Sexual Dysfunction and Sexual Behaviors in a Sample of Brazilian Male Substance Misusers

Diehl, Alessandra; Pillon, Sandra Cristina; Santos, Manoel Antônio dos; Rassool, G. Hussein; Laranjeira, Ronaldo

doi:10.1177/1557988315569298

Cited by 13 publications

(11 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although some drugs can initially increase sexual response, particularly in those with previous sexual problems, the chronic use of substances tends to deteriorate all stages of sexual function in both male and female drug users [3][4][5] . In line with this evidence, a very high prevalence of sexual dysfunction was recently reported in association with substance use disorders in a Brazilian sample, with a significant correlation between sexual problems and the severity of drug use [6] .…”

Section: Introductionsupporting

confidence: 54%

Sexual Dysfunction in Men Receiving Methadone Maintenance Treatment: Clinical History and Psychobiological Correlates

et al. 2015

View full text Add to dashboard Cite

A variety of studies evidenced a relationship between drug use disorders and sexual dysfunction. In particular, heroin and opioid agonist medications to treat heroin dependence have been found to be associated with erectile dysfunction and reduced libido. Controversial findings also indicate the possibility of factors other than the pharmacological effects of opioid drugs concurring to sexual dysfunction. With the present study, we investigated the link between sexual dysfunction and long-term exposure to opioid receptor stimulation (heroin dependence, methadone maintenance treatment, methadone dosage), the potentially related hormonal changes reflecting hypothalamus-pituitary-gonadal axis function and prolactin (PRL) pituitary release, the role of adverse childhood experiences in the clinical history and the concomitant symptoms of comorbid mental health disorders in contributing to sexual problems. Forty male patients participating in a long-term methadone treatment program were included in the present study and compared with 40 healthy control subjects who never used drugs nor abused alcohol. All patients and controls were submitted to the Arizona Sexual Experiences Scale (ASEX), Child Experiences of Care and Abuse-Questionnaire (CECA-Q) and the Symptom Check List-90 Scale. A blood sample for testosterone and PRL assays was collected. Methadone dosages were recorded among heroin-dependent patients on maintenance treatment. Methadone patients scored significantly higher than controls on the 5-item rating ASEX scale, on CECA-Q and on Symptoms Check List 90 (SCL 90) scale. Testosterone plasma levels were significantly lower and PRL levels significantly higher in methadone patients with respect to the healthy control group. ASEX scores reflecting sexual dysfunction were directly and significantly correlated with CECA-Q neglect scores and SCL 90 psychiatric symptoms total score. The linear regression model, when applied only to addicted patients, showed that methadone dosages were not significantly correlated with sexual dysfunction scores except for ‘erectile dysfunction', for which an inverse association was evidenced. Testosterone values showed a significant inverse correlation with ASEX sexual dysfunction scores, CECA-Q neglect scores and psychiatric symptom at SCL 90 among methadone patients. PRL levels were directly and significantly correlated with sexual dysfunction scores, psychiatric symptoms at SCL 90 and CECA-Q neglect scores. Both testosterone and PRL did not correlate with methadone dosages. The present findings appear to support the view of childhood adversities and comorbid psychiatric symptoms contributing to sexual dysfunction and related hormonal changes among methadone patients, challenging the assumption that attributes sexual problems entirely to the direct pharmacological effects of opioid agonist medications.

show abstract

Section: Introductionsupporting

confidence: 54%

Sexual Dysfunction in Men Receiving Methadone Maintenance Treatment: Clinical History and Psychobiological Correlates

et al. 2015

View full text Add to dashboard Cite

show abstract

“…A growing number of voices within the health behaviour field itself (e.g. Diehl et al, 2016; Katikireddi et al, 2013; Kaufman et al, 2014; Stetson et al, 2016) are echoing this sentiment. Of course one would expect disciplines such as psychology and medicine to remain central given the methodological and conceptual nature of HBIs; however, there is space also for incorporating more nuanced understandings of the social context in which HBIs take place.…”

Section: Discussionmentioning

confidence: 99%

How do health behaviour interventions take account of social context? A literature trend and co-citation analysis

