Sexual desire of Methadone replacement therapy in heroin dependence subjects / 接受美沙冬替代療法之海洛英依賴個案性需求探討

碩士 / 樹德科技大學 / 人類性學研究所 / 100 / Purpose: The main purpose of this research is to understand whether or not methadone replacement therapy has differing effects between the demographics, personalities, and parental bonding instrument for populations of heroin users. Furthermore, we discuss the effect of methadone replacement therapy on sexual desire.Methods: In this purposive sampling study, we utilize the descriptive research method and case control study. Data was collected for Parental Bonding Instrument (PBI), Eysenck Personality Questionnaire (EPQ), alexithymia, Chinese Health Questionnaire (CHQ), and sexual desire inventory(SDI). Result: The sample population consisted of 139 male and 27 female subjects. 65 male and 10 female subjects were then followed monthly for three months for further analysis in changes in sexual desire. This research showed statistical significance between the drop out group and the case group for educational level (p=.08), mental health status (p=.044), personality trait of neurosis (p=.05), and the role of paternal care in the parental bonding instrument (p=.017). This represents that the cases that did not accept regular methadone treatment had a lower educational level, poorer mental health status, and a higher incidence of neurotic and psychotic personality traits. The research showed a moderately direct correlation between extroverts of the EPQ scale and sexual deisre ( p<.05), and a moderately inverse correlation between paternal protection and libido ( p<.05) in cases of heroin users. Further analysis showed the frequency of sexual needs, sexual desire, level of education, and paternal care to be predicting factors for the factors of re-enrollment in the study. Moreover, upon using generalized linear regression analysis (GEE) on cases who received methadone treatment, a direct and improving correlation was found in sexual desire of cases pre and post treatment with statistical significance (p=.018). Furthermore, the results showed that sexual desire is affected by gender and level of education (p=.01), years of usage (p=.002), and frequency of drug injection (p=.001). Conclusion: Therefore, we can predict that the issue of decreased sexual deisre experienced by heroin users may be improved after methadone treatment; moreover, after carrying out clinical evaluations and primary methadone treatments, we have reached the preliminary conclusion that, in the future, efficacious treatment may be anticipated for heroin users experiencing sexual desire problems.

Identiferoai:union.ndltd.org:TW/100STU05734018
Date January 2012
CreatorsChia-Chang Chien, 簡佳璋
ContributorsYuan-Hsiang Chu, 朱元祥
Source SetsNational Digital Library of Theses and Dissertations in Taiwan
Languagezh-TW
Detected LanguageEnglish
Type學位論文 ; thesis
Format95

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