The INTIMA: development and validation of a new psychometric tool for the evaluation of perceived 'Viagra Jealousy' in erectile dysfunction therapy.

IF 2.6 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Aging Male Pub Date : 2025-12-01 Epub Date: 2025-05-29 DOI:10.1080/13685538.2025.2509006

Daniele Mollaioli, Andrea Sansone, Tommaso B Jannini, Bac Hoai Nguyen, Thang Cao Nguyen, Quan Minh Pham, Giacomo Ciocca, Emmanuele A Jannini

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引用次数: 0

Abstract

Background: In erectile dysfunction (ED) management the partner could support therapies or may sabotage them, as in the phenomenon of the "Viagra Jealousy" (VJ). Thus, we aimed to study the extent of cognitive and emotional discomfort in communicating and sharing ED treatment by creating a new tool, called INTIMA (Impact of Negotiating Treatment Intake on Marital Intimacy/Alliance Assessment).

Methods: 134 men diagnosed with ED completed a series of validated psychometric questionnaires, including INTIMA, the Fear of Intimacy Scale (FIS), and the Relationship Questionnaire (RQ). Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were conducted to assess the dimensionality and factorial validity of the INTIMA and its psychometric strength.

Results: CFA confirmed a single-factor structure with robust goodness-of-fit indices (ꭓ²[9] = 11.7, p = 0.234; SRMR = 0.030; CFI = 0.991; TLI = 0.985; RMSEA = 0.047). The INTIMA demonstrated excellent internal consistency. Convergent validity was supported by significant correlation with FIS and adequate Average Variance Extracted. ROC analysis revealed high discriminatory power for detecting insecure attachment patterns, with an optimal cut-off score of 17.

Conclusion: INTIMA is a reliable psychometric tool for assessing perceived VJ and predicting the risks of involving or not the partner in ED treatment and to identify optimal strategies for better adherence and outcomes.

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INTIMA：一种新的心理测量工具的开发和验证，用于评估勃起功能障碍治疗中感知的“伟哥嫉妒”。

背景：在勃起功能障碍（ED）治疗中，伴侣可能支持治疗，也可能破坏治疗，如“伟哥嫉妒”（VJ）现象。因此，我们旨在通过创建一个名为INTIMA（协商治疗摄入对婚姻亲密/联盟评估的影响）的新工具来研究沟通和分享ED治疗时认知和情绪不适的程度。方法：对134名ED男性进行了一系列心理测量问卷调查，包括INTIMA、亲密恐惧量表（FIS）和关系问卷（RQ）。采用探索性因子分析（EFA）和验证性因子分析（CFA）来评估INTIMA的维度和析因效度及其心理测量强度。结果：CFA证实了单因素结构，拟合优度指数稳健(ꭓ2[9]= 11.7,p = 0.234；SRMR = 0.030；Cfi = 0.991；Tli = 0.985；Rmsea = 0.047)。内膜显示出良好的内部一致性。与FIS的显著相关和提取的平均方差足够支持收敛效度。ROC分析显示，检测不安全依恋模式具有很高的歧视性，最佳截止分数为17分。结论：INTIMA是一种可靠的心理测量工具，用于评估感知的VJ，预测伴侣参与或不参与ED治疗的风险，并确定最佳策略，以获得更好的依从性和结果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Aging Male 医学-泌尿学与肾脏学

CiteScore

6.40

自引率

3.80%

发文量

审稿时长

>12 weeks

期刊介绍： The Aging Male , the official journal of the International Society for the Study of the Aging Male, is a multidisciplinary publication covering all aspects of male health throughout the aging process. The Journal is a well-recognized and respected resource for anyone interested in keeping up to date with developments in this field. It is published quarterly in one volume per year. The Journal publishes original peer-reviewed research papers as well as review papers and other appropriate educational material that provide researchers with an integrated perspective on this new, emerging specialty. Areas of interest include, but are not limited to: Diagnosis and treatment of late-onset hypogonadism Metabolic syndrome and related conditions Treatment of erectile dysfunction and related disorders Prostate cancer and benign prostate hyperplasia.