The Relationship Between Anxiety and Sexual Satisfaction Among Alcohol-Dependent Men: An Exploratory Cross-Sectional Study from Rajasthan

Authors

  • Dr. Deepak Gehlot
  • Dr. Sunil Kumar
  • Dr. Nitin Kumar
  • Dr. Tanay Agrawal
  • Dr. Bharat Agarwal

DOI:

https://doi.org/10.69980/ajpr.v28i4.422

Keywords:

Alcohol, Alcohol dependence, Anxiety, Sexual satisfaction, Sexual health.

Abstract

Background: Alcohol dependence (AD) is a disorder alcohol use arising from repeated or continuous use of alcohol. The most commonly occurring co-morbid conditions in individuals with alcohol problems are anxiety disorders. Alcohol also have effects on sexual health. Sexual satisfaction is a large part of it that an individual can receive from the activity.

Aim and objective: This study aims to assess the prevalence, severity, and interrelationship between anxiety and sexual satisfaction in men diagnosed with AD.

Material and Methods: A cross-sectional study was conducted on 110 male participants diagnosed with AD, recruited at psychiatry department of a tertiary care center. Participants were assessed using Hamilton scale for anxiety (HAM-A) for anxiety, and new sexual satisfaction rating scale (NSSS) for sexual satisfaction.

Results: The results revealed that the mean age of the participants was 35.65 years. For the group, mean HAM-A score was 18.51 while mean NSSS score was 47.21. A prevalence of severity of anxiety scores was moderate in 50% participants, mild anxiety in 30% participants, and severe anxiety in 20% participants. A strong positive correlation was found between the severity of anxiety and the duration since last regular alcohol use (p value 0.01). There was a negative correlation between HAM-A scores and NSSS scores (correlation coefficient = -0.18) and it was statistically significant (p = 0.05). These findings show significant relationship between AD, anxiety, and sexual satisfaction.

Conclusions: Findings of this study highlight the importance of routine comprehensive clinical assessment in men with alcohol dependence with an especial emphasis to assessment of anxiety disorder and sexual health.

 

Author Biographies

Dr. Deepak Gehlot

Department of Psychiatry, Ananta Institute of Medical Sciences and Research Centre, VPO- Kaliwas, Via- Nathdwara, District – Rajsamand (Rajasthan, India) PIN 313202,

 

Dr. Sunil Kumar

Associate Professor, Dept of Psychiatry, Ananta Institute of Medical Sciences and Research Centre, Rajsamand

Dr. Nitin Kumar

Assistant Professor, Dept of Psychiatry, Ananta Institute of Medical Sciences and Research Centre, Rajsamand

Dr. Tanay Agrawal

PG Resident Doctor, Dept of Psychiatry, Ananta Institute of Medical Sciences and Research Centre, Rajsamand

Dr. Bharat Agarwal

Professor and Head, Dept of Psychiatry, Ananta Institute of Medical Sciences and Research Centre, Rajsamand

References

1. International Classification of Diseases, Eleventh Revision (ICD-11), World Health Organization (WHO) 2019/2021 ICD-11 MMS – 2018-67

2. Global status report on alcohol and health and treatment of substance use disorders. Geneva: World Health Organization; 2024.

3. National Mental Health Survey of India 2015-2016. Murthy RS. Indian J Psychiatry. 2017;59: 21–26

4. Rosenthal RN, Westreich L (1999). Treatment of persons with dual diagnoses of substance-use disorder and other psychological problems. In Addictions: A Comprehensive Guidebook (ed. B. S. McCrady and E. E. Epstein), pp 439–476. Oxford University Press: London.

5. Grant BF, Stinson FS, Dawson DA, Chou SP, Dufour MC, Compton W, Pickering RP, Kaplan K. Prevalence and co-occurrence of substance use disorders and independent mood and anxiety disorders: results from the National Epidemiologic Survey on Alcohol and Related Conditions. Arch Gen Psychiatry. 2004 Aug;61(8):807-16

6. Kushner MG, Sher KJ, Beitman BD. The relation between alcohol problems and the anxiety disorders. Am J Psychiatry. 1990 Jun;147(6):685-95

7. Offman, A., & Matheson, K. (2005). Sexual compatibility and sexual functioning in intimate relationships. Canadian Journal of Human Sexuality, 14(1-2), 31-39

8. Thrusfield M, 2005. Veterinary Epidemiology, 2nd Edition, Blackwell Science, Oxford, UK (p 183).

9. Stockwell T, Murphy D, Hodgson R. The severity of alcohol dependence questionnaire: its use, reliability and validity. Br J Addict. 1983 Jun;78(2):145-55.

