患有大麻依赖和合成大麻素依赖的男性患者的心理性功能障碍
Abdelrahman A Asal1, Doaa R Ayoub1, Mohamed E Mazen1
1Department of Psychiatry, Faculty of Medicine, Cairo University, Cairo, Egypt.
International journal of psychiatry in medicine
|January 29, 2024
概括
大麻和合成大麻素 (SC) 的依赖会对男性的性功能产生负面影响,包括勃起功能和满足感. 在性健康和精神病理方面,SC使用的不利影响比大麻使用更大.
科学领域:
- 男人性健康 男人性健康
- 药物使用障碍 药物使用障碍
- 心理病理学 心理病理学
背景情况:
- 关于大麻使用和男性性功能存在不一致的报道.
- 关于合成大麻素 (SC) 和男性性功能的数据有限.
- 这项研究解决了男性大麻和SC使用者的心理问题.
研究的目的:
- 调查大麻和SC用户中与男性性功能相关的心理问题.
- 与对照者相比,评估依赖男性的性功能和精神病理学.
主要方法:
- 评估了30名患有大麻依赖的男性患者,30名患有SC依赖的男性患者,以及30名对照患者.
- 用于DSM-IV TR轴I障碍 (SCID-I) 的结构化临床面试.
- 国际勃起功能指数 (IIEF) 和性行为尺度进行了管理.
主要成果:
- 大麻和SC组的IIEF分数明显低于对照组 (P < .001),除了大麻组的高潮功能 (P = .052).
- 与大麻和对照组相比,SC组表现出更高的性抑郁和更低的性关注 (P < .020,P < .001).
- 持续时间和剂量与性自尊,关注和所有IIEF领域有显著的相关性.
结论:
- 大麻和SC依赖与勃起功能,性欲和满足感的降低有关.
- SC依赖性比大麻依赖性对男性性功能和精神病理产生更大的负面影响.
- 两组用户都报告了比对照组更高的性抑郁和更低的性自尊.
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