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Sexual dysfunction in men seeking treatment for opioid dependence: a study from India
Kandappan Venkatesh1, Surendra K Mattoo, Sandeep Grover
1Department of Psychiatry, PGIMER, Chandigarh, India.
Introduction:
There is limited literature on opioid dependence patients for the prevalence of sexual dysfunction as assessed by validated questionnaires.
Aim:
To study the prevalence and specified demographic and clinical correlates of sexual dysfunction in men seeking treatment for opioid dependence by using multiple validated instruments.
Methods:
Men with opioid dependence for at least 1 year as per DSM-IV (confirmed by Mini International Neuropsychiatric Interview) (OD group, N=100) and matched healthy controls (HC group, N=50) were evaluated for sexual dysfunction.
Main Outcome Measures:
Arizona Sexual Experience Questionnaire (ASEX), International Index of Erectile Function (IIEF) and Changes in Sexual Functioning Questionnaire Short-Form (CSFQ-14).
Results:
In men seeking treatment for opioid dependence sexual dysfunction was recorded in 48% by ASEX, and in at least one of the domains in 92% by IIEF and in 90% by CSFQ; in comparison with the healthy controls, the prevalence of sexual dysfunction in patients with opioid dependence was significantly higher by each measure.
Conclusions:
Compared with healthy controls, sexual dysfunction rates are higher in patients seeking treatment for opioid dependence.
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