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ORIGINAL ARTICLE

Association of severity of alcohol dependence with various domains of alcohol-induced sexual dysfunction


1 Department of Psychiatry, 166 Military Hospital, Jammu, Jammu and Kashmir, India
2 Department of Psychiatry, Air Force Hospital, Jorhat, Assam, India
3 Consultant Psychiatrist, Sukh Hospital, Sri Muktsar Sahib, Punjab, India
4 Department of Paediatrics, 166 Military Hospital, Jammu, Jammu and Kashmir, India
5 Department of Anaesthesiology and Critical Care, Level III Hospital, Goma, Congo

Correspondence Address:
Harpreet Singh Dhillon,
Department of Psychiatry, 166 Military Hospital, Jammu, Jammu and Kashmir
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmedsci.jmedsci_181_20

Background: The available research till date on alcohol induced sexual dysfunction has mainly studied erectile dysfunction and premature ejaculation and other major domains of sexual dysfunctions have largely been neglected. An observational, descriptive, cross-sectional study was undertaken to associate the severity of alcohol dependence with various domains of sexual dysfunction with the endeavor to augment understanding and interest in this area. Methods: A cross-sectional descriptive study design was used and 78 male patients were recruited. The assessment was conducted using a specially designed intake pro forma, Severity of Alcohol Dependence Questionnaire (SADQ-C), International Index of Erectile Function scale (IIEF-15), Diagnostic and Statistical Manual of Mental Disorders-5, and International Classification of Disease, 10th revision, diagnostic criteria for research. Results: As per SADQ, 52.6% (41) patients had mild, 32.0% (25) moderate, and 15.4% (12) had severe alcohol dependence syndrome. The mean scores using analysis of variance for orgasmic function (9.27 in mild, 8.04 in moderate, and 6.25 in severe alcohol dependence, P < 0.001), sexual desire (8.51 in mild, 6.92 in moderate, and 5.5 in severe alcohol dependence, P < 0.001), intercourse satisfaction (13.61 in mild, 9.96 in moderate, and 7.75 in severe alcohol dependence, P < 0.001), overall satisfaction (8.98 in mild, 6.64 in moderate, and 4.92 in severe alcohol dependence, P < 0.001), overall (total) IIEF (67.61 in mild, 53.6 in moderate, and 39.83 in severe alcohol dependence P < 0.001). Further, since the values of ANOVA were significant, post hoc analysis using Tukey's post hoc analysis was carried out which showed statistically significant difference among the groups. Conclusions: Alcohol significantly impairs various domains of sexual functioning, hence treating psychiatrists should routinely screen for the entire spectrum of sexual functioning.


 

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