Sathyanarayana Rao T S, Maheshwari Shreemit, George Manju, Chandran Suhas, Manohar Shivanand, Rao Suman S
Department of Psychiatry, J.S.S Medical College and Hospital, J.S.S University, Mysore, India.
Department of Psychiatry, Vydehi Institue of Medical Sciences and Research Centre, Bengaluru, Karnataka, India.
Indian J Psychiatry. 2018 Feb;60(Suppl 4):S506-S509. doi: 10.4103/psychiatry.IndianJPsychiatry_37_18.
Substance abuse and addictive disorders are very common in the community. Patients with addictive disorders frequently experience sexual dysfunctions and chronic use of substances tends to adversely affect all stages of sexual response, in both male and female abusers. An important aspect in the management of sexual dysfunction is psychosocial intervention. In addictive disorders, sexual dysfunction is of high clinical relevance, as it often leads to treatment non adherence and sexual or marital disharmony. Instead of a disease-centred approach, a couple and relationship centred approach of management is desirable. A detailed history about the sexual dysfunction, the addictive disorder and enquiry into various psychosocial aspects is mandatory for adequate management of the same. Sexual therapy, behavioural techniques, systematic sensitization and desensitization are some of the techniques used in the management of sexual dysfunction in addictive disorders. The assessment and treatment need to be tailored depending upon the various psychosocial aspects of the individual.
物质滥用和成瘾性障碍在社区中非常常见。成瘾性障碍患者经常出现性功能障碍，而且物质的长期使用往往会对男性和女性滥用者的性反应的各个阶段产生不利影响。性功能障碍管理中的一个重要方面是心理社会干预。在成瘾性障碍中，性功能障碍具有高度的临床相关性，因为它常常导致治疗依从性差以及性或婚姻不和谐。管理方法不应以疾病为中心，而应以夫妻和关系为中心。为了对性功能障碍进行充分管理，详细了解性功能障碍、成瘾性障碍的病史以及对各种心理社会方面进行询问是必不可少的。性治疗、行为技术、系统脱敏和减敏是用于管理成瘾性障碍中性功能障碍的一些技术。评估和治疗需要根据个体的各种心理社会方面进行调整。
