{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T21:05:43Z","timestamp":1790629543210,"version":"4.1.0"},"reference-count":40,"publisher":"MDPI AG","issue":"23","license":[{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background: The Pelvic Floor Bother Questionnaire is a validated and reliable questionnaire that studies the presence and degree of pelvic floor discomfort, providing a global vision of pelvic floor dysfunction. This questionnaire assesses urinary stress incontinence, urinary urgency, urinary frequency, urge urinary incontinence, pelvic organ prolapses, dysuria, dyspareunia, defecatory dysfunction, fecal incontinence, and the disability it causes to the respondent. Aim: The aim of the present study was to analyze the structural characteristics and psychometric properties of the different versions of the pelvic floor bother questionnaire, as well as the methodological quality, the quality of evidence, and the criteria used for good measurement properties. Methods: A systematic review was carried out in different databases, such as PubMed, SCOPUS, Web of Science, Dialnet, ScienceDirect, and CINAHL, on studies adapting and validating the pelvic floor bother questionnaire in other languages. The data were analyzed taking into account the guidelines of the preferred reporting item statement for systematic reviews and meta-analyses (PRISMA) and following the COSMIN guidelines, considering articles published up to 28 February 2022, and registered in the PROSPERO database. Results: Initially, a total of 443 studies were found, from which a total of four studies were analyzed with regard to structural characteristics and psychometric properties, such as reliability, internal consistency, construct validity, and criterion validity. Conclusions: The different versions of the questionnaires show basic structural characteristics and psychometric properties for the evaluation of patients with pelvic floor dysfunctions. Most of the analyzed versions present criteria for good measurement properties qualified as sufficient, inadequate\u2013adequate methodological quality, and low\u2013moderate quality of evidence.<\/jats:p>","DOI":"10.3390\/jcm11237075","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T07:10:27Z","timestamp":1669792227000},"page":"7075","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Analysis of the Structural Characteristics and Psychometric Properties of the Pelvic Floor Bother Questionnaire (PFBQ): A Systematic Review"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2261-5482","authenticated-orcid":false,"given":"Guadalupe","family":"Molina-Torres","sequence":"first","affiliation":[{"name":"Department of Nursing, Physiotherapy and Medicine, Faculty of Health Sciences, University of Almeria, 04120 Almeria, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leticia","family":"Amiano-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Competa Cl\u00ednic, Calle del Carmen 9, 29754 Competa, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta Mar\u00eda","family":"C\u00f3rdoba-Pel\u00e1ez","sequence":"additional","affiliation":[{"name":"FisioD\u00f3mina Fisioterapia, Av. Llano de Pablo Picasso 26, 29300 Archidona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9103-9696","authenticated-orcid":false,"given":"Alfonso Javier","family":"Ib\u00e1\u00f1ez-Vera","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of Jaen, Campus las Lagunillas, 23071 Jaen, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3240-8815","authenticated-orcid":false,"given":"Esther","family":"Diaz-Mohedo","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Faculty of Health Sciences, University of Malaga, Campus Teatinos, 29071 Malaga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1097\/00007632-199002000-00016","article-title":"Relation Between Form and Function in the Sacroiliac Joint","volume":"15","author":"Vleeming","year":"1990","journal-title":"Spine"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1016\/j.pmr.2017.03.003","article-title":"Anatomy and Physiology of the Pelvic Floor","volume":"28","author":"Eickmeyer","year":"2017","journal-title":"Phys. Med. Rehabil. Clin. N. Am."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"485","DOI":"10.1097\/GCO.0000000000000584","article-title":"Pelvic floor physical therapy in the treatment of pelvic floor dysfunction in women","volume":"31","author":"Wallace","year":"2019","journal-title":"Curr. Opin. Obstet. Gynecol."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1097\/MOU.0000000000000380","article-title":"Female pelvic floor biomechanics","volume":"27","author":"Easley","year":"2017","journal-title":"Curr. Opin. Urol."