scholarly journals An overlooked issue: sexual dysfunctions in men addicted to alcohol

2018 ◽  
Vol 19 (2) ◽  
pp. 112-124 ◽  
Author(s):  
Jakub Siembida ◽  
Piotr Frończuk ◽  
Justyna Morylowska-Topolska ◽  
Aleksandra Siek ◽  
Hanna Karakuła-Juchnowicz

Abstract Introduction According to the data obtained in the EZOP Poland study (2015), the prevalence of alcohol dependence in lifetime in Poland amounts to about 2.2% of the population, entailing enormous social, family and personal harm, including health damage. It is estimated that about 72% of alcohol-dependent patients complain about one or more problems related to the sexual sphere, which may result from both the development of somatic complications in the course of alcohol dependence, and from psychiatric complications that themselves can lead to sexual dysfunction. There are reports and clinical observations indicating that the occurrence of sexual dysfunction (SD) can affect the shortening or interruption of the period of abstinence. Aim The aim of this work is to show sexual dysfunctions in alcohol-dependent men and to discuss the factors that may affect the occurrence of the above-mentioned dysfunctions. Material and methods The available literature was reviewed using Medline, Google Scholar and ScienceDirect browsers by entering the keywords: alcohol dependence, sexual dysfunction, comorbidity, alcohol-caused diseases and time descriptors: 1979-2016. Results • Alcohol dependence is associated with the occurrence of various types of sexual dysfunctions (SD). • The diagnosis of SD should take into account all possible causes that may lead to the development of SD in this group of patients, including the comorbidity of somatic diseases or the negative impact of drugs on sexual function. • Occurrence of SD is connected with a higher risk of abstinence interruption. • There is a need to carry out more research in order to better understand the relationship between alcohol dependence and the prevalence of sexual dysfunctions.

2011 ◽  
Vol 23 (1) ◽  
pp. 102-116
Author(s):  
Ralph-Michael Karrasch ◽  
Monika Reichert

This study shows that caregiving for a spouse with a chronic disease or disability can be a difficult task in many ways and can have a negative impact (e.g. lack of intimacity, sexual problems) on the quality of the relationship between the couple. With regard to sexual problems, for example, insufficient ways to handle sexual dysfunction of the (male) partner, the avoidance of talking about sexuality, a misleading perception of each other’s sexual needs and jealousy can be experienced as especially burdensome. As a consequence, very often caregivers and care receivers report a lower marital satisfaction compared to the time before the caregiving situation set in. In order to reduce the negative impact caregiving may have on the partnership, changes in everyday life and in the relationship have to be accepted and, adequate coping strategies have to be used or learned, respectively (e.g. improvement of verbal communication skills). Zusammenfassung: Diese Studie zeigt, dass die Pflege eines Partners mit chronischer Erkrankung oder Einschränkung in vielerlei Hinsicht eine schwierige Aufgabe darstellt und negative Auswirkungen – wie einen Mangel an Zärtlichkeit oder sexuelle Probleme – auf die Partnerschaftsqualität haben kann. In Hinblick auf sexuelle Probleme können unzureichende Wege mit sexueller Dysfunktion des (männlichen) Partners umzugehen, das Vermeiden von Gesprächen über Sexualität, eine irreführende Wahrnehmung der gegenseitigen sexuellen Bedürfnisse und Eifersucht als besonders belastend erlebt werden. Als Folge berichten Pflegende und Gepflegte über eine geringere Zufriedenheit mit der Partnerschaft als in der Zeit, bevor die Pflegesituation auftrat. Um die möglichen negativen Auswirkungen einer Pflegesituation auf die Partnerschaft zu verringern, müssen Veränderungen im alltäglichen Leben und in der Partnerschaft besser angenommen und adäquate Bewältigungsstrategien wie z.B. eine Verbesserung der verbalen Kommunikation genutzt bzw. erlernt werden.


