Purpose: We measured premature ejaculation related female sexual distress using a new diagnostic tool, the Female Sexual Distress Scale-Revised-Premature Ejaculation questionnaire. Materials and Methods: In this large-scale, Internet based population study we evaluated 2,109 women in a stable relationship during the last 6 months. The 1,361 women in the premature ejaculation group had no female sexual disorder but the partner had premature ejaculation alone. The 748 controls had no female sexual disorder and a partner without premature ejaculation. We determined questionnaire content and discriminant validity, internal consistency and test-retest reliability. Multivariate logistic regression with propensity score reweighting was done to determine the clinical impact of demographics on the perception of sexual distress. Results: The questionnaire was well understood. Internal consistency was greater than 0.90 and 0.84 in the premature ejaculation and control groups, respectively. Test-retest reliability was 0.82 (95% CI 0.72-0.87) and 0.85 (95% CI 0.79-0.92) in the premature ejaculation and control groups, respectively. The questionnaire had a high AUC of 0.90 (95% CI 0.89-0.91). The new cutoff score of 12 or greater had 79.1% sensitivity (95% CI 73.8-82.5), 99.5% specificity (95% CI 98.0-100.0), 99.3% positive predictive value (95% CI 98.7-100.0) and 67.9% negative predictive value (95% CI 64.2-73.2). Median questionnaire scores were significantly higher in the premature ejaculation group than in controls (20, 95% CI 19-21 vs 6, 95% CI 6-7, p <.0001). Logistic regression adjusted and unadjusted by propensity score indicated that women in the premature ejaculation group had a 7.12 (95% CI 5.98-10.14, p <.0001) to 9.83 (95% CI 7.94-12.15) greater probability of sexual distress than controls. Conclusions: The Female Sexual Distress Scale-Revised-Premature Ejaculation questionnaire fulfills psychometric requirements for measuring sexual distress related fulfillsto partner sexual dysfunction.

Premature Ejaculation Results in Female Sexual Distress: Standardization and Validation of a New Diagnostic Tool for Sexual Distress / Erika, Limoncin; Marco, Tomassetti; Gravina, GIOVANNI LUCA; Giacomo, Ciocca; Eleonora, Carosa; DI SANTE, Stefania; Gentile, Vincenzo; Vincenzo, Mirone; Francesco, Montorsi; Lenzi, Andrea; Emmanuele A., Jannini. - In: THE JOURNAL OF UROLOGY. - ISSN 0022-5347. - STAMPA. - 189:5(2013), pp. 1830-1835. [10.1016/j.juro.2012.11.007]

Premature Ejaculation Results in Female Sexual Distress: Standardization and Validation of a New Diagnostic Tool for Sexual Distress

Erika Limoncin;GRAVINA, GIOVANNI LUCA;DI SANTE, STEFANIA;GENTILE, Vincenzo;LENZI, Andrea;CIOCCA, GIACOMO
2013

Abstract

Purpose: We measured premature ejaculation related female sexual distress using a new diagnostic tool, the Female Sexual Distress Scale-Revised-Premature Ejaculation questionnaire. Materials and Methods: In this large-scale, Internet based population study we evaluated 2,109 women in a stable relationship during the last 6 months. The 1,361 women in the premature ejaculation group had no female sexual disorder but the partner had premature ejaculation alone. The 748 controls had no female sexual disorder and a partner without premature ejaculation. We determined questionnaire content and discriminant validity, internal consistency and test-retest reliability. Multivariate logistic regression with propensity score reweighting was done to determine the clinical impact of demographics on the perception of sexual distress. Results: The questionnaire was well understood. Internal consistency was greater than 0.90 and 0.84 in the premature ejaculation and control groups, respectively. Test-retest reliability was 0.82 (95% CI 0.72-0.87) and 0.85 (95% CI 0.79-0.92) in the premature ejaculation and control groups, respectively. The questionnaire had a high AUC of 0.90 (95% CI 0.89-0.91). The new cutoff score of 12 or greater had 79.1% sensitivity (95% CI 73.8-82.5), 99.5% specificity (95% CI 98.0-100.0), 99.3% positive predictive value (95% CI 98.7-100.0) and 67.9% negative predictive value (95% CI 64.2-73.2). Median questionnaire scores were significantly higher in the premature ejaculation group than in controls (20, 95% CI 19-21 vs 6, 95% CI 6-7, p <.0001). Logistic regression adjusted and unadjusted by propensity score indicated that women in the premature ejaculation group had a 7.12 (95% CI 5.98-10.14, p <.0001) to 9.83 (95% CI 7.94-12.15) greater probability of sexual distress than controls. Conclusions: The Female Sexual Distress Scale-Revised-Premature Ejaculation questionnaire fulfills psychometric requirements for measuring sexual distress related fulfillsto partner sexual dysfunction.
2013
ejaculation; female; psychometrics; testis; questionnaires
01 Pubblicazione su rivista::01a Articolo in rivista
Premature Ejaculation Results in Female Sexual Distress: Standardization and Validation of a New Diagnostic Tool for Sexual Distress / Erika, Limoncin; Marco, Tomassetti; Gravina, GIOVANNI LUCA; Giacomo, Ciocca; Eleonora, Carosa; DI SANTE, Stefania; Gentile, Vincenzo; Vincenzo, Mirone; Francesco, Montorsi; Lenzi, Andrea; Emmanuele A., Jannini. - In: THE JOURNAL OF UROLOGY. - ISSN 0022-5347. - STAMPA. - 189:5(2013), pp. 1830-1835. [10.1016/j.juro.2012.11.007]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/540121
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