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"719","DOI":"10.1016\/S0210-4806(07)73712-9","article-title":"Tratamiento de la disfunci\u00f3n del suelo p\u00e9lvico","volume":"31","author":"Duarte","year":"2007","journal-title":"Actas Urol\u00f3gicas Espa\u00f1olas"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1157\/13128299","article-title":"Patolog\u00eda del suelo p\u00e9lvico","volume":"31","author":"Lacima","year":"2008","journal-title":"Gastroenterol. Hepatol"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Romeikien\u0117, K.E., and Bartkevi\u010dien\u0117, D. (2021). Pelvic-Floor Dysfunction Prevention in Prepartum and Postpartum Periods. Medicina, 57.","DOI":"10.3390\/medicina57040387"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1590\/s1677-5538.ibju.2018.0581","article-title":"Narrative review of the epidemiology, diagnosis and pathophysiology of pelvic organ prolapse","volume":"46","author":"Weintraub","year":"2020","journal-title":"Int. Braz. J. Urol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1080\/13697137.2018.1552934","article-title":"Keeping the pelvic floor healthy","volume":"22","author":"Dumoulin","year":"2019","journal-title":"Climacteric"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1016\/j.ogc.2019.04.010","article-title":"Pelvic Floor Disorders","volume":"46","author":"Good","year":"2019","journal-title":"Obstet. Gynecol. Clin. N. Am."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"8325","DOI":"10.1038\/s41598-022-12043-5","article-title":"Spanish cross-cultural adaptation and validation of the Australian Pelvic Floor Questionnaire in running women","volume":"12","year":"2022","journal-title":"Sci. Rep."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1016\/j.sxmr.2019.05.007","article-title":"Pelvic Floor Dysfunction And Its Effect On Quality Of Sexual Life","volume":"7","author":"Verbeek","year":"2019","journal-title":"Sex Med. Rev."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1016\/j.physio.2014.11.003","article-title":"An introduction to patient-reported outcome measures (PROMs) in physiotherapy","volume":"101","author":"Kyte","year":"2015","journal-title":"Physiotherapy"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1007\/s11934-019-0888-2","article-title":"Patient-Reported Outcome Measures (PROMs) in Pelvic Floor Disorders","volume":"20","author":"Habashy","year":"2019","journal-title":"Curr. Urol. Rep."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1007\/s00192-008-0742-4","article-title":"Australian pelvic floor questionnaire: A validated interviewer-administered pelvic floor questionnaire for routine clinic and research","volume":"20","author":"Baessler","year":"2009","journal-title":"Int. Urogynecol. J."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"176","DOI":"10.1007\/s00192-004-1225-x","article-title":"P-QOL: A validated questionnaire to assess the symptoms and quality of life of women with urogenital prolapse","volume":"16","author":"Digesu","year":"2005","journal-title":"Int. Urogynecol. J."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/j.ajog.2004.12.025","article-title":"Short forms of two condition-specific quality-of-life questionnaires for women with pelvic floor disorders (PFDI-20 and PFIQ-7)","volume":"193","author":"Barber","year":"2005","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/S0090-4295(99)80384-7","article-title":"Quality of life of persons with urinary incontinence: Development of a new measure","volume":"47","author":"Wagner","year":"1996","journal-title":"Urology"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1002\/nau.1930140206","article-title":"Short forms to assess life quality and symptom distress for urinary incontinence in women: The incontinence impact questionnaire and the urogenital distress inventory","volume":"14","author":"Uebersax","year":"1995","journal-title":"Neurourol. Urodyn."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1097\/MRR.0000000000000422","article-title":"Rasch analysis of the Incontinence Impact Questionnaire short version (IIQ-7) in women with urinary incontinence","volume":"43","author":"Monticone","year":"2020","journal-title":"Int. J. Rehabil. Res."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1007\/BF02237236","article-title":"Fecal incontinence quality of life scale","volume":"43","author":"Rockwood","year":"2000","journal-title":"Dis. Colon Rectum."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1007\/s00192-003-1063-2","article-title":"A short form of the Pelvic Organ Prolapse\/Urinary Incontinence Sexual Questionnaire (PISQ-12)","volume":"14","author":"Rogers","year":"2003","journal-title":"Int. Urogynecol. J. Pelvic. Floor. Dysfunct."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1046\/j.1464-410X.1996.00186.x","article-title":"The Bristol Female Lower Urinary Tract Symptoms questionnaire: Development and psychometric testing","volume":"77","author":"Jackson","year":"1996","journal-title":"BJU Int."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1097\/00005650-199603000-00003","article-title":"A 12-Item Short-Form Health Survey","volume":"34","author":"Ware","year":"1996","journal-title":"Med. Care"},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"1129","DOI":"10.1007\/s00192-010-1148-7","article-title":"Validation of a global pelvic floor symptom bother questionnaire","volume":"21","author":"Peterson","year":"2010","journal-title":"Int. Urogynecol. J."