The Effect of Heroin Use Disorder on the Sexual Functions of Women

Objective: This study was conducted to evaluate the sexual functions of women with heroin use disorder. Method: This comparative-descriptive and cross-sectional study was carried out at the Research, Treatment and Training Center for Alcohol and Substance Dependence (AMATEM) of Bakirkoy Training and Research Hospital for Psychiatry Neurology and Neurosurgery. Included in the heroin use disorder group were 57 women aged 18 years or above who presented to AMATEM between June 1, 2014 and December 31, 2014 and received a diagnosis of substance use disorder according to DSM-5. Inclusion criteria were the absence of psychiatric diseases, substance withdrawal symptoms, or mental retardation, being sexually active, not being pregnant or puerperant, and having given consent to participate in the study. Healthy female relatives of 79 female patients who presented to the Gynecology Clinic of the same hospital during the same period were included in the healthy group. The data were collected through an interview form was developed by researchers, Female Sexual Function Index (FSFI), and Beck Depression Inventory (BDI). Results: No difference was determined between the participants in both groups in terms of average age, period of education, body mass index, or employment and economic situation (p>0.05). It was determined that, in contrast with the healthy group, 70.4% of the women with heroin use disorder had sexual problems and 71.9% of them were not satisfied with their sexual life. It was found that women with heroin use disorder scored significantly lower than healthy controls in FSFI sub-dimensions such as desire, arousal, lubrication, orgasm, satisfaction, and pain, as well as for the total scale, while scores were higher on the BDI scale (p

Eroin kullanım bozukluğunun kadınların cinsel işlevi üzerine etkisi

Amaç: Bu çalışma eroin kullanım bozukluğu olan kadınların cinsel işlevlerinin değerlendirilmesi amacıyla yapılmıştır. Yöntem: Karşılaştırmalı-tanımlayıcı ve kesitsel tipte planlanan çalışma Bakırköy Ruh Sağlığı ve Sinir Hastalıkları Eğitim ve Araştırma Hastanesi Alkol- Madde Araştırma, Tedavi, Eğitim Merkezinde (AMATEM) yapıldı. Araştırmada eroin kullanım bozukluğu olan gruba; 1 Haziran 2014 - 31 Aralık 2014 tarihleri arasında AMATEM’e başvuran ve DSM-5’e göre madde kullanım bozukluğu tanısı konmuş 18 yaş ve üzerinde, psikiyatrik hastalığı, madde yoksunluk bulgusu ve mental retardasyon bozukluğu olmayan, cinsel yönden aktif olan, gebe ya da lohusa olmayan, çalışmaya katılmayı kabul eden 57 kadın alınmıştır. Sağlıklı gruba aynı tarihlerde, aynı hastanenin Jinekoloji Polikliniği’ne başvuran kadın hastaların 79 sağlıklı kadın akrabası dahil edilmiştir. Verilerin toplanmasında araştırmacı tarafından hazırlanan görüşme formu, Kadın Cinsel İşlev Ölçeği (KCİÖ) ve Beck Depresyon Envanteri (BDE) kullanıldı. Bulgular: Her iki grupta yer alan katılımcılar arasında yaş ortalaması, eğitim süresi, beden kitle indeksi, çalışma ve ekonomik durum açısından fark saptanmadı (p>0.05). Sağlıklı gruba göre eroin kullanım bozukluğu olan kadınların çoğunluğunun (%70.2) cinsel bir sorunu olduğu ve cinsel yaşamlarından memnun olmadıkları (%71.9) saptandı. Eroin kullanım bozukluğu olan kadınların sağlıklı gruba göre istek, uyarılma, lubrikasyon, orgazm, memnuniyet, ağrı gibi KCİÖ ölçeğinin alt boyut ve toplamından anlamlı olarak daha düşük, BDÖ ölçeğinden daha yüksek puanlar aldıkları belirlendi (p

___

Bellis MA, Hughes K. Sex potions: relationships between alcohol, drugs and sex. Adicciones 2004; 16:249-258. [CrossRef]

Peugh J, Belenko S. Alcohol, drugs and sexual function: a review. J Psychoactive Drugs 2001; 33:223-232. [CrossRef]

Babakhanian M, Mehrgerdi ZA, Shenaiy Y. Sexual dysfunction in male crystalline heroin dependents before and after MMT: a pilot study. Arch Iran Med 2012; 15:751-755.