10. Sullivan JT, Sykora K, Schneiderman J, Naranjo CA, Sellers EM. Assessment of alcohol withdrawal: the revised clinical institute withdrawal assessment for alcohol scale (CIWA-Ar). Br J Addict. 1989 Nov;84(11):1353-7

11. Pendharkar S, Mattoo SK, Grover S. Sexual dysfunctions in alcohol-dependent men: A study from north India. Indian J Med Res. 2016 Sep;144(3):393-399.

12. Euan Thompson, Hamilton Rating Scale for Anxiety (HAM-A), Occupational Medicine, Volume 65, Issue 7, October 2015, Page 601

13. Štulhofer, A., Buško, V., & Brouillard, P. (2010). Development and bicultural validation of the New Sexual Satisfaction Scale. The Journal of Sex Research, 47(4), 257-268.

14. Development and bicultural validation of the new sexual satisfaction scale. Stulhofer A, Busko V, Brouillard P. J Sex Res. 2010;47:257–268

15. Prabhakaran DK, Nisha A, Varghese PJ. Prevalence and correlates of sexual dysfunction in male patients with alcohol dependence syndrome: A cross-sectional study. Indian J Psychiatry. 2018 Jan-Mar;60(1):71-77

16. Bhainsora RS, Patil PS, Ghogare AS, Vankar GK. A cross-sectional study of prevalence and types of sexual dysfunction among married male patients with alcohol dependence syndrome attending tertiary healthcare center from Central Rural India. J Edu Health Promot 2021; 10:47

17. Vaishnavi R, Karthik MS, Balakrishnan R, Sathianathan R. Caregiver burden in alcohol dependence syndrome. J Addict. 2017; 2017:8934712.

18. Suresh, A., et al. (2018). "Sociodemographic patterns of alcohol dependence in South Asia." Asian Journal of Psychiatry

19. Kumar, S. & Rao, P. (2019). "Family structures and alcohol use in India." Social Psychiatry Journal.

20. Reddy MP, Babu RS, Pathak SM, Venkateshwarlu S. The clinical and demoFig:ic profile of male patients with alcohol dependence syndrome. Indian J Psychol Med. 2014 Oct;36(4):418-21.

21. Chatterjee K, Dwivedi AK, Singh R. Age at first drink and severity of alcohol dependence. Med J Armed Forces India. 2021 Jan;77(1):70-74.

22. Johnson PR, Banu S, Ashok MV. Severity of alcoholism in Indian males: Correlation with age of onset and family history of alcoholism. Indian J Psychiatry. 2010 Jul;52(3):243-9.

23. Khalid A, Kunwar AR, Rajbhandari KC, Sharma VD, Regmi SK. A study of prevalence and comorbidity of depression in alcohol dependence. Indian J Psychiatry. 2000 Oct;42(4):434-8.

24. Acharya RK, Panigrahi S, Samani MJ, Choudhary AK. Prevalence and Pattern of Sexual Dysfunction in Male Patients with Alcohol Dependence. Addict Health. 2022 Jul;14(3):192-197

25. Boschloo L, Vogelzangs N, van den Brink W, Smit JH, Veltman DJ, Beekman AT, Penninx BW. Alcohol use disorders and the course of depressive and anxiety disorders. Br J Psychiatry. 2012 Jun;200(6):476-84

26. Mathur P, Pawar SK, Sengupta N, Bhargava R.A Cross-sectional Study of the Patterns and Impact of Socio-demographic Factors in Anxious and Depressed Alcohol Dependent PatientsJ Clin of Diagn Res.2022; 16(4):VC01-VC05

27. Mandal S, Godi SM, Spoorthy M. Sexual Dysfunction and Satisfaction in Males With Alcohol Dependence: A Clinic-Based Study From Central India. Cureus. 2021 Aug 27;13(8):e17492

28. Bole, R. M., & Ganeshrao, K. S. (2024). Assessing the Impact of Anxiety and Depression on Alcohol Dependence Using the Hamilton Anxiety Rating Scale (HAMA) and Hamilton Depression Rating Scale (HAMD) at Tertiary Care Hospital. International Journal of Life Sciences and Biotechnology Research, 13(8).

29. Ravikanth, T., Sultan, S. The prevalence of psychiatric comorbidity and its relationship to the severity of alcohol dependence in the population of rural south India. Middle East Curr Psychiatry 27, 1 (2020).

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Published

2025-04-25