Veale David, Miles Sarah, Read Julie, Troglia Andrea, Carmona Lina, Fiorito Chiara, Wells Hannah, Wylie Kevan, Muir Gordon
Institute of Psychiatry, Psychology and Neuroscience, Kings College London and South London and Maudsley NHS Foundation Trust, London, UK.
Centre for Anxiety Disorders, The Maudsley Hospital, Denmark Hil, London, SE5 8AZ, UK.
Arch Sex Behav. 2015 Nov;44(8):2311-21. doi: 10.1007/s10508-015-0484-6. Epub 2015 Mar 3.
Penile dysmorphic disorder (PDD) is shorthand for men diagnosed with body dysmorphic disorder, in whom the size or shape of the penis is their main, if not their exclusive, preoccupation causing significant shame or handicap. There are no specific measures for identifying men with PDD compared to men who are anxious about the size of their penis but do not have PDD. Such a measure might be helpful for treatment planning, reducing unrealistic expectations, and measuring outcome after any psychological or physical intervention. Our aim was, therefore, to validate a specific measure, termed the Cosmetic Procedure Screening Scale for PDD (COPS-P). Eighty-one male participants were divided into three groups: a PDD group (n = 21), a small penis anxiety group (n = 37), and a control group (n = 23). All participants completed the COPS-P as well as standardized measures of depression, anxiety, social phobia, body image, quality of life, and erectile function. Penis size was also measured. The final COPS-P was based on nine items. The scale had good internal reliability and significant convergent validity with measures of related constructs. It discriminated between the PDD group, the small penis anxiety group, and the control group. This is the first study to develop a scale able to discriminate between those with PDD and men anxious about their size who did not have PDD. Clinicians and researchers may use the scale as part of an assessment for men presenting with anxiety about penis size and as an audit or outcome measure after any intervention for this population.
阴茎畸形障碍（PDD）是被诊断患有躯体变形障碍的男性的简称，在这些男性中，阴茎的大小或形状是他们主要的（即便不是唯一的）关注点，这会导致显著的羞耻感或障碍。与那些对阴茎大小感到焦虑但没有PDD的男性相比，目前尚无识别患有PDD男性的特定方法。这样一种方法可能有助于治疗规划、降低不切实际的期望以及衡量任何心理或物理干预后的结果。因此，我们的目的是验证一种特定的测量方法，即阴茎畸形障碍美容手术筛查量表（COPS - P）。81名男性参与者被分为三组：PDD组（n = 21）、小阴茎焦虑组（n = 37）和对照组（n = 23）。所有参与者都完成了COPS - P以及抑郁、焦虑、社交恐惧症、身体意象、生活质量和勃起功能的标准化测量。同时也测量了阴茎大小。最终的COPS - P基于9个项目。该量表具有良好的内部信度，并且与相关结构的测量具有显著的收敛效度。它能够区分PDD组、小阴茎焦虑组和对照组。这是第一项开发出能够区分患有PDD的男性和对阴茎大小感到焦虑但没有PDD的男性的量表的研究。临床医生和研究人员可以将该量表作为对出现阴茎大小焦虑的男性进行评估的一部分，以及作为对该人群进行任何干预后的审计或结果测量工具。
