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<0.05).
Conclusion: Among women with heroin use disorder, sexual functions are adversely affected and depressive symptoms appear to be increased.
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<0.05).
Sonuç: Eroin kullanım bozukluğu olan kadınların cinsel işlevlerinin olumsuz yönde etkilendiği ve depresif belirtilerin arttığı belirlenmiştir.
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