2019 ◽  
Vol 1 (3-4) ◽  
pp. 257-261
Author(s):  
Priya R. Nair ◽  
Sivin P. Sam ◽  
Roy Abraham Kallivayalil

Background: Chronic alcohol dependence is known to cause psychosexual dysfunction, which leads to marked psychiatric morbidity. There is a dearth of studies from India in this area. Aim: To estimate the frequency of psychosexual dysfunction in individuals with alcohol dependence and to explore the association between psychosexual dysfunction and various socio-demographic and alcohol-related variables. Materials and Methods: This is a cross-sectional descriptive study conducted on 50 male patients in a tertiary care center. The evaluation was conducted using a specially designed intake pro forma and tools such as the severity of alcohol dependence questionnaire, checklist for sexual dysfunction and International Classification of Disease, Tenth Revision, and diagnostic criteria for research. Results: Sexual dysfunction was present in 66% of alcohol-dependent individuals. The most common among them was found to be aversion to sex (32%) followed by erectile dysfunction (24%). In most of the cases, patients having erectile dysfunction were also found to have aversion to sex. Conclusion: Sexual dysfunction is highly prevalent in male patients with alcohol dependence. The study highlights the detrimental effects of alcohol on sexual function apart from other etiological factors.


1995 ◽  
Vol 166 (2) ◽  
pp. 199-204 ◽  
Author(s):  
Kate M. Davidson

BackgroundDepression and alcohol dependence are frequently found to co-exist but the relationship between these disorders requires further elucidation. This study tested several hypotheses related to the relevance of whether the diagnosis of depression was made before admission or after detoxification in the current episode for those with alcohol dependence.MethodThe Schedule for Affective Disorders and Schizophrenia (SADS) was administered to obtain Research Diagnostic Criteria (RDC) on 82 randomly selected alcohol dependent in-patients. Alcohol-related (Severity of Alcohol Dependence Questionnaire (SADQ), alcohol consumption and alcohol-related problems), socio-demographic variables and treatment for depression were assessed.ResultsFor the episode of drinking which led to admission, a diagnosis of major depression was found in the majority of patients (67%). Once detoxification from alcohol took place, only the minority (13%) met criteria for major depression.ConclusionsIt is suggested that depression is largely associated with the episode of drinking which led to admission in patients who are dependent on alcohol and may be due to the effect of chronic alcohol intoxication. Socio-demographic and alcohol-related characteristics appear to bear little relation to the presence of depression. Clinicians exercise appropriate judgement in not prescribing antidepressant treatments to patients whose depression may remit with abstinence from alcohol.


Author(s):  
Michelle McCowan

The agreement between psychological and physical sexual arousal is variable among women: some show very high levels of sexual concordance while others demonstrate little or no agreement the emotional and physiological components of arousal (Chivers, Seto, Lalumière, Laan, & , 2010). This mind-body connection has been implicated in female sexual dysfunction, as women sexual dysfunctions tend to show especially low levels of sexual concordance (e.g., Laan, van Driel, & Lunsen, 2008). To date, there has been very little research on how concordance influences individual in sexual outcomes in women without sexual dysfunction. Initial evidence suggested a relationship between sexual concordance and orgasm consistency in healthy women (e.g., Adams, Haynes & Brayner, 1985); however, the few studies examining this relationship present mixed findings. The current study attempts to clarify the relationship between sexual concordance and orgasm consistency and examines sexual assertiveness as a mediator in the predicted concordance-orgasm consistency relationship.


2015 ◽  
Vol 39 (10) ◽  
pp. 2016-2021 ◽  
Author(s):  
Ryotaro Tsukue ◽  
Yasumasa Okamoto ◽  
Atsuo Yoshino ◽  
Yoshihiko Kunisato ◽  
Koki Takagaki ◽  
...  

