Validity of self-reported male sexual function scales in a young Chinese population:a comparative study with clinician-assisted evaluation  

作　　者：Hui Zhang Elena Colonnello Erika Limoncin Tommaso B Jannini Xu-Chong Tu Andrea Sansone Emmanuele A Jannini Yan Zhang 

机构地区：[1]Department of Infertility and Sexual Medicine,Third Affiliated Hospital of Sun Yat-sen University,Guangzhou 510000,China [2]Chair of Endocrinology and MedicalSexology(ENDOSEX),Department of Experimental Medicine,University of Rome Tor Vergata,Rome 00133,Italy [3]Department of Urology,First Affiliated Hospital ofGuangzhou University of Chinese Medicine,Guangzhou 510000,China [4]Section of Medical Pathophysiology,Food Science and Endocrinology,Sapienza University of Rome,Rome 00133,Italy [5]School of Psychiatry,Department of Systems Medicine,University of Rome Tor Vergata,Rome 00133,Italy

出　　处：《Asian Journal of Andrology》2024年第3期321-327,共7页亚洲男性学杂志（英文版）

基　　金：supported for this study by the Italian Ministryof University PRIN(Grant No.2017S9KTNE_002);supported by theScientific Research Project of the Traditional Chinese Medicine Bureau of Guangdong Province(No.20221086).

摘　　要：Psychometric scales,commonly used to gauge sexual function,can sometimes be influenced by response biases.In our researchfrom June 2020 to April 2021,we examined the accuracy of self-reported sexual function scales.We invited patients from theDepartment of Infertility and Sexual Medicine at the Third Affiliated Hospital of Sun Yat-sen University(Guangzhou,China),whohave male sexual dysfunction,to participate by filling out a self-reported version of a specific questionnaire.In addition,they wentthrough a clinician-assisted version of this questionnaire,encompassing tools such as the Premature Ejaculation Diagnostic Tool(PEDT),the 6-item International Index of Erectile Function(IIEF-6),the Erection Hardness Scale(EHS),and the MasturbationErection Index(MEI).Using the clinician-assisted version as a reference,we categorized patients and applied various statisticalmethods,such as the Chi-square test,intraclass correlation coefficient(ICC),logistic regression,and the Bland–Altman plot,to gauge reliability.In our study with 322 participants,we found that while there were no notable discrepancies in error ratesbased on our categorization,certain scales showed significant differences in terms of overestimation and underestimation,withthe exception of the PEDT.The positive diagnosis rate consistency between the self-reported and clinician-assisted versions wasobserved.High ICC values between the two versions across the scales were indicative of remarkable reliability.Our findings showthat the self-reported versions of tools such as EHS,IIEF-6,MEI,and PEDT are credible and hold clinical reliability.However,employing a dual-diagnosis approach might be more prudent to circumvent potential misdiagnoses.

关 键 词：PSYCHOMETRY scale sexual function sexual health 

分 类 号：R698[医药卫生—泌尿科学]