ICEECE2012 Poster Presentations Male Reproduction (63 abstracts)
SIEDY scale 3, a new instrument to detect intrapsychic component in subjects with erectile dysfunction
G. Corona 1, , V. Ricca 2 , E. Bandini 1 , G. Rastrelli 1 , H. Casale 1 , E. Jannini 3 , A. Sforza 1 , G. Forti 3 , E. Mannucci 1 & M. Maggi 1
1University of Florence, Florence, Italy; 2Azienda Usl Bologna, Maggiore-Bellaria Hospital, Bologna, Italy; 3University of L’Aquila, L’Aquila, Italy.
Introduction: We previously developed and validated a structured interview (SIEDY) dealing with the organic (scale 1), relational (scale 2) and intrapsychic (scale 3) components of erectile dysfunction (ED). The aim of the present study is 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 medicals history of psychopathology and using psychiatric drugs was identified through receiver operating characteristic (ROC) curve analysis, in a sample of 484 patients (sample A). Sensitivity and specificity, along with possible interactions with biological and psychological (Middlesex Hospital Questionnaire, MHQ-score) correlates were verified in a further sample of 1275 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 behaviours, 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.
Declaration of interest: The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of the research project.
Funding: This research did not receive any specific grant from any funding agency in the public, commercial or not-for-profit sector.
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Endocrine Abstracts
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