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Is Sex an Underrated Risk for Relapse in Substance Use Disorders?

Annette Bohn1, Niels Graf2, Norbert Scherbaum1

  • 1LVR-University Hospital, Department of Psychiatry and Psychotherapy, Medical Faculty of the University of Duisburg-Essen, 45147 Essen, Germany.

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Summary
This summary is machine-generated.

Sexualized substance use (SSU) is common among individuals in substance use disorder (SUD) rehabilitation. Patients view sexual activity as a relapse risk, especially stimulant users, highlighting the need to address sexuality in therapy.

Keywords:
relapsesexualitysexualized substance usestimulantssubstance use disorders

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Area of Science:

  • Addiction Medicine
  • Psychology
  • Public Health

Background:

  • Sexualized substance use (SSU) involves psychotropic drug use during sexual activity.
  • Limited understanding exists regarding SSU's impact on substance use disorder (SUD) recovery, particularly relapse rates.

Purpose of the Study:

  • To investigate the prevalence of SSU among individuals undergoing SUD rehabilitation.
  • To assess the perceived role of sexual activity as a relapse risk factor.
  • To determine the importance of sexuality in SUD treatment.

Main Methods:

  • A survey was administered to 490 individuals in SUD rehabilitation in Germany.
  • Questionnaires collected data on SSU, perceived relapse risks associated with sexual activity, and the significance of sexuality in therapy.

Main Results:

  • SSU was reported by a majority of participants (55% men, 63% women).
  • Stimulant users showed higher SSU prevalence compared to alcohol and sedative users.
  • Sexual activity was identified as a relapse risk factor by a significant portion of participants, particularly homosexual men and women, and stimulant users.

Conclusions:

  • SSU is prevalent in individuals with SUD undergoing rehabilitation.
  • Sexual activity is recognized as a potential relapse trigger, especially for stimulant users.
  • Sexuality is a crucial topic for patients in SUD treatment and warrants greater therapeutic attention.