1990 ◽  
Vol 7 (1) ◽  
pp. 32-35 ◽  
Author(s):  
Ethna C O'Gorman ◽  
Ian T. Bownes ◽  
Wallace W. Dinsmore

AbstractSexual dysfunctions are common in S.T.D. (Sexually Transmitted Diseases) Clinic attenders. Marital/relationship dysfunctions frequently follow specific sexual dysfunctions such as erectile, impotence and premature ejaculation. In addition concomitant marital therapy has been shown to enhance treatment for sexual dysfunction. Polypartnerism or multiple or serial sexual partners is also a common feature of S.T.D. clinic attenders. To date, no study has fully evaluated the social, psychological and medical determinants of this behaviour.The study examined the relationship between sexual dysfunction, marital difficulties and polypartnerism in 50 heterosexual STD clinic attenders. Thirty-one per cent of the sample had pathological scores on the Golombok-Rust Inventory of Sexual Satisfaction (GRISS). Forty-two per cent of the sample has pathological scores on the Golombok-Rust Inventory of Marital Satisfaction (GRIMS). There was a significant relationship between sexual dysfunction and marital dysfunction. Polypartnerism was also correlated with sexual and relationship dysfunction. It was felt that by offering treatment for specific sexual dysfunctions identified at STD clinics, marital/relationship difficulties could be averted. Subsequently polypartnerism could be reduced. By altering polypartnerism in this way, an important opportunity to influence vector spread of STD, including HIV infection is afforded.


1988 ◽  
Vol 152 (5) ◽  
pp. 629-631 ◽  
Author(s):  
John Rust ◽  
Susan Golombok ◽  
John Collier

In a study of 28 attenders of a sexual and marital clinic, the relationship between marital distress and both general and specific sexual dysfunctions was investigated. It was found that for men there was a much closer relationship between sexual and marital problems than for women. In particular, it was noted that the specific male sexual dysfunctions of impotence and premature ejaculation played a much larger part in marital discord than did the female dysfunctions of anorgasmia and vaginismus.


2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Arash Mohagheghi ◽  
Shahrokh Amiri ◽  
Seyedreza Mousavi Rizi ◽  
Salman Safikhanlou

Objective. Emotional intelligence might play an important role in the onset and persistence of different psychopathologies. This study investigated the relationship between emotional intelligence and alcohol dependence.Methods. In this case-control study, participants included alcohol dependent individuals and mentally healthy inpatients. Each group consisted of 40 individuals (male/female: 1). The diagnosis was based on the criteria of the DSM-IV-TR using the Structured Clinical Interview for DSM-IV (SCID-IV). All the participants completed Bar-On emotional intelligence test.Results. 20 males and 20 females were included in each group. Mean age of alcohol dependent participants and controls was 31.28 ± 7.82 and 34.93 ± 9.83 years in that order. The analyses showed that the alcohol dependent individuals had a significant difference compared with the control group and received lower scores in empathy, responsibility, impulse control, self-esteem, optimism, emotional consciousness, stress tolerance, autonomy, problem-solving, and total score of emotional intelligence components.Conclusion. Patients with alcohol dependence have deficits in components of emotional intelligence. Identifying and targeted training of the individuals with lower scores in components of emotional intelligence may be effective in prevention of alcohol dependence.


Crisis ◽  
2016 ◽  
Vol 37 (3) ◽  
pp. 232-235 ◽  
Author(s):  
Christopher R. DeCou ◽  
Monica C. Skewes

Abstract. Background: Previous research has demonstrated an association between alcohol-related problems and suicidal ideation (SI). Aims: The present study evaluated, simultaneously, alcohol consequences and symptoms of alcohol dependence as predictors of SI after adjusting for depressive symptoms and alcohol consumption. Method: A sample of 298 Alaskan undergraduates completed survey measures, including the Young Adult Alcohol Consequences Questionnaire, the Short Alcohol Dependence Data Questionnaire, and the Beck Depression Inventory – II. The association between alcohol problems and SI status was evaluated using sequential logistic regression. Results: Symptoms of alcohol dependence (OR = 1.88, p < .05), but not alcohol-related consequences (OR = 1.01, p = .95), emerged as an independent predictor of SI status above and beyond depressive symptoms (OR = 2.39, p < .001) and alcohol consumption (OR = 1.08, p = .39). Conclusion: Alcohol dependence symptoms represented a unique risk for SI relative to alcohol-related consequences and alcohol consumption. Future research should examine the causal mechanism behind the relationship between alcohol dependence and suicidality among university students. Assessing the presence of dependence symptoms may improve the accuracy of identifying students at risk of SI.


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