2017

View full text Add to dashboard Cite

In recent years, health behaviour interventions have received a great deal of attention in both research and policy as a means of encouraging people to lead healthier lives. The emphasis of such interventions has varied over time, in terms of level of intervention (e.g. individual vs community) and drawing on different disciplinary perspectives. Recently, a number of critiques have focused on how health behaviour interventions sometimes sideline issues of social context, framing health as a matter of individual choice and, by implication, a personal responsibility. Part of this criticism is that health behaviour interventions often do not draw on alternative social science understandings of the structured and contextual aspects of behaviour and health. Yet to our knowledge, no study has attempted to empirically assess the extent to which, and in what ways, the health behaviour intervention field has paid attention to social context. In this article, we undertake this task using bibliometric techniques in order to map out the health behaviour intervention field. We find that the number of health behaviour interventions has grown rapidly in recent years, especially since around 2006, and that references to social science disciplines and concepts that foreground issues of social context are rare and, relatively speaking, constitute less of the field post 2006. More quantifiable Corresponding author:Daniel Holman, Department of Sociological Studies, University of Sheffield, Elmfield, Northumberland Road, Sheffield S10 2TU, UK. Email: daniel.holman@sheffield.ac.uk 695630H EA0010.1177/1363459317695630HealthHolman et al. research-article2017Article 390 Health 22 (4) concepts are used most, and those more close to the complexities of social context are mentioned least. The document co-citation analysis suggests that pre 2006, documents referring to social context were relatively diffuse in the network of key citations, but post 2006 this influence had largely diminished. The journal co-citation analysis shows less disciplinary overlap post 2006. At present, health behaviour interventions are continuing to focus on individualised approaches drawn from behavioural psychology and behavioural economics. Our findings lend empirical support to a number of recent papers that suggest more interdisciplinary collaboration is needed to advance the field.

show abstract

“…Various studies have shown that the prevalence of sexual dysfunction is higher in men with substance dependence compared to men without [10,11]. A total of 40.9% of the men with substance abuse suffer from some kind of sexual dysfunction, with the most common being erectile dysfunction [11], which has a reported prevalence that is three times higher than in the general public [10]. Previous studies have shown that the long-term use of alcohol and opioids causes dysfunction in all the aspects of the individual's sexual function [8].…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have shown that substance dependence in men can affect sexual function and cause problems such as the lack of libido, erectile and orgasm dysfunction and even sexual violence [8][9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Sexual assertiveness in women with and without substance-dependent husbands: A comparative study

Haghparast

Riazi

Shams

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Sexual assertiveness is one of the main issues in sexual relationship between couples. Since substance dependence might disrupt this relationship the present study was designed and conducted to assess and compare sexual assertiveness in women with and without substance-dependent husbands Methods This was a cross-sectional study. The Hurlbert Index of Sexual Assertiveness (HISA) was used. The data then were compared between women with and without substance-dependent husbands. Results In all 300 women with and without substance-dependent husbands entered into the study. The mean age of the women was 37.31±8.79 and 32.70±7.24 years, and the mean duration of their marriage was 15.92±9.40 and 12.08±8.92 years, respectively. The majority of women with substance-dependent husbands had primary education (40.3%) and the majority of those with non-substance-dependent husbands had higher (37.3%). The mean score of sexual assertiveness was 50.66±14.31 in the women with substance-dependent husbands and 58.42±13.86 in those with non-substance-dependent husbands (P<0.001). Conclusions The risk of lower assertiveness for women with substance-dependent husbands was 2.2 times more than women with non-substance-dependent husbands. The husband’s substance dependency is therefore an issue that is worthy of attention in sexual and marital counseling. Sexual assertiveness can be improved in women with substance-dependent husbands through the implementation of appropriate interventions, such as educational and counseling programs.

show abstract

Sexual Dysfunction and Sexual Behaviors in a Sample of Brazilian Male Substance Misusers

Cited by 13 publications

References 47 publications

Sexual Dysfunction in Men Receiving Methadone Maintenance Treatment: Clinical History and Psychobiological Correlates

Sexual Dysfunction in Men Receiving Methadone Maintenance Treatment: Clinical History and Psychobiological Correlates

How do health behaviour interventions take account of social context? A literature trend and co-citation analysis

Sexual assertiveness in women with and without substance-dependent husbands: A comparative study

Contact Info

Product

Resources

About