{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T05:38:20Z","timestamp":1790055500563,"version":"4.0.1"},"reference-count":32,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T00:00:00Z","timestamp":1694044800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Obstet Gynecol Scand"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Women with an abnormally high pelvic floor muscle tone may have a clinical presentation that is complex, involving urinary, anorectal and\/or sexual dysfunction, genital\/pelvic pain and psychological distress. The Amsterdam Hyperactive Pelvic Floor Scale (AHPFS) is a Dutch 30\u2010item condition\u2010specific self\u2010report questionnaire developed to measure these complex pelvic pain symptoms. The aim of this study was to translate the Dutch version into Norwegian, to assess the psychometric properties, and to present a valid factor structure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Material and methods<\/jats:title><jats:p>Translation, back\u2010translation and a review of the back\u2010translated version were performed. Thereafter, a pilot test including feedback from six clinical experts and cognitive interviews with 11 patients from the target group was conducted. Next, a field test was performed among women who were (1) patients at the gynecological outpatient clinic\/pelvic floor physiotherapist at St. Olav's Hospital, (2) members of the Vulvodynia or the Endometriosis Patient Associations or (3) female students and employees from the Faculty of Medicine and Health Science, the Norwegian University of Science and Technology, in a web\u2010based survey. To ensure a sample with symptomatic women, only women who scored \u226511 according to the Dutch prespecified factor structure were included in the statistical analyses (<jats:italic>n<\/jats:italic>\u2009=\u2009232).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Content\/face validity demonstrated that the questionnaire was perceived as relevant, comprehensive and understandable. Some adjustments in the instructions of the questionnaire and the response categories were made, which lead to the Norwegian translation ACPPS\u201030. Assessment of the questionnaire's dimensionality revealed a five\u2010factor structure similar to the original Dutch Amsterdam Hyperactive Pelvic Floor Scale (AHPFS) but without the Urinary tract infection factor and seven other items. The translated and modified ACPPS\u201016 total score and subscales correlated as expected with scales measuring similar conditions. Test\u2013retest reliability demonstrated good stability for scales (intraclass correlation coefficient 0.85\u20130.93) and single items (weighted kappa values from 0.34 to 0.90).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>A modified Norwegian version ACPPS\u201030 was presented, in addition to a shorter version with only 16 of the translated items distributed among five factors similar to the original Dutch version (ACPPS\u201016). Both versions proved to be valid, stable and reliable tools to investigate complex pelvic pain symptoms possibly due to an abnormally high\u2010toned pelvic floor muscle.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.14665","type":"journal-article","created":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T10:36:09Z","timestamp":1694082969000},"page":"1409-1423","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Amsterdam complex pelvic pain symptom scale with subscales: Based on a Norwegian translation, psychometric assessment and modification of the Amsterdam hyperactive pelvic floor scale"],"prefix":"10.1111","volume":"102","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0094-1102","authenticated-orcid":false,"given":"Susan","family":"Saga","sequence":"first","affiliation":[{"name":"Department of Public Health and Nursing, Faculty of Medicine and Health Sciences NTNU Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4922-477X","authenticated-orcid":false,"given":"Signe Nilssen","family":"Stafne","sequence":"additional","affiliation":[{"name":"Department of Public Health and Nursing, Faculty of Medicine and Health Sciences NTNU Norwegian University of Science and Technology  Trondheim Norway"},{"name":"Clinic of Rehabilitation, St. Olav's Hospital Trondheim University Hospital  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vilde","family":"Dons","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences NTNU Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingvild","family":"Bratlie","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences NTNU Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siri","family":"Spetalen","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health Sciences NTNU Norwegian University of Science and Technology  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9565-5824","authenticated-orcid":false,"given":"Cecilie Therese","family":"Hagemann","sequence":"additional","affiliation":[{"name":"Department of Clinical and Molecular Medicine, Faculty of Medicine and Health Sciences NTNU Norwegian University of Science and Technology  Trondheim Norway"},{"name":"Department of Obstetrics and Gynecology, St. Olav's Hospital Trondheim University Hospital  Trondheim Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,7]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-22150-2_1"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20144"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jphys.2020.06.011"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.24658"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0889-8545(05)70039-5"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/jsxmed\/qdac002"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-013-1062-y"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.23072"},{"key":"e_1_2_8_10_1","first-page":"2016","article-title":"Overaktiv bekkenbunn\u2010syndrom","volume":"130","author":"Rognlid M","year":"2010","journal-title":"Over Active Pelvic Floor Syndrome"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.05.006"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/nau.20674"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-016-3209-z"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.44.1.77"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1553350612446354"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1080\/009262300278597"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-012-2020-8"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsm.12196"},{"key":"e_1_2_8_19_1","unstructured":"MokkinkLB PrinsenCAC PatrickDL et al.COSMIN study design checklist for patient\u2010reported outcome measurement instruments. July2019. Accessed March 9 2023.https:\/\/www.cosmin.nl\/wp\u2010content\/uploads\/COSMIN\u2010study\u2010designing\u2010checklist_final.pdf"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-021-02822-4"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511996214"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2019.02.045"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1515\/sjpain-2020-0002"},{"key":"e_1_2_8_24_1","volume-title":"Stata Statistical Software Release 17","author":"StataCorp","year":"2021"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-010-9606-8"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.1098\/rsta.2015.0202"},{"key":"e_1_2_8_27_1","volume-title":"Principles and Practice of Structural Equation Modeling","author":"Kline RB","year":"2016"},{"key":"e_1_2_8_28_1","volume-title":"Confirmatory Factor Analysis for Applied Research","author":"Brown TA","year":"2015"},{"key":"e_1_2_8_29_1","volume-title":"Applied Statistics Using STATA. A Guide for the Social Sciences","author":"Mehmetoglu M","year":"2022"},{"key":"e_1_2_8_30_1","volume-title":"Using Multivariate Statistics","author":"Tabachnick BG","year":"2013"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1348\/000711001159582"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781412985772"},{"key":"e_1_2_8_33_1","volume-title":"The Assessment, Analysis and Interpretation of Patient\u2010Reported Outcomes","author":"Fayers P","year":"2007"}],"container-title":["Acta Obstetricia et Gynecologica Scandinavica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/aogs.14665","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,5]],"date-time":"2025-04-05T10:28:01Z","timestamp":1743848881000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/aogs.14665"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,7]]},"references-count":32,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["10.1111\/aogs.14665"],"URL":"https:\/\/doi.org\/10.1111\/aogs.14665","archive":["Portico"],"relation":{},"ISSN":["0001-6349","1600-0412"],"issn-type":[{"value":"0001-6349","type":"print"},{"value":"1600-0412","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,7]]},"assertion":[{"value":"2023-03-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-07-31","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}