., & Kismodi, E. (2020). A call for (renewed) commitment to sexual health, sexual rights, and sexual pleasure: A matter of health and well-being. American Journal of Public Health, 110(2), 159.

Infrasca, R. (2011). Sexual Dysfunction Questionnaire: scale development and psychometric validation. Journal of Psychopathology, 17, 253-260.

Jaafarpour, M., Khani, A., Khajavikhan, J., & Suhrabi, Z. (2013). Female sexual dysfunction: prevalence and risk factors. Journal of Clinical and Diagnostic Research: JCDR, 7(12), 2877.

Kaiser, H. F. (1974). A note on the equamax criterion. Multivariate Behavioral Research, 9(4), 501-503.

Lucas, D., & Fox, J. (2018). The psychology of human sexuality. The psychology of human sexuality. Noba textbook series: Psychology. Champaign, IL: DEF publishers.

Monga, M., Alexandrescu, B., Katz, S. E., Stein, M., & Ganiats, T. (2004). Impact of infertility on quality of life, marital adjustment, and sexual function. Urology, 63(1), 126-130.

Nazareth, I., Boynton, P., & King, M. (2003). Problems with sexual function in people attending London general practitioners: cross sectional study. Bio Medical Journal, 327(7412), 423.

Palomba, S., Daolio, J., Romeo, S., Battaglia, F. A., Marci, R., & La Sala, G. B. (2018). Lifestyle and fertility: the influence of stress and quality of life on female fertility. Reproductive Biology and Endocrinology, 16(1), 1-11.

Papalia, D., Olds, S., & Feldman, R. (2008). Human Growth and Development. New York: McGraw Hill.

Penke, L., & Asendorpf, J. B. (2008). Beyond global sociosexual orientations: a more differentiated look at sociosexuality and its effects on courtship and romantic relationships. Journal of Personality and Social Psychology, 95(5), 1113.

Pereira, M. G., Pereira, D., & Pedras, S. (2020). PTSD, psychological morbidity and marital dissatisfaction in colonial war veterans. Journal of Mental Health, 29(1), 69-76.

Rahman, S. (2018). Female sexual dysfunction among Muslim women: Increasing awareness to improve overall evaluation and treatment. Sexual Medicine Reviews, 6(4), 535-547.

Rancourt, K. M., Rosen, N. O., Bergeron, S., & Nealis, L. J. (2016). Talking about sex when sex is painful: Dyadic sexual communication is associated with women’s pain, and couples’ sexual and psychological outcomes in provoked vestibulodynia. Archives of Sexual Behavior, 45(8), 1933-1944.

Reis, J., de Oliveira, L., Oliveira, C., & Nobre, P. (2021). Psychosocial and behavioral aspects of women’s sexual pleasure: A scoping review. International Journal of Sexual Health, 33(4),, 26(2), 191-208.

Rosen, C. Brown, J. Heiman, S. Leiblum, C. Meston, R. Shabsigh, D. Ferguson, R. D'Agostino, R. (2000). The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex & Marital Therapy, 26(2), 191-208.

Rosen, R. C. (2000). Prevalence and risk factors of sexual dysfunction in men and women. Current Psychiatry Reports, 2(3), 189-195.

Shahid, A., Kashif, F., & Amin, T. (2017). Sexual Problems amongst Married Females. Journal of Surgery Pakistan (International), 22, 2.

Thirlaway, K., Fallowfield, L., & Cuzick, J. (1996). The Sexual Activity Questionnaire: a measure of women's sexual functioning. Quality of Life Research, 5(1), 81-90.

Tolorunleke, C. A., Bahago, S. B. & Giwa, M. O. (2021). Sexual Dissatisfaction as a cause of Marital Conflicts amongst Couples in FCT, Abuja: Implication for Counselling. FCT Counsellor, 1(1),70-83.

World Health Organization. (2006). The world health report 2006: working together for health. World Health Organization.

Zegeye, B., Woldeamanuel, G. G., Negash, W., & Shibre, G. (2020). Sexual satisfaction and its associated factors among married women in Northern Ethiopia. Ethiopian Journal of Health Sciences, 30(2), 169-178.

Zhu, M., & Ghodsi, A. (2006). Automatic dimensionality selection from the scree plot via the use of profile likelihood. Computational Statistics & Data Analysis, 51(2), 918-930.




How to Cite

Adnan, H. ., Rashid, S. ., & Aftab, N. (2023). Development and Validation of Female Psychosexual Problems Scale (FPPS) . Journal of Professional & Applied Psychology, 4(4), 501–512.