Development and validation of four-item version of male sexual health questionnaire to assess ejaculatory dysfunction

被引:153
作者
Rosen, Raymond C.
Catania, Joseph A.
Althof, Stanley E.
Pollack, Lance M.
O'Leary, Michael
Seftel, Allen D.
Coon, David W.
机构
[1] New England Res Inst, Watertown, MA 02472 USA
[2] Oregon State Univ, Corvallis, OR 97331 USA
[3] Ctr Marital Sexual Hlth S Florida, Case Sch Med, W Palm Beach, FL USA
[4] Univ Calif San Francisco, Sch Med, San Francisco, CA USA
[5] Harvard Univ, Brigham & Womens Hosp, Sch Med, Boston, MA 02115 USA
[6] Case Sch Med, Cleveland, OH USA
[7] Arizona State Univ, Glendale, AZ USA
关键词
D O I
10.1016/j.urology.2007.02.036
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objectives An abridged version of the 25-item Male Sexual Health Questionnaire (MSHQ) was developed and validated (MSHQ-EjD Short Form) for assessing ejaculatory dysfunction (EjD). Methods The MSHQ was administered to 1245 men in the Men's Sexual Health Population Survey, 179 gay/bisexual men in the Urban Men's Health Study, and 6909 men with lower urinary tract symptoms (LUTS) suggestive of benign prostatic hyperplasia (BPH) in the BPH Registry & Patient Survey. Factor analysis, scale reliability, construct and discriminant validity, and the correlation between the MSHQ-EjD Short Form and the MSHQ ejaculatory function domain were assessed. Results Factor loadings of greater than 0.5 were demonstrated for four ejaculatory function items (force, volume, frequency, and delay). The force and volume of ejaculation had the greatest factor loadings (range 0.77 to 0.81), followed by frequency of ejaculation (0.64 and 0.66). These three ejaculatory function items had a high degree of internal consistency (Cronbach alpha >= 0.78) and test-retest reliability (r = 0.72). The three items discriminated between men with none/mild LUTS and those with moderate/severe LUTS (P <0.001). After adjusting for age, depression, and erectile function, the odds ratio for a diagnosis of moderate/severe LUTS was 0.68 (95% confidence interval 0.49 to 0.96; P <0.05). The three items had a correlation coefficient of 0.95 with the 7-item MSHQ ejaculatory function domain. The MSHQ ejaculation bother item, an independent domain, showed moderate correlation with the three ejaculatory function items (r = -0.41 and r = -0.45). Conclusions The results of our study have shown that the MSHQ-EjD Short Form, with three ejaculatory function items and one ejaculation bother item, has excellent psychometric properties and should be a useful instrument for assessing EjD in clinical and research settings.
引用
收藏
页码:805 / 809
页数:5
相关论文
共 14 条
  • [1] PHILADELPHIA GERIATRIC CENTER MORALE SCALE - REVISION
    LAWTON, MP
    [J]. JOURNALS OF GERONTOLOGY, 1975, 30 (01): : 85 - 89
  • [2] Lower urinary tract symptoms and sexual dysfunction: epidemiology and pathophysiology
    McVary, K
    [J]. BJU INTERNATIONAL, 2006, 97 : 23 - 28
  • [3] OSMOND D, 1997, IN PRESS AM J PUBLIC
  • [4] Palmore E, 2001, GERONTOLOGIST, V41, P572, DOI 10.1093/geront/41.5.572
  • [5] Evaluation of the Center for Disease Control and Presevention's HIV behavioral surveillance of men who have sex with men: Sampling issues
    Pollack, LM
    Osmond, PH
    Paul, JP
    Catania, JA
    [J]. SEXUALLY TRANSMITTED DISEASES, 2005, 32 (09) : 581 - 589
  • [6] RADLOFF LS, 1977, APPL PSYCH MEAS, V36, P749
  • [7] ROSEN R, 2005, J UROL S, V173
  • [8] ROSEN R, 2005, J UROL S, V173, P337
  • [9] The international index of erectile function (IIEF): A multidimensional scale for assessment of erectile dysfunction
    Rosen, RC
    Riley, A
    Wagner, G
    Osterloh, IH
    Kirkpatrick, J
    Mishra, A
    [J]. UROLOGY, 1997, 49 (06) : 822 - 830
  • [10] Male sexual health questionnaire (MSHQ): Scale development and psychometric validation
    Rosen, RC
    Catania, J
    Pollack, L
    Althof, S
    O'Leary, M
    Seftel, AD
    [J]. UROLOGY, 2004, 64 (04) : 777 - 782