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1007\/s00192-018-3627-1","article-title":"Validation of the Brazilian Portuguese version of the pelvic floor bother questionnaire","volume":"30","author":"Peterson","year":"2019","journal-title":"Int. Urogynecol. J."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1577","DOI":"10.1007\/s00192-016-3014-8","article-title":"Reliability and validity of a Turkish version of the Global Pelvic Floor Bother Questionnaire","volume":"27","author":"Bakar","year":"2016","journal-title":"Int. Urogynecol. J."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1016\/j.ijgo.2012.12.006","article-title":"Validation of an Arabic version of the global Pelvic Floor Bother Questionnaire","volume":"121","author":"Bazi","year":"2013","journal-title":"Int. J. Gynecol. Obstet."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"1353","DOI":"10.1007\/s00404-021-06370-7","article-title":"Validation of a Chinese version for the global Pelvic Floor Bother Questionnaire","volume":"305","author":"Liu","year":"2022","journal-title":"Arch. Gynecol. Obstet."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"Moher, D., Liberati, A., Tetzlaff, J., and Altman, D.G. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med., 6.","DOI":"10.1371\/journal.pmed.1000097"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1590\/bjpt-rbf.2014.0143","article-title":"The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) and how to select an outcome measurement instrument","volume":"20","author":"Mokkink","year":"2016","journal-title":"Braz. J. Phys. Ther."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1186\/s13643-016-0384-4","article-title":"Rayyan\u2014A web and mobile app for systematic reviews","volume":"5","author":"Ouzzani","year":"2016","journal-title":"Syst. Rev."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1388","DOI":"10.1067\/mob.2001.118659","article-title":"Psychometric evaluation of 2 comprehensive condition-specific quality of life instruments for women with pelvic floor disorders","volume":"185","author":"Barber","year":"2001","journal-title":"Am. J. Obstet. Gynecol."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"291","DOI":"10.1007\/BF00451721","article-title":"Health-related quality of life measures for women with urinary incontinence: The Incontinence Impact Questionnaire and the Urogenital Distress Inventory","volume":"3","author":"Shumaker","year":"1994","journal-title":"Qual. Life Res."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1171","DOI":"10.1007\/s11136-017-1765-4","article-title":"COSMIN Risk of Bias checklist for systematic reviews of Patient-Reported Outcome Measures","volume":"27","author":"Mokkink","year":"2018","journal-title":"Qual. Life Res."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"1147","DOI":"10.1007\/s11136-018-1798-3","article-title":"COSMIN guideline for systematic reviews of patient-reported outcome measures","volume":"27","author":"Prinsen","year":"2018","journal-title":"Qual. Life Res."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1186\/s13063-016-1555-2","article-title":"How to select outcome measurement instruments for outcomes included in a \u201cCore Outcome Set\u201d\u2014A practical guideline","volume":"17","author":"Prinsen","year":"2016","journal-title":"Trials"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.jclinepi.2006.03.012","article-title":"Quality criteria were proposed for measurement properties of health status questionnaires","volume":"60","author":"Terwee","year":"2007","journal-title":"J. Clin. Epidemiol."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Mokkink, L.B., Ac, C., Donald, P., Patrick, L., Alonso, J., Bouter, L.M., de Vet, H.C.W., and Terwee, C.B. (2022, August 30). COSMIN Manual for Systematic Reviews of PROMs COSMIN Methodology for Systematic Reviews of Patient-Reported Outcome Measures (PROMs) User Manual. Available online: www.cosmin.nl.","DOI":"10.1007\/978-3-031-17299-1_2972"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/j.ciresp.2013.08.002","article-title":"Sistema GRADE: Clasificaci\u00f3n de la calidad de la evidencia y graduaci\u00f3n de la fuerza de la recomendaci\u00f3n","volume":"92","year":"2014","journal-title":"Cir. Esp."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/23\/7075\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:29:39Z","timestamp":1760146179000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/11\/23\/7075"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,29]]},"references-count":40,"journal-issue":{"issue":"23","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["jcm11237075"],"URL":"https:\/\/doi.org\/10.3390\/jcm11237075","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,29]]}}}