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Page 1 of 10 The Self-Esteem And RelationshipQuestionnaire for Men with Erectile Dysfunction: (SEAR) An Overview
Joseph C. Cappelleri 1| Tara Symonds 2
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| Keywords: Impotence, erectile dysfunction, sildenafil, self concept, personal satisfaction, quality of life, psychometrics
Abstract This article provides an overview of the Self-Esteem And Relationship (SEAR) questionnaire for men with erectile dysfunction (ED). Several key attributes of the SEAR questionnaire with respect to its validity and reliability are highlighted based on several studies with direct intervention of sildenafil and no direct intervention. These attributes include the questionnaire’s responsiveness, relationship with treatment satisfaction, meaningful change, clinically meaningful improvement, and content-based interpretation. Limitations are also discussed. The SEAR questionnaire is clearly a valid and reliable measure for assessing the impact of ED and its beneficial treatment on men’s self-esteem, confidence, and relationship satisfaction. 1. Introduction We provide an overview of the Self-Esteem And Relationship (SEAR) questionnaire for men with erectile dysfunction (ED). The development and initial validation of the SEAR questionnaire involved patient-reported psychosocial items (questions) in men with ED (Cappelleri et al. 2004). The development comprised literature review, focus groups, and medical specialists that identified 86 potential items. Redundant, ambiguous, or low item-to-total correlation items were removed. Subsequently, data were then collected from 98 men who reported diagnosed ED and 94 controls from an observational (non-interventional) methods study assisted in final item selection and psychometric evaluation. Treatment responsiveness was evaluated in 93 men with ED in a 10-week open-label trial of sildenafil citrate (Viagra®). The 14 chosen items clustered into 2 domains: Sexual Relationship Satisfaction (8 items) and Confidence (6 items), the latter comprising Self-Esteem (4 items) and Overall Relationship Satisfaction (2 items) subscales (Table).
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