نقش ابعاد روان شناختی مشکلات جنسی و رضایت جنسی در پیش بینی خودکارآمدی ترک اعتیