Combined Erectile Dysfunction Tests (EDITS, IIEF, SEAR,) (CEDT)

Name: Combined Erectile Dysfunction Tests (EDITS, IIEF, SEAR,) (CEDT)
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Author: Mohammed looti

Mohammed looti

Combined Erectile Dysfunction Tests (EDITS, IIEF, SEAR,) (CEDT)

By Mohammed looti / October 27, 2025

Table of Contents

Abstract

The Combined Erectile Dysfunction Tests (CEDT) is a comprehensive psychological and clinical assessment battery consolidating three well-validated instruments used for evaluating men with Erectile Dysfunction (ED). This 40-question instrument is designed to provide a holistic view of the patient’s condition, covering clinical function, satisfaction with treatment, and the associated psychosocial impact on the patient and their partner. The CEDT integrates the Erectile Dysfunction Inventory of Treatment Satisfaction (EDITS, 11 questions), the International Index of Erectile Function (IIEF, 15 questions), and the Self-Esteem and Relationship Quality Survey (SEAR, 14 questions).

Keywords

Erectile Dysfunction, EDITS, IIEF, SEAR, Sexual Function, Treatment Satisfaction, Self-Esteem, Relationship Quality, Psychosocial Assessment, Sexual Health.

Authors

S. E. Althof, E. W. Corty, S. B. Levine, F. Levine, A. L. Burnett, K. McVary, A. D. Seftel, J. Cappelleri, R. Rosen, M. Smith, J. Lipsky, B. Pena, R. Siegel, A. Shpilsky, S. Bell, S. Duttagupta.

Purpose

The primary purpose of the CEDT is to serve as a robust, multi-dimensional assessment tool in clinical trials and urological practice. By integrating measures of clinical efficacy (IIEF), patient satisfaction (EDITS), and psychosocial well-being (SEAR), the CEDT offers researchers and clinicians a standardized method to quantify the overall benefit of various ED treatments.

Specifically, the scale aims to document changes in five key areas: objective erectile function, subjective satisfaction with treatment modality, sexual desire, orgasmic function, and the quality of the patient’s relationship and their personal Self-Esteem in the context of sexual activity. This comprehensive approach is essential for monitoring patient-reported outcomes (PROs) beyond mere physiological function.

Construct

The CEDT measures three distinct, yet interrelated, psychological and physiological constructs relevant to the experience and treatment of ED. These constructs collectively define the patient’s response to therapy and quality of life.

Treatment Satisfaction (EDITS): Focuses on the patient’s subjective evaluation of the specific treatment received, including ease of use, speed of action, duration of effect, and partner satisfaction (Qs 1-11).
Sexual Function Domains (IIEF): Measures the severity and functional dimensions of Erectile Dysfunction, covering erectile performance, orgasm, desire, and overall satisfaction with sex life (Qs 12-26).
Psychosocial and Relational Impact (SEAR): Assesses the broader psychological consequences of ED and its treatment, focusing on confidence, spontaneity, and relationship quality (Qs 27-40).

Validity

The validity of the CEDT is derived from the established and widely documented Psychometric Properties of its three constituent scales: EDITS, IIEF, and SEAR. Each component scale has undergone rigorous validation studies demonstrating strong construct, criterion, and discriminative validity within ED populations.

The International Index of Erectile Function (IIEF) is internationally recognized as the gold standard for diagnosing and assessing the severity of Erectile Dysfunction, showing high correlation with objective clinical measures and treatment outcomes. The SEAR questionnaire was specifically developed and validated to capture the critical psychosocial dimensions often overlooked by purely functional scales, ensuring the composite battery provides a complete picture of patient well-being.

Reliability

The reliability of the CEDT rests on the established internal consistency and test-retest reliability of the EDITS, IIEF, and SEAR instruments, each of which has been proven reliable in diverse clinical settings. These scales consistently demonstrate high Cronbach’s alpha values across their respective subscales, indicating excellent internal consistency.

The IIEF, in particular, exhibits high reliability across its five domains (Erectile Function, Orgasmic Function, Sexual Desire, Intercourse Satisfaction, and Overall Satisfaction), ensuring stable measurement of Sexual Function over time and across different patient cohorts undergoing treatment protocols. Users are advised to refer to the individual validation studies for detailed reliability statistics for each component scale.

