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Cited by 61Sexual function and dysfunction studiesUrological Disorders and TreatmentsSexuality, Behavior, and Technology

It Takes Two to Tango": The relational domain in a cohort of subjects with erectile dysfunction (ED)

Boddi, Valentina, Corona, Giovanni, Fisher, Alessandra Daphne, Mannucci, Edoardo, Ricca, Valdo, Sforza, Alessandra, Forti, Gianni, Maggi, Mario·2012·The Journal of Sexual Medicine
DOI 10.1111/j.1743-6109.2012.02948.x
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Abstract

INTRODUCTION: The relational domain of erectile dysfunction (ED) is difficult to investigate in a clinical setting. We developed and validated SIEDY, a 13-item structured interview, that evaluates, besides the organic (Scale 1) and intra-psychic (Scale 3) domains, also the relational one (Scale 2). We previously established a pathological threshold for SIEDY Scale 1 and 3. AIM: The aim of this study is to identify a pathological threshold of SIEDY Scale 2. METHOD: A nonselected, consecutive series of 2,992 subjects with ED was retrospectively evaluated. In a first consecutive series of 844 patients (Sample A, studied without systematically applying a psychometric test: Middlesex Hospital Questionnaire), a pathological threshold of SIEDY Scale 2 score was identified through receiver operating characteristic, using, as surrogate marker of impaired couple relationship, at least a positive answer to two standard questions on conflict within the couple and on the presence of extramarital affairs. MAIN OUTCOME MEASURE: Sensitivity and specificity, along with possible associations with biological and psychological correlates were verified in a further sample of 2,148 patients (Sample B). RESULTS: In Sample A, a threshold of Scale 2 score ≥2 predicts couple impairment with a sensitivity of 53% and specificity of 66% and an overall accuracy of 62.0 ± 2.2% (P < 0.0001). When this threshold was verified in sample B, Scale 2 score ≥2 was associated with a higher risk of anxiety and depressive symptoms, higher prevalence of psychopathology, and higher Scale 3 scoring, even after adjusting for confounders. In the same sample, a Scale 2 score ≥2 was associated with a reduced intimacy during sexual intercourse and overall worse sexual functioning. CONCLUSIONS: Until now, no instrument is available to quantify the marital domain of ED. The validation of a threshold of SIEDY Scale 2 score (≥2) represents an easy tool for the identification of ED patients with a relevant marital impairment.

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Authors
Boddi, V., Corona, G., Fisher, A. D., Mannucci, E., Ricca, V., Sforza, A., Forti, G., & Maggi, M.
Affiliations
  • University of Florence (IT)
  • Ospedale Bellaria (IT)
Corresponding author
Maggi, Mario
ORCID
Venue
The Journal of Sexual Medicine
Publisher
Oxford University Press (OUP)
Published
2012-12-01
Volume
9
Issue
12
Pages
3126-3136
ISSN
  • 1743-6095 (ISSN-L)
  • 1743-6109
DOI
10.1111/j.1743-6109.2012.02948.x
OpenAlex
W2134035598
Cited by
61
References
55
Citations by year
2026: 1 · 2025: 2 · 2024: 6 · 2023: 5 · 2022: 4 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 6 · 2016: 6 · 2015: 8 · 2014: 7 · 2013: 8
FWCI
5.24
Type
journal article
Language
en
Open access
closed
Licence
academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
Locations
  • The Journal of Sexual Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • 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, relational domains, couple relationships, sexual dysfunction assessment, sexual intimacy, anxiety and depressive symptoms, psychopathology, adultery, couple conflict
MeSH terms
Adolescent, Adult, Aged, Aged, 80 and over, Antisocial Personality Disorder, Anxiety, Depression, Humans, Erectile Dysfunction, Interview, Psychological, Male, Marriage, Middle Aged, Retrospective Studies, ROC Curve, Sensitivity and Specificity, Cohort Studies, Young Adult

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