Department of Psychiatry, Shridevi Institute of Medical Sciences and Research Hospital, Tumkur, India.
Department of General Medicine, Shridevi Institute of Medical Sciences and Research Hospital, Tumkur, India.
Asian J Psychiatr. 2017 Aug;28:9-14. doi: 10.1016/j.ajp.2017.03.007. Epub 2017 Mar 10.
To study the prevalence, typology and specified demographic and clinical correlates of SD among female patients seeking treatment for alcohol dependence syndrome (ADS).
40 women with ADS and 40 matched healthy controls (HC) were assessed for SD using a Sexual Dysfunction Checklist (SDC) and Arizona Sexual Experience Questionnaire (ASEX).
In women with ADS, 55% had one or more SD as per ASEX, most common being low sexual desire (55%) followed by inability to reach orgasm (52.5%), and dissatisfaction with orgasm (50%). As per SDC, low sexual desire (55%), anorgasmia (52.5%) and dissatisfaction with own sexual function (45%) were the most common SD noted. In comparison with HC, the prevalence of SD in patients with ADS was significantly higher in all domains. Low educational qualification, initiation of alcohol at earlier age, longer duration of alcohol consumption and dependence and sever dependence appeared to be the most significant predictors of developing SD.
SD rates are higher among patients with ADS compared to HC and all domains of sexual functioning are affected. Clinicians need to routinely assess sexual functioning and plan for gender sensitive, multidimensional treatment.
研究女性酒精依赖综合征(ADS)患者性功能障碍(SD)的患病率、类型学以及特定的人口统计学和临床相关性。
使用性性功能障碍检查表(SDC)和亚利桑那性体验问卷(ASEX)对 40 名 ADS 女性患者和 40 名匹配的健康对照者(HC)进行 SD 评估。
在 ADS 女性中,55%的人根据 ASEX 有一个或多个 SD,最常见的是性欲低下(55%),其次是无法达到性高潮(52.5%)和对性高潮不满意(50%)。根据 SDC,性欲低下(55%)、性高潮障碍(52.5%)和对自身性功能不满意(45%)是最常见的性功能障碍。与 HC 相比,ADS 患者的 SD 患病率在所有领域均显著更高。较低的教育程度、较早开始饮酒、饮酒时间较长、依赖程度较高和严重依赖似乎是导致 SD 的最显著预测因素。
与 HC 相比,ADS 患者的 SD 发生率更高,所有性功能领域均受到影响。临床医生需要常规评估性功能,并制定针对性别敏感的多维治疗计划。