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Cited by 89Sexual function and dysfunction studiesUrological Disorders and TreatmentsSexuality, Behavior, and Technology

SIEDY scale 3, a new instrument to detect psychological component in subjects with erectile dysfunction

Corona, Giovanni, Ricca, Valdo, Bandini, Elisa, Rastrelli, Giulia, Casale, Helen, Jannini, Emmanuele A., Sforza, Alessandra, Forti, Gianni +2 more·2012·The Journal of Sexual Medicine
DOI 10.1111/j.1743-6109.2012.02762.x
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Abstract

INTRODUCTION: We previously developed and validated a structured interview (SIEDY) dealing with the organic (Scale 1), relational (Scale 2), and psychological (Scale 3) components of erectile dysfunction (ED). AIM: To identify a pathological threshold for SIEDY Scale 3 and to analyze Scale 3 score with biological and psychological correlates in subjects with sexual dysfunction. METHOD: A pathological threshold of SIEDY Scale 3 score in predicting subjects with a medical history of psychopathology and using psychiatric drugs was identified through receiver operating characteristic (ROC) curve analysis in a sample of 484 patients (Sample A). MAIN OUTCOME MEASURE: Sensitivity and specificity, along with possible interactions with biological and psychological (Middlesex Hospital Questionnaire, MHQ-score) correlates were verified in a further sample of 1,275 patients (Sample B). RESULTS: In sample A, 39 (8%) and 60 (12.4%) subjects reported a positive medical history for psychiatric disturbances or for the use of psychotropic medication, respectively. The association with both conditions was present in 28 (5.8%) subjects. ROC curve showed that SIEDY Scale 3 score predicts psychopathology with an accuracy of 69.5 ± 5.9% (P<0.002), when a threshold of 3 was chosen. When the same threshold was applied in Sample B, it identified a higher ranking in MHQ-A (free-floating anxiety), MHQ-S (somatized anxiety) and MHQ-D (depressive symptoms) subscales, even after adjustment for age and Σ-MHQ (a broader index of general psychopathology). In the same sample, we also confirmed that pathological Scale 3 score was related to a higher risk of psychopathology at medical history or to the use of psychotropic drugs as well as with risky lifestyle behaviors, including smoking and alcohol abuse, and elevated BMI. CONCLUSIONS: SIEDY represents an easy tool for the identification of patients with a relevant intra-psychic component who should be considered for psychological/psychiatric treatment.

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Authors
Corona, G., Ricca, V., Bandini, E., Rastrelli, G., Casale, H., Jannini, E. A., Sforza, A., Forti, G., Mannucci, E., & Maggi, M.
Affiliations
  • Azienda USL di Bologna (IT)
  • University of Florence (IT)
  • University of L'Aquila (IT)
Corresponding author
Maggi, Mario
ORCID
Venue
The Journal of Sexual Medicine
Publisher
Oxford University Press (OUP)
Published
2012-08
Volume
9
Issue
8
Pages
2017-2026
ISSN
1743-6095 (ISSN-L)
DOI
10.1111/j.1743-6109.2012.02762.x
OpenAlex
W1653327953
Cited by
89
References
55
Citations by year
2026: 3 · 2025: 4 · 2024: 6 · 2023: 7 · 2022: 5 · 2021: 1 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 9 · 2016: 10 · 2015: 10 · 2014: 11 · 2013: 11 · 2012: 4
FWCI
8.21
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • The Journal of Sexual Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Cineca Institutional Research Information System (Tor Vergata University) (submittedVersion)
  • Florence Research (University of Florence) (submittedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Health Sciences › Medicine › Urology › Urological Disorders and Treatments
  • Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
Keywords
erectile dysfunction, psychopathology, psychotropic drugs, anxiety, depressive symptoms, Middlesex Hospital Questionnaire, screening tool, lifestyle risk factors, body mass index
MeSH terms
Adult, Anxiety, Mental Disorders, Depression, Female, Humans, Erectile Dysfunction, Life Style, Male, Middle Aged, Psychological Tests, Surveys and Questionnaires, Sensitivity and Specificity

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