Rohilla Jitendra, Dhanda Guarav, Meena Parth Singh, Jilowa Charan Singh, Tak Pinki, Jain Mahendra
Department of Psychiatry, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, De Addiction Unit, India.
Navjeevan Psychiatry Centre, De-Addiction Unit, Mansa, Punjab, India.
Ind Psychiatry J. 2020 Jan-Jun;29(1):82-87. doi: 10.4103/ipj.ipj_5_20. Epub 2020 Nov 7.
Chronic use of alcohol affects almost every organ system of the body, including male sexual functions. There are only a few Indian studies, which have assessed sexual functions in alcohol-dependent (AD) men and many of them have limitations. This study was aimed to assess sexual functions and marital satisfaction among AD individuals compared to matched controls.
A cross-sectional descriptive study was carried out on 70 AD men (study group) and an equal number of matched controls and their spouses in the Department of psychiatry of Jawahar Lal Nehru Medical College, Ajmer. Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised, and Severity of Alcohol Dependence Questionnaire (SADQ) were used to assess withdrawal state and severity of alcohol dependence in the AD group. Marital Adjustment Test (MAT) and Arizona Sexual Experience Scale (ASEX) were used in both study and control groups to assess marital satisfaction and various aspects of sexual functioning.
More than half of the men (58.6%) with alcohol dependence were found to have sexual dysfunction compared to only one-fifth in the control group (18.5%). The most commonly affected sexual functions were the ability to get and keep erection (70%) and arousal (62.8%). There was a large negative correlation of MAT scores in the AD group with the SADQ, rho (ρ) = -0.68, and sexual dysfunction (ASEX), rho (ρ) = -0.57. However, the duration of alcohol use did not have any significant association with marital satisfaction.
This study showed that participants with AD were more likely to have sexual dysfunction and lower level of marital satisfaction in their spouses. This effect was not because of acute intoxication of alcohol or withdrawal symptoms. We need further research to ascertain whether sexual dysfunction and marital dissatisfaction is a result of alcohol dependence or its reinforcer or both.
长期饮酒会影响身体的几乎每个器官系统，包括男性性功能。印度仅有少数研究评估了酒精依赖男性的性功能，且其中许多研究存在局限性。本研究旨在评估酒精依赖个体与匹配对照组相比的性功能和婚姻满意度。
在阿杰梅尔贾瓦哈拉尔·尼赫鲁医学院精神病科，对70名酒精依赖男性（研究组）以及数量相等的匹配对照组及其配偶进行了一项横断面描述性研究。使用修订后的酒精临床研究所戒断评估量表和酒精依赖严重程度问卷（SADQ）来评估酒精依赖组的戒断状态和酒精依赖严重程度。研究组和对照组均使用婚姻调适测试（MAT）和亚利桑那性体验量表（ASEX）来评估婚姻满意度和性功能的各个方面。
发现超过一半（58.6%）的酒精依赖男性存在性功能障碍，而对照组中只有五分之一（18.5%）有此情况。最常受影响的性功能是勃起和维持勃起的能力（70%）以及性唤起（62.8%）。酒精依赖组的MAT评分与SADQ呈高度负相关，rho（ρ） = -0.68，与性功能障碍（ASEX）也呈高度负相关，rho（ρ） = -0.57。然而，饮酒时间与婚姻满意度没有任何显著关联。
本研究表明，酒精依赖参与者更有可能出现性功能障碍，其配偶的婚姻满意度较低。这种影响并非由于酒精急性中毒或戒断症状。我们需要进一步研究以确定性功能障碍和婚姻不满是酒精依赖的结果，还是其强化因素的结果，抑或是两者共同作用的结果。