Bang-Ping J. Sexual dysfunction in men who abuse illicit drugs: a preliminary report. J Sex Med 2009; 6:1072-1080. [CrossRef]

Kumsar NA, Kumsar S, Dilbaz N. Sexual dysfunction in men diagnosed as substance use disorder. Andrologia 2016; 48:1229- 1235. [CrossRef]

Palha AP, Esteves M. A study of the sexuality of opiate addicts. J Sex Marital Ther 2002; 28:427-437. [CrossRef]

Venkatesh K, Mattoo SK, Grover S. Sexual dysfunction in men seeking treatment for opioid dependence: a study from India. J Sex Med 2014; 11:2055-2064. [CrossRef]

Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, D’Agostino R Jr. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000; 26:191-208. [CrossRef]

Aygin D, Aslan F. The Turkish adaptation of the female sexula function index. Turkiye Klinikleri Journal of Medical Sciences 2005; 25:393-399. (Turkish)

Wiegel M, Meston C, Rosen R. The Female Sexual Function Index (FSFI): cross-validation and development of clinical cutoff scores. J Sex Marital Ther 2005; 31:1-20. [CrossRef]

Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J. An inventory for measuring depression. Arch Gen Psychiatry 1961; 4:561-571. [CrossRef]

Hisli N. A study on validity of Beck Depression Invetory. Turkish Journal of Psychology 1988; 6:118-122. (Turkish)

Can S. Erectile dysfunction in men with alcohol dependence, comorbidity relate to other axis I disorders. Doctoral Thesis, Bakirkoy Training and Resesarch Hospital for Psychiatry Neurology and Neurosurgery, Istanbul, 2002. (Turkish)

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders: DSM-5. Fifth Ed. Washington DC: American Psychiatric Association, 2013. [CrossRef]

Altintoprak E, Akgur S, Yuncu Z, Coskunol H. Alcohol use- related problems in women. Turk Psikiyatri Derg 2008; 19:197- 208. (Turkish)

Webb E, Ashton H, Kelly P, Kamali F. Patterns of alcohol consumption, smoking and illicit drug use in British university students: interfaculty comparisons. Drug Alcohol Depend 1997; 47:145-153. [CrossRef]

Karsidag C, Alpay N, Kocabiyik A. Schizophrenia and cigarette dependence. Dusunen Adam The Journal of Psychiatry and Neurological Sciences 2005; 18:13-20.

Piazza NJ, Vrbka JL, Yeager RD. Telescoping of alcoholism in women alcoholics. Int J Addict 1989; 24:19-28. [CrossRef]

Bilici R, Ugurlu G, Tufan E, Guven T, Ugurlu M. The sociademographic features of patients hospitalized at a center for addiction. Fırat Medical Journal 2012; 17:223-227. (Turkish)

Dissiz M, Oskay UY, Beji NK. Use of alcoholic beverages and other psychoactive substances among women in Turkey: medical, biological, and social consequences. A pilot study. Subst Use Misuse 2010; 45:1060-1076. [CrossRef]

Ogel K, Eke CY, Erdogan N, Taner S. Sexuality research report among young people in Istanbul. Istanbul: Yeniden Yayin 2005; 16. (Turkish)

Ogel K, Taner S, Eke CY. Tobacco, alcohol and substance use prevalence among 10 th grade students: Istanbul sample. Journal of Dependence 2006; 7:18-23.

Bennett T, Holloway K, Farrington D. The statistical association between drug misuse and crime: A meta-analysis. Aggress Violent Behav 2008; 13:107-118. [CrossRef]

Johnson SD, Phelps DL, Cottler LB. The association of sexual dysfunction and substance use among a community epidemiological sample. Arch Sex Behav 2004; 33:55-63. [CrossRef]

Bruno A, Scimeca G, Marino AG, Mento C, Micò U, Romeo VM, Pandolfo G, Zoccali R, Muscatello MR. Drugs and sexual behavior. J Psychoactive Drugs 2012; 44:359-364. [CrossRef]

Palha AP, Esteves M. Drugs of abuse and sexual functioning. Adv Psychosom Med 2008; 29:131-149. [CrossRef]

Pasqualotto EB, Pasqualotto FF, Sobreiro BP, Lucon AM. Female sexual dysfunction: the important points to remember. Clinics 2005; 60:51-60. [CrossRef]

Wagner FA, Anthony JC. Male-female differences in the risk of progression from first use to dependence upon cannabis, cocaine, and alcohol. Drug Alcohol Depend 2007; 86:191-198. [CrossRef]