Factor Analysis

The CEDT is a composite instrument, meaning its factor structure is a combination of the structures of its three independent components. These structures are detailed below:

EDITS: This scale is generally considered unidimensional regarding treatment satisfaction, though it captures multiple facets such as partner satisfaction and ease of use. The total score is often transformed to a 0 to 100 scale.
IIEF: Factor analysis confirms five distinct domains, covering Erectile Function (6 items), Orgasmic Function (2 items), Sexual Desire (2 items), Intercourse Satisfaction (3 items), and Overall Satisfaction (2 items). Scoring allows for the classification of ED severity ranging from no dysfunction (26-30) to severe dysfunction (1-10).
SEAR: Factor analysis typically supports three primary subscales: Sexual Relationship Satisfaction (Qs 27-34), Self-Esteem (Qs 34-38), and Overall Relationship Satisfaction (Qs 39, 40). These scores are often transformed to a 0–100 range, where higher scores indicate more favorable responses.

Instrument

Test Type: Self-report Questionnaire Battery (Composite Scale)

Format: 40 items, utilizing Likert-type scales and frequency scales, generally referencing experiences over the past four weeks. The scoring yields multiple domain scores and overall satisfaction scores.

Language Available: English (Original versions of component scales are widely translated into numerous languages globally).

Population Group: Adult males diagnosed with or seeking treatment for Erectile Dysfunction.

Age Group: Adult (Typically 18+).

Population Details: Patients undergoing or considering various medical, surgical, or psychological treatments for ED.

Test Methodology: Clinical assessment tool utilized to track efficacy and quality-of-life outcomes in ED trials. Scoring involves summing item scores within subscales, followed by potential transformation (e.g., EDITS and SEAR transformed scores range from 0-100; IIEF subscales have specific raw score ranges).

Keywords

Urology, Sexual Health, Treatment Efficacy, Patient Reported Outcomes (PROs), Quality of Life, Clinical Trials, Andrology.

Authors

Author ORCID Identifier: N/A (Refer to individual scale authors for specific ORCIDs)

Affiliation Email addresses: N/A

Correspondence Address: N/A

Permissions & Fee and Test Year

The component scales were developed around the late 1990s and early 2000s (EDITS: 1999; IIEF: 1999; SEAR: 2004). Permissions and licensing requirements vary for each scale; researchers and clinicians must seek authorization from the original scale developers or copyright holders (often pharmaceutical companies or academic institutions) before use in clinical trials or commercial settings.

Reference’s

Althof, S. E., Corty, E. W., Levine, S. B., Levine, F., Burnett, A. L., McVary, K., . . . Seftel, A. D. (1999). EDITS: development of questionnaires for evaluating satisfaction with treatments for erectile dysfunction. Urology, 53(4), 793-799.
Cappelleri, J., Althof, S., Siegel, R., Shpilsky, A., Bell, S., & Duttagupta, S. (2004). Development and validation of the Self-Esteem And Relationship (SEAR) questionnaire in erectile dysfunction. International Journal of Impotence Research, 16(1), 30-38.
Rosen, R., Cappelleri, J., Smith, M., Lipsky, J., & Pena, B. (1999). Development and evaluation of an abridged, 5-item version of the International Index of Erectile Function (IIEF-5) as a diagnostic tool for erectile dysfunction. International Journal of Impotence Research, 11(6), 319-326.

Items of the Combined erectile dysfunction tests (EDITS, IIEF, SEAR,) (CEDT)

IMPORTANT: The following scale items must be preserved in their original language and must not be changed in any way.

	The following questions are regarding current treatment for erectile dysfunction. If you are not
1	receiving treatment please indicate so for the following 11 questions and proceed to question 12.
	(EDITS 1) Overall, how satisfied are you with this treatment?
	0	Not receiving treatment
	4	Very satisfied
	3	Somewhat satisfied
	2	Neither satisfied nor dissatisfied
	1	Somewhat dissatisfied
	0	Very dissatisfied
2	(EDITS 2) During the past four weeks, to what degree has the treatment met your expectations?
	0	Not receiving treatment
	4	Completely
	3	Considerably
	2	Half way
	1	A little
	0	Not at all
3	(EDITS 3) How likely are you to continue using this treatment?
	0	Not receiving treatment
	4	Very likely
	3	Moderately likely
	2	Neither likely nor unlikely
	1	Moderately unlikely
	0	Very unlikely
4	(EDITS 4) During the past four weeks, how easy was it for you to use this treatment?
	0	Not receiving treatment
	4	Very easy
	3	Moderately easy
	2	Neither easy nor difficult
	1	Moderately difficult
	0	Very difficult

