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Bother and Distress Associated with Peyronie's Disease: Validation of the Peyronie’s Disease Questionnaire
Abstract
PURPOSE: We validated the Peyronie's Disease Questionnaire (http://www.auxilium.com/PDQ), a 15-question self-reported survey that measures the impact and severity of Peyronie's disease symptoms in 3 domains, including 1) psychological and physical symptoms, 2) penile pain and 3) symptom bother. MATERIALS AND METHODS: We used baseline data from 2 phase 3 clinical trials (334 and 345 patients, respectively) of collagenase clostridium histolyticum treatment for Peyronie's disease associated penile curvature and bother. Collected data included PDQ domain scores, International Index of Erectile Function scores, objective penile curvature measures and patient reported Peyronie's disease symptom severity. Psychometric analyses included confirmatory factor analysis, inter-item reliability, and tests of convergent and discriminant validity, all related to the overall construct validity of the scale. RESULTS: Confirmatory factor analysis supported the conceptual framework of the PDQ with 3 confirmed subdomains. Each scale showed good consistency, ie internal reliability (each Cronbach α >0.70). Convergent and discriminant validity were noted in the pattern of associations between PDQ domains and other Peyronie's disease measures. PDQ domain scores significantly differed between patients with vs without erectile dysfunction and between patients with vs without Peyronie's disease related symptom distress, further supporting PDQ construct validity. CONCLUSIONS: This study confirms the conceptual framework, factor structure, and convergent and discriminant validity of the PDQ psychological and physical symptoms, penile pain, and symptom bother domains. Used in conjunction with objective penile curvature measurements, the PDQ can serve as a valuable diagnostic tool or outcome measure to assess treatment related improvements in Peyronie's disease symptoms.
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“All patients completed the following questionnaires: a visual analog scale (VAS) questionnaire for pain assessment; the International Index of Erectile Function (IIEF) for the evaluation of erectile function; and three validated psychometric tests: the Generalized Anxiety Disorder-7 questionnaire (GAD-7, for the assessment of anxiety), the Patient Health Questionnaire-9 (PHQ-9, for the assessment”
From Clinical Presentation of Peyronie’s Disease: A Retrospective Study of 564 Cases (2024) · cites this paper as [60]
In the citing paper
“In our research, we also found a slightly higher psychosexual impact (PDQ bother mean score = 8.8) compared to those reported by other authors (6.3–8.0) [60,64,83].”
From Clinical Presentation of Peyronie’s Disease: A Retrospective Study of 564 Cases (2024) · cites this paper as [60]
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Metadata
- Authors
- Hellstrom, W. J. G., Feldman, R., Rosen, R. C., Smith, T., Kaufman, G., & Tursi, J.
- Affiliations
- Tulane University (US)
- Connecticut Clinical Research Center and Urology Specialists, Middlebury, Connecticut
- New England Research Institutes (US)
- Auxilium Pharmaceuticals, Inc., Chesterbrook, Pennsylvania
- Venue
- Journal of Urology
- Published
- 2013-08
- Volume
- 190
- Issue
- 2
- Pages
- 627-634
- ISSN
- 0022-5347 (ISSN-L)
- 1527-3792
- OpenAlex
- W2003470763
- Cited by
- 210
- References
- 25
- Citations by year
- 2026: 12 · 2025: 13 · 2024: 10 · 2023: 18 · 2022: 18 · 2021: 18 · 2020: 27 · 2019: 7 · 2018: 9 · 2017: 12 · 2016: 24 · 2015: 21 · 2014: 13 · 2013: 7
- FWCI
- 15.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journal of Urology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Rheumatology › Dupuytren's Contracture and Treatments
- Health Sciences › Medicine › Urology › Urological Disorders and Treatments
- Keywords
- Peyronie's disease, Peyronie's Disease Questionnaire, symptom bother, penile pain, erectile dysfunction, penile curvature, symptom severity, questionnaire validation, psychometric properties, collagenase clostridium histolyticum, patient-reported outcomes
- MeSH terms
- Adult, Aged, Aged, 80 and over, Analysis of Variance, Microbial Collagenase, Factor Analysis, Statistical, Humans, Male, Middle Aged, Penile Induration, Psychometrics, Surveys and Questionnaires, Severity of Illness Index, Reproducibility of Results, Treatment Outcome, Clinical Trials, Phase III as Topic
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