ORCID

0000-0002-0078-5763 (Takacs)

Document Type

Article

Publication Date

2026

DOI

10.1007/s00192-025-06437-y

Publication Title

International Urogynecology Journal

Volume

37

Issue

5

Pages

1281-1287

Abstract

Introduction and Hypotheses

Pelvic floor disorders (PFDs) affect women's quality of life through physical, psychological, and social domains. The Pelvic Floor Distress Inventory-20 (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7) are validated tools for assessing symptom severity and quality of life impact. The current study aim to investigate the reliability and validity of the Hungarian versions of these questionnaires in women with PFD symptoms.

Methods

This validation study was carried out at the University of Debrecen among women with clinically confirmed pelvic floor disorders. The PFDI-20 and PFIQ-7 questionnaires were translated into Hungarian using independent native English speaker in the back- translation process. Psychometric testing included internal consistency (Cronbach's alpha), test-retest reliability (ICC), and construct validity using the SF-36 Health Survey. The tools were valid and reliable for assessing pelvic floor symptoms and their impact on the quality of life in Hungarian women.

Results

One hundred fifty patients completed the Hungarian PFDI-20, PFIQ-7, and SF-36 questionnaires for psychometric evaluation. Both Hungarian versions showed excellent internal consistency (PFDI-20 α = 0.885; PFIQ-7 α = 0.939) and strong test-retest reliability (PFDI-20 ICC = 0.903; PFIQ-7 ICC = 0.933).

Discussion

The Hungarian versions of the PFDI-20 and PFIQ-7 questionnaires demonstrated excellent reliability, validity, and cultural relevance for assessing symptom severity and quality of life in women with pelvic floor disorders. Strong internal consistency, high test-retest reliability, and significant correlations with the SF-36 support their psychometric soundness. These tools are suitable for both clinical and research applications in Hungarian-speaking populations.

Rights

© The Authors 2025

This article is licensed under a Creative Commons Attribution 4.0 International (CC BY 4.0) License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder.

Data Availability

Article states: "Statement is added to the text."

Original Publication Citation

Kozma, B., Kozma, B., Takacs, P., Rátonyi, D., Farkas, N., Sipos, A. G., & Farkas, B. (2026). Hungarian validation of the Pelvic Floor Distress Inventory-20 (PFDI-20) and the Pelvic Floor Impact Questionnaire-7 (PFIQ-7). International Urogynecology Journal, 37(5), 1281-1287. https://doi.org/10.1007/s00192-025-06437-y

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