5	(EDITS 5) During the past four weeks, how satisfied have you been with how quickly the treatment works?
	0	Not receiving treatment
	4	Very satisfied
	3	Somewhat satisfied
	2	Neither satisfied nor dissatisfied
	1	Somewhat dissatisfied
	0	Very dissatisfied
6	(EDITS 6) During the past four weeks, how satisfied have you been with how long the treatment lasts?
	0	Not receiving treatment
	4	Very satisfied
	3	Somewhat satisfied
	2	Neither satisfied nor dissatisfied
	1	Somewhat dissatisfied
	0	Very dissatisfied
7	(EDITS 7) How confident has this treatment made you feel about your ability to engage in sexual activity?
	0	Not receiving treatment
	4	Very confident
	3	Somewhat confident
	2	It has had no impact
	1	Somewhat less confident
	0	Very much less confident
8	(EDITS 8) Overall, how satisfied do you believe your partner is with the effects of this treatment?
	0	Not receiving treatment
	4	Very satisfied
	3	Somewhat satisfied
	2	Neither satisfied nor dissatisfied
	1	Somewhat dissatisfied
	0	Very dissatisfied
9	(EDITS 9) How does your partner feel about your continuing to use this treatment?
	0	Not receiving treatment
	4	My partner absolutely wants me to continue
	3	My partner generally prefers me to continue
	2	My partner has no opinion
	1	My partner generally prefers me to stop
	0	My partner absolutely wants me to stop

10	(EDITS 10) How natural did the process of achieving an erection feel when you used this treatment over the past four weeks?
	0	Not receiving treatment
	4	Very natural
	3	Somewhat natural
	2	Neither natural nor unnatural
	1	Somewhat unnatural
	0	Very unnatural
11	(EDITS 11) Compared to before you had an erection problem, how would you rate the naturalness of your erection when you used this treatment over the past four weeks in terms of hardness?
	0	Not receiving treatment
	4	A lot harder than before I had an erection problem
	3	Somewhat harder than before I had an erection problem
	2	The same hardness as before I had an erection problem
	1	Somewhat less hard than before I had an erection problem
	0	A lot less hard than before I had an erection problem
	The following questions asks you about areas concerning your sexual functioning; (that is, erectile
	function, orgasmic function, sexual desire, intercourse). Please answer the questions as honestly
12	and candidly as you can. If any questions or terms are unclear, please ask for clarification.
	(IIEF 1) Over the past four weeks, how often were you able to get an erection during sexual
	activity?
	0	No sexual activity
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always
13	(IIEF 2) Over the past four weeks, when you had erections with sexual stimulation, how often were your erections hard enough for penetration?
	0	No sexual activity
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always

14	(IIEF 3) Over the past four weeks, when you attempted sexual Intercourse, how often were you able to penetrate (enter) your partner?
	0	Did not attempt intercourse
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always
15	(IIEF 4) Over the past four weeks, during sexual intercourse how often were you able to maintain your erection after you had penetrated (entered) your partner?
	0	Did not attempt intercourse
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always
16	(IIEF 5) Over the past four weeks, during sexual intercourse, how difficult was it to maintain your erection to completion of intercourse?
	0	Did not attempt intercourse
	1	Extremely difficult
	2	Very difficult
	3	Difficult
	4	Slightly difficult
	5	Not difficult
17	(IIEF 6) Over the past four weeks, how many times have you attempted sexual intercourse?
	0	No attempts
	1	One to two attempts
	2	Three to four attempts
	3	Five to six attempts
	4	Seven to ten attempts
	5	Eleven attempts
18	(IIEF 7) Over the past four weeks, when you attempted sexual intercourse, how often was it satisfactory for you?
	0	Did not attempt intercourse
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always

19	(IIEF 8) Over the past four weeks, how much have you enjoyed sexual intercourse?
	0	No intercourse
	1	No enjoyment
	2	Not very enjoyable
	3	Fairly enjoyable
	4	Highly enjoyable
	5	Very highly enjoyable
20	(IIEF 9) Over the past four weeks, when you had sexual stimulation or intercourse, how often did you ejaculate? (If you have had Prostate cancer treatment, please answer “Almost
	0	No sexual stimulation/intercourse
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always
21	(IIEF 10) Over the past four weeks, when you had sexual stimulation or intercourse, how often did you have the feeling of orgasm or climax?
	0	No sexual stimulation/intercourse
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always
22	(IIEF 11) Over the past four weeks, how often have you felt sexual desire?
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always
23	(IIEF 12) Over the past four weeks, how would you rate your level of sexual desire?
	1	Very low/none at all
	2	Low
	3	Moderate
	4	High
	5	Very high

