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Premature Ejaculation Results in Female Sexual Distress: Standardization and Validation of a New Diagnostic Tool for Sexual Distress
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 <0.0001). 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 <0.0001) 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 to partner sexual dysfunction.
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The Female Sexual Distress Scale and its revisions have been validated for use in a population of females or female partners of males suffering from premature ejaculation, but more specific measures are needed that take into account the possible changes in the meaning of ED over the course of life.
“The Female Sexual Distress Scale and its revisions have been validated for use in a population of females92 or female partners of males suffering from premature ejaculation,94 but more specific measures are needed that take into account the (possible changes in the) meaning of ED over the course of life.”
From A Psychosocial Approach to Erectile Dysfunction: Position Statements from the European Society of Sexual Medicine (ESSM) (2021) · cites this paper as [94]
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Metadata
- Authors
- Limoncin, E., Tomassetti, M., Gravina, G. L., Ciocca, G., Carosa, E., Di Sante, S., Gentile, V., Mirone, V., Montorsi, F., Lenzi, A., & Jannini, E. A.
- Affiliations
- University of L'Aquila (IT)
- School of Sexology, Department of Clinical, Applied and Biotechnological Sciences, University of L'Aquila, L'Aquila, Italy
- Sapienza University of Rome (IT)
- Federico II University Hospital (IT)
- Vita-Salute San Raffaele University (IT)
- ORCID
- Venue
- Journal of Urology
- Published
- 2013-05
- Volume
- 189
- Issue
- 5
- Pages
- 1830-1835
- ISSN
- 0022-5347 (ISSN-L)
- 1527-3792
- OpenAlex
- W2051331718
- Cited by
- 74
- References
- 25
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 5 · 2023: 3 · 2022: 3 · 2021: 11 · 2020: 9 · 2019: 3 · 2018: 6 · 2017: 7 · 2016: 6 · 2015: 9 · 2014: 7 · 2013: 1
- FWCI
- 3.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Urology (publishedVersion)
- PubMed (publishedVersion)
- Cineca Institutional Research Information System (Tor Vergata University) (submittedVersion)
- IRIS Research product catalog (Sapienza University of Rome) (submittedVersion)
- Archivio Istituzionale della Ricerca - Università Vita-Salute San Raffaele (submittedVersion)
- Archivio Istituzionale della Ricerca - Università degli Studi dell Aquila (submittedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Keywords
- female sexual distress, questionnaire validation, female sexual dysfunction, psychometric properties, cut-off values
- MeSH terms
- Adolescent, Adult, Ejaculation, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, Sexual Dysfunction, Physiological, Sexual Partners, Stress, Psychological, Sexual Dysfunctions, Psychological, Young Adult
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