Abstract：
UNASSIGNED: People with Parkinson\'s disease (PwPD) exhibit various sexual difficulties (SDs) that may be due to motor and/or nonmotor symptoms or the use of antiparkinsonian medication. SDs are often underreported by PwPD and underexplored by physicians.
UNASSIGNED: This study aimed to explore the SDs experienced by PwPD and create a scale for assessing them.
UNASSIGNED: A corpus of items was generated from semistructured interviews to represent the experience of PwPD as closely as possible. The number of items was reduced according to the psychometric properties, and the scale\'s structure was subsequently examined. The final phase consisted of measuring the scale\'s validity and reliability.
UNASSIGNED: After assessment of the original corpus of 59 items by PwPD and clinicians, a 25-item version was obtained. The analysis of item properties led to the removal of fifteen items. An exploratory factor analysis of the first 10-item version with a first PwPD sample identified four components of the SDs among PwPD: \"low sexual esteem,\" \"sexual displeasure,\" \"impact on sexual position\" and \"hypersexuality.\" With a second PwPD sample, a confirmatory factor analysis demonstrated a satisfactory fit between the model with four components and the data. The 10-item scale had good internal consistency and good temporal reliability.
UNASSIGNED: The Parkinson\'s Disease Sexual Difficulties Scale (PD-SDS) is a valid screening tool that facilitates the investigation of and communication about PD-related SDs. It is intended to improve the identification of vulnerable PwPD and to target the domain of sexual experience impacted by PD to better support PwPD.
UNASSIGNED: This study aimed to explore the SDs experienced by PwPD and create a scale for assessing them.
UNASSIGNED: A corpus of items was generated from semistructured interviews to represent the experience of PwPD as closely as possible. The number of items was reduced according to the psychometric properties, and the scale\'s structure was subsequently examined. The final phase consisted of measuring the scale\'s validity and reliability.
UNASSIGNED: After assessment of the original corpus of 59 items by PwPD and clinicians, a 25-item version was obtained. The analysis of item properties led to the removal of fifteen items. An exploratory factor analysis of the first 10-item version with a first PwPD sample identified four components of the SDs among PwPD: \"low sexual esteem,\" \"sexual displeasure,\" \"impact on sexual position\" and \"hypersexuality.\" With a second PwPD sample, a confirmatory factor analysis demonstrated a satisfactory fit between the model with four components and the data. The 10-item scale had good internal consistency and good temporal reliability.
UNASSIGNED: The Parkinson\'s Disease Sexual Difficulties Scale (PD-SDS) is a valid screening tool that facilitates the investigation of and communication about PD-related SDs. It is intended to improve the identification of vulnerable PwPD and to target the domain of sexual experience impacted by PD to better support PwPD.
摘要：
■帕金森病（PwPD）患者表现出各种性困难（SD），可能是由于运动和/或非运动症状或使用抗帕金森病药物所致。PwPD经常漏报SDs，而医生漏报。
■本研究旨在探索PwPD经历的SDs，并创建评估它们的量表。
■从半结构化访谈中生成了一个项目语料库，以尽可能接近地代表PwPD的经验。根据心理测量特性，项目的数量减少了，随后检查了量表的结构。最后阶段包括测量量表的有效性和可靠性。
■在PwPD和临床医生对59个项目的原始语料库进行评估后，获得了25个项目的版本。对项目属性的分析导致删除了15个项目。对第一个PwPD样本的第一个10项版本的探索性因素分析确定了PwPD中SDs的四个组成部分：“性距低，\"\"性不愉快，\"\"对性行为的影响\"和\"性欲过高。\"有了第二个PwPD样本，验证性因素分析显示,4个成分的模型与数据吻合良好.10项量表具有良好的内部一致性和良好的时间可靠性。
■帕金森病性困难量表（PD-SDS）是一种有效的筛查工具，可促进与PD相关的SD的调查和交流。旨在改善易感PwPD的识别，并针对受PD影响的性经历领域，以更好地支持PwPD。
■本研究旨在探索PwPD经历的SDs，并创建评估它们的量表。
■从半结构化访谈中生成了一个项目语料库，以尽可能接近地代表PwPD的经验。根据心理测量特性，项目的数量减少了，随后检查了量表的结构。最后阶段包括测量量表的有效性和可靠性。
■在PwPD和临床医生对59个项目的原始语料库进行评估后，获得了25个项目的版本。对项目属性的分析导致删除了15个项目。对第一个PwPD样本的第一个10项版本的探索性因素分析确定了PwPD中SDs的四个组成部分：“性距低，\"\"性不愉快，\"\"对性行为的影响\"和\"性欲过高。\"有了第二个PwPD样本，验证性因素分析显示,4个成分的模型与数据吻合良好.10项量表具有良好的内部一致性和良好的时间可靠性。
■帕金森病性困难量表（PD-SDS）是一种有效的筛查工具，可促进与PD相关的SD的调查和交流。旨在改善易感PwPD的识别，并针对受PD影响的性经历领域，以更好地支持PwPD。
