Clinical and psychosocial characteristics of men with erectile dysfunction: baseline data from ExCEED.

Full Abstract

INTRODUCTION:
Erectile dysfunction (ED) is associated with psychological impairment, and further research is required to understand their relationship.

AIM:
We present descriptive baseline results from a longitudinal observational study of North American men seeking treatment for ED.

METHODS:
Patients completed clinical and health-related quality-of-life information at baseline and three follow-up points over 12 months; 162 patients had usable baseline data, including clinical history and current status, sociodemographic information, and standard paper-and-pencil scales of psychosocial characteristics. Scores on the International Index of Erectile Functioning erectile functioning subscale were collapsed into mild (N = 27), moderate (N = 41), or severe (N = 94) categories. Using chi-square, anova, and logistic regression, we identified baseline characteristics associated with ED severity.

MAIN OUTCOME MEASURE:
The main outcome measure was the degree of psychosocial impairment associated with mild, moderate, and severe ED.

RESULTS:
Severe ED was significantly associated with not having a regular sex partner; a history of prostate cancer; and worse scores on measures of positive affect, belonging/loneliness, sexual self-efficacy-strength, psychological adjustment, marital happiness, anxiety at last intercourse, and depression. In a multivariate logistic regression model, poorer sexual self-efficacy was most closely associated with severe ED. The model rescaled R(2) was 0.63 (area-under-the-curve, 0.91).

CONCLUSIONS:
Severe ED is related to impairment across a broad range of psychosocial domains, and clinicians should consider offering patients assistance in dealing with its psychosocial impact.

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Author information

Author/s: Latini, David M (DM); Penson, David F (DF); Wallace, Katrine L (KL); Lubeck, Deborah P (DP); Lue, Tom F (TF);

Affiliation: Scott Department of Urology, Baylor College of Medicine, Houston, TX, USA. latini(-atsign-)bcm.tmc.edu

Journal and publication information

Publication Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't

Journal: The journal of sexual medicine (J Sex Med), published in United States. (Language: eng)

Reference: 2006-Nov; vol 3 (issue 6) : pp 1059-67

Dates: Created 2006/11/14; Completed 2007/03/09; Revised 2007/11/15;

PMID: 17100939, status: MEDLINE (last retrieval date: 12/26/2008)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Adult
Aged
Anxiety - psychology
Coitus - psychology
Depression - psychology
Erectile Dysfunction - psychology
Health Status
Humans
Interpersonal Relations
Life Style
Male

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