Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2017 Apr;9(2):88-95.

The Evaluation of Relationship between Sexual Self-concept and Sexual Dysfunction in Individuals Undergoing Methadone Maintenance Treatment

Ghodratolah Rajabizadeh  1 , Fatemeh Yazdanpanah  2 , Mohammad Arash Ramezani  3
Affiliations

The Evaluation of Relationship between Sexual Self-concept and Sexual Dysfunction in Individuals Undergoing Methadone Maintenance Treatment

Ghodratolah Rajabizadeh et al. Addict Health. 2017 Apr.

Abstract

Background: The present study was conducted with the aim of designing a causal model for the evaluation of sexual dysfunctions based on the variables of methadone dosage and sexual self-concept among individuals undergoing methadone maintenance treatment (MMT).

Methods: The study population of the present study consisted of married men of 20 to 45 years of age with sexual ýrelations and undergoing MMT for a minimum of 8 weeks referring to all MMT clinics of Kerman, Iran, in ýý2015-2016. ýThe subjects were selected through multi-stage cluster sampling (n = 250). Data were collected using the General Health Questionnaire (GHQ-28), Multi-Dimensional Sexual Self-concept Questionnaire (MSSQ), and Internal Index for Erectile Function (IIEF). Data were analyzed using path analysis method and Pearson correlation coefficient. The suggested model was evaluated using structural equation model (SEM), and indirect relationships were assessed using Bootstrap method.

Findings: The suggested model showed acceptable fitness with the data, and all routes, except methadone use route, to sexual function were significant. The result of the multiple ýindirect route showed that sexual function had a significant relationship with methadone use through ýsexual self-concept. In total, 60% of variance in sexual dysfunction was explained using the variables of the suggested model.

Conclusion: Further studies are suggested to be conducted regarding psychological factors effective on the sexual dysfunctions among individuals undergoing MMT, such as sexual self-concept. Moreover, more detailed evaluation of each subscale of positive and negative sexual self-concept is recommended to assess the psychological causes of sexual dysfunctions in these individuals and design psychological, behavioral, and cognitive-behavioral treatment interventions for them.

Keywords: Addiction; Methadone; Sexual dysfunction; Sexual self-concept.

PubMed Disclaimer

Figures

Figure 1
Figure 1
The causal relationship of methadone dosage and sexual dysfunction with the mediation of sexual self-concept
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Lindsay SJ, Powell GE. The handbook of clinical adult psychology. Abingdon, UK: Routledge; 2007.
    1. Wong D, Gray DP, Simmonds M, Rashiq S, Sobolev I, Morrish DW. Opioid analgesics suppress male gonadal function but opioid use in males and females does not correlate with symptoms of sexual dysfunction. Pain Res Manag. 2011;16(5):311–6. - PMC - PubMed
    1. Smith DE, Moser C, Wesson DR, Apter M, Buxton ME, Davison JV, et al. A clinical guide to the diagnosis and treatment of heroin-related sexual dysfunction. J Psychoactive Drugs. 1982;14(1-2):91–9. - PubMed
    1. Peles E, Schreiber S, Adelson M. Factors predicting retention in treatment: 10-year experience of a methadone maintenance treatment (MMT) clinic in Israel. Drug Alcohol Depend. 2006;82(3):211–7. - PubMed
    1. Ward J, Mattick RP, Hall W. The effectiveness of methadone maintenance treatment: An overview. Drug Alcohol Rev. 1994;13(3):327–35. - PubMed

LinkOut - more resources