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A methodology study to develop and validate a screener for hypoactive sexual desire disorder in postmenopausal women
Sandra Leiblum1, Tara Symonds, Jeffrey Moore
1Center for Sexual & Relationship Health, Department of Psychiatry UMDNJ-Robert Wood Johnson Medical School, Piscataway, NJ 08854, USA. leiblum@umdnj.edu
Introduction:
Current methods for diagnosing hypoactive sexual desire disorder (HSDD) can be complicated and time-consuming. A previous study reported validity and reliability of a structured diagnostic method created for clinical trials that can be performed in approximately 1 hour.
Methods:
A more succinct tool is needed for incorporation into busy physician practices. Therefore, a brief HSDD screening tool was developed consisting of four self-report questions with an interpretable cut-score and concise confirmatory physician interview.
Main Outcome Measures:
Accuracy of the HSDD screener cut-score alone, and in combination with physician interview, was then separately evaluated when compared with in-depth interview diagnosis. RESULTS. The results showed good agreement between the two diagnoses (kappa of 0.669 and 0.562 for cut-score alone and cut-score in combination with physician interview, respectively).
Conclusions:
The HSDD screener can reliably detect the likely presence of HSDD in postmenopausal women.
