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酒精依赖综合征男性患者性功能障碍的患病率及其相关因素:一项横断面研究。

Prevalence and correlates of sexual dysfunction in male patients with alcohol dependence syndrome: A cross-sectional study.

作者信息

Prabhakaran Deepak Koyilerian, Nisha A, Varghese P Joseph

机构信息

Department of Psychiatry, MOSC Medical College, Kolenchery, Kerala, India.

出版信息

Indian J Psychiatry. 2018 Jan-Mar;60(1):71-77. doi: 10.4103/psychiatry.IndianJPsychiatry_42_17.

Abstract

BACKGROUND

Contrary to the popular belief concerning the aphrodisiac effects of alcohol, there exists scientific evidence which conclude on sexual dysfunction caused by chronic alcohol use. There is a dearth of studies from India.

AIM

The aim is to estimate the prevalence and correlates of sexual dysfunction in alcohol-dependent patients and to explore the association between sexual dysfunction and various alcohol-related variables.

MATERIALS AND METHODS

The study employed a cross-sectional descriptive design and recruited 84 male patients admitted for de-addiction in a tertiary care center. The evaluation was conducted using a specially designed intake proforma and tools such as Severity of Alcohol Dependence Questionnaire, Arizona Sexual Experience Scale, and International Classification of Disease, 10 revision, diagnostic criteria for research.

RESULTS

Thirty-seven percent of the patients had sexual dysfunction - the most common type being erectile dysfunction (25%), followed by dysfunction in satisfying orgasm (20%) and premature ejaculation (15.5%). Sexual dysfunction was significantly associated with the duration of alcohol dependence, amount of alcohol consumed per day, and severity of alcohol dependence.

CONCLUSIONS

Sexual dysfunction is common in male patients with alcohol dependence. The study highlights the detrimental effects of alcohol on sexual function and this information can be utilized in motivational interviewing of patients with alcohol dependence syndrome.

摘要

背景

与关于酒精具有催情作用的普遍看法相反,有科学证据表明长期饮酒会导致性功能障碍。印度在这方面的研究较少。

目的

旨在评估酒精依赖患者性功能障碍的患病率及其相关因素,并探讨性功能障碍与各种酒精相关变量之间的关联。

材料与方法

本研究采用横断面描述性设计,招募了84名在三级医疗中心接受戒酒治疗的男性患者。评估使用专门设计的入院表格以及诸如酒精依赖严重程度问卷、亚利桑那性体验量表和《国际疾病分类》第10版研究诊断标准等工具进行。

结果

37%的患者存在性功能障碍,最常见的类型是勃起功能障碍(25%),其次是性高潮满足障碍(20%)和早泄(15.5%)。性功能障碍与酒精依赖的持续时间、每日饮酒量以及酒精依赖的严重程度显著相关。

结论

性功能障碍在酒精依赖男性患者中很常见。该研究突出了酒精对性功能的有害影响,这些信息可用于对酒精依赖综合征患者的动机性访谈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c6ab/5914267/bf4464901cd0/IJPsy-60-71-g002.jpg

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