24	(IIEF 13) Over the past four weeks, how satisfied have you been with your overall sex life?
	1	Very dissatisfied
	2	Moderately dissatisfied
	3	About equally satisfied and dissatisfied
	4	Moderately satisfied
	5	Very satisfied
25	(IIEF 14) Over the past four weeks, how satisfied have you been with your sexual relationship with your partner?
	1	Very dissatisfied
	2	Moderately dissatisfied
	3	About equally satisfied and dissatisfied
	4	Moderately satisfied
	5	Very satisfied
26	(IIEF 15) Over the past four weeks, how do you rate your confidence that you could get and keep an erection?
	1	Very low
	2	Low
	3	Moderate
	4	High
	5	Very high
	The following questions ask about a sensitive topic, your sexual life with your wife or partner as
	well as your attitude towards and expectations from the treatment method you are using to help
27	with your erection problem. Please answer the questions as honestly and candidly as you can.
	(SEAR 1) During the past four weeks, I felt relaxed about initiating sex with my partner.
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always
28	(SEAR 2) During the past four weeks, I felt confident that during sex my erection would last long enough.
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always

29	(SEAR 3) During the past four weeks, I was satisfied with my sexual performance.
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always
30	(SEAR 4) During the past four weeks, I felt that sex could be spontaneous.
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always
31	(SEAR 5) During the past four weeks, I was likely to initiate sex.
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always
32	(SEAR 6) During the past four weeks, I felt confident about performing sexually.
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always
33	(SEAR 7) During the past four weeks, I was satisfied with our sex life.
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always
34	(SEAR 8) During the past four weeks, my partner was unhappy with the quality of our sexual relations.
	5	Almost never/never
	4	A few times (much less than half the time)
	3	Sometimes (about half the time)
	2	Most times (much more than half the time)
	1	Almost always/always

35	(SEAR 9) During the past four weeks, I had good self-esteem.
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always
36	(SEAR 10) During the past four weeks, I felt like a whole man.
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always
37	(SEAR 11) During the past four weeks, I was inclined to feel that I am a failure.
	5	Almost never/never
	4	A few times (much less than half the time)
	3	Sometimes (about half the time)
	2	Most times (much more than half the time)
	1	Almost always/always
38	(SEAR 12) During the past four weeks, I felt confident.
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always
39	(SEAR 13) During the past four weeks, my partner was satisfied with our relationship in general.
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always
40	(SEAR 14) During the past four weeks, I was satisfied with our relationship in general.
	1	Almost never/never
	2	A few times (much less than half the time)
	3	Sometimes (about half the time)
	4	Most times (much more than half the time)
	5	Almost always/always

Cite this article

APAMLACHICAGOHARVARDIEEEAMA

Mohammed looti (2025). Combined Erectile Dysfunction Tests (EDITS, IIEF, SEAR,) (CEDT). Psychological Scales & Instruments Database. Retrieved from https://db.arabpsychology.com/scales/combined-erectile-dysfunction-tests-edits-iief-sear-cedt/

Mohammed looti. "Combined Erectile Dysfunction Tests (EDITS, IIEF, SEAR,) (CEDT)." Psychological Scales & Instruments Database, 27 Oct. 2025, https://db.arabpsychology.com/scales/combined-erectile-dysfunction-tests-edits-iief-sear-cedt/.

Mohammed looti. "Combined Erectile Dysfunction Tests (EDITS, IIEF, SEAR,) (CEDT)." Psychological Scales & Instruments Database, 2025. https://db.arabpsychology.com/scales/combined-erectile-dysfunction-tests-edits-iief-sear-cedt/.

Mohammed looti (2025) 'Combined Erectile Dysfunction Tests (EDITS, IIEF, SEAR,) (CEDT)', Psychological Scales & Instruments Database. Available at: https://db.arabpsychology.com/scales/combined-erectile-dysfunction-tests-edits-iief-sear-cedt/.

[1] Mohammed looti, "Combined Erectile Dysfunction Tests (EDITS, IIEF, SEAR,) (CEDT)," Psychological Scales & Instruments Database, vol. X, no. Y, ص Z-Z, October, 2025.

Mohammed looti. Combined Erectile Dysfunction Tests (EDITS, IIEF, SEAR,) (CEDT). Psychological Scales & Instruments Database. 2025;vol(issue):pages.