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Further evidence of the reliability and validity of the premature ejaculation diagnostic tool

International Journal of Impotence Research volume 19, pages 521–525 (2007)Cite this article

Abstract

This study details the further validation of the Premature Ejaculation Diagnostic Tool (PEDT), a five-item tool, developed to systematically apply the Diagnostic and Statistical Manual of Mental Disorders, revised version 4 (DSM-IV-TR), criteria in diagnosing presence or absence of premature ejaculation (PE). A total of 102 men completed the PEDT and were then interviewed by one of the seven clinical experts, who made a diagnosis of presence or absence of PE. The diagnoses from these two methods were compared to assess the convergent validity of PEDT. Retest reliability was also assessed, by men completing the PEDT a second time, approximately 2 weeks after the first administration. The level of agreement between clinical expert and PEDT diagnoses was very high (κ-statistic=0.80 (95% CI=0.68–0.92)), and retest reliability was very good – Intraclass correlation coefficient=0.88. In summary, the PEDT is extensively validated, self-report measure that can systematically assess DSM-IV-TR criteria to provide accurate diagnoses of PE/no-PE.

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References

  1. DSM-IV-TR. Diagnostic and Statistical Manual of Mental Disorders 4th edn. American Psychiatric Association: Washington, DC, 2000, p 554.

  2. Waldinger MD, Schweitzer DH . Changing paradigms from a historical DSM-III and DSM-IV view toward an evidence-based definition of premature ejaculation. Part 1. Validity of DSM-IV-TR. J Sex Med 2006; 3: 682–692.

    Article  Google Scholar 

  3. Waldinger MD, Hengeveld MW, Zwinderman AH, Olivier B . An empirical operational study of DSM-IV diagnostic criteria for PE. Int J Psychiatry Clin Pract 1998; 2: 287–293.

    Article  CAS  Google Scholar 

  4. Waldinger MD, Schweitzer DH . Changing paradigms from a historical DSM-III and DSM-IV view toward an evidence-based definition of premature ejaculation. Part II. Proposals for DSM-V and ICD-11. J Sex Med 2006; 3: 693–705.

    Article  Google Scholar 

  5. Broderick GA . Premature ejaculation: on defining and quantifying a common male sexual dysfunction. J Sex Med 2006; 3: 295–302.

    Article  Google Scholar 

  6. Rowland DL . Treatment of premature ejaculation: selecting outcomes to determine efficacy. Bull Int Soc Sex Impot Res 2003; 10: 26–27.

    Google Scholar 

  7. Symonds T, Perelman M, Althof S, Giuliano F, Martin M, May K et al. Development and validation of a premature ejaculation diagnostic tool. Eur Urol 2007 (in press).

  8. Block DA, Kraemer HC . 2 × 2 kappa coefficients: measures of agreement or association. Biometrics 1989; 45: 269–287.

    Article  Google Scholar 

  9. Landis JR, Koch GG . The measurement of observer agreement for categorical data. Biometrics 1977; 33: 159–174.

    Article  CAS  Google Scholar 

  10. Fayers PM, Machin D . Quality of Life: Assessment, Analysis and Interpretation. Wiley: Chichester, 2000 p 63.

    Book  Google Scholar 

  11. Patrick DP, Althof SE, Pryor JL, Rosen R, Rowland DL, Ho KF et al. Premature ejaculation: an observational study of men and their partners. J Sex Med 2005; 2: 358–367.

    Article  Google Scholar 

  12. Shabsigh R . Diagnosing premature ejaculation: a review. J Sex Med 2006; 3: 318–323.

    Article  Google Scholar 

  13. Althof S, Rosen R, Symonds T, Mundayat R, May K, Abraham L . Development and validation of new questionnaire to assess sexual satisfaction, control, and distress associated with premature ejaculation. J Sex Med 2006; 3: 465–475.

    Article  Google Scholar 

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Authors and Affiliations

  1. Pfizer Ltd, Sandwich, Kent, UK

    T Symonds, L Abraham, A Crossland, M Morris & K May

  2. NY Presbyterian, Weill Medical College of Cornell University, New York, NY, USA

    M Perelman

  3. Case Western Reserve University School of Medicine, Cleveland, OH, USA

    S Althof

  4. AP-HP, Raymond Poincare Hospital, Garches, France

    F Giuliano

  5. HRA Inc., Seattle, WA, USA

    M Martin

Authors
  1. T Symonds
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  2. M Perelman
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  3. S Althof
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  4. F Giuliano
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  5. M Martin
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  6. L Abraham
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  7. A Crossland
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  8. M Morris
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  9. K May
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Corresponding author

Correspondence to T Symonds.

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Conflicts of interest

Co-authors Dr Perelman, Dr Althof and Dr Giuliano were paid consultants to Pfizer Ltd.

Appendix: PE Diagnostic Tool

Appendix: PE Diagnostic Tool

Tool for assessing premature ejaculation

Table A1

Table 4 Table a1
Full size table

This is a questionnaire to help identify men who may have a problem with ejaculating too soon during sexual activity. Even if you do not have difficulties, please answer all the questions.

  • Please mark () the box that best represents your answer for each of the questions below.

  • Please mark only one box for each question.

  • Remember there are no right or wrong answers to these questions.

  • While your experiences may change from time to time what we’re interested in here is your general experience with intercourse.

Definition

Ejaculation here refers to ejaculation (release of semen) after penetration (when your penis enters your partner).

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Symonds, T., Perelman, M., Althof, S. et al. Further evidence of the reliability and validity of the premature ejaculation diagnostic tool. Int J Impot Res 19, 521–525 (2007). https://doi.org/10.1038/sj.ijir.3901567

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  • DOI: https://doi.org/10.1038/sj.ijir.3901567

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