Document Type : Original Article
Authors
- . Ravi Singh Bhainsora
- . Pradeep Shriram Patil
- . Ajinkya Sureshrao Ghogare
- . Ganpatlal Kodarbhai Vankar
Department of Psychiatry, Parul Institute of Medical Sciences and Research, Vadodara, Gujarat, India
Abstract
BACKGROUND: Chronic and persistent alcohol use is one of the most common significant
psychiatric illnesses known to cause sexual dysfunction. The aim of the present study is to study
the prevalence and types of sexual dysfunction in the clinical sample of married male patients with
alcohol dependence syndrome (ADS).
MATERIALS AND METHODS: The present cross‑sectional study was conducted in a tertiary
healthcare center from Central Rural India over an 18‑month period (from November 1, 2017, to
April 30, 2019), with a sample size of 100 patients with diagnosis of ADS. Data were collected
using convenient sampling method from married male patients diagnosed with ADS, based on the
International Classification of Mental and Behavioral Disorders, 10th Edition–Diagnostic Criteria for
Research. Sociodemographic profile and clinical variables were recorded in a specific case report
form prepared for the study using the severity of alcohol dependence questionnaire (SADQ) to assess
the severity of ADS and using Arizona sexual experiences scale (ASEX) to assess the types and
prevalence of sexual dysfunction among patients with ADS. Data were collected and analyzed using
SPSS Software Version 15.0, Chi‑square test, and Pearson’s test of correlation.
RESULTS: Of the 100 patients of ADS assessed, 48% had sexual dysfunction. Majority of the patients
reported more than one sexual dysfunction with 87.5% of the patients reporting reduced sexual drive,
79.1% of the patients reported dysfunction in sexual arousal, while erectile dysfunction was found in
58% of the patients. 54% of the patients reported difficulty in reaching orgasm. The lowest prevalence
in our study was of orgasmic satisfaction reported by 31.2% of the patients. There was high positive
correlation between SADQ scores and ASEX scores. Thus, as the severity of ADS increased, the
risk of development of sexual dysfunctions also increased. Further, there was comparatively low but
positive correlation between duration of ADS and sexual dysfunction on ASEX scores, indicating
that as the duration of ADS increased, the risk of occurrence of sexual dysfunctions also increased.
CONCLUSION: Chronic and severe alcohol dependence increases the chances of developing sexual
dysfunctions. These findings can be utilized in the motivation enhancement therapy of patients with
ADS to quit alcohol consumption and to improve their quality of sexual life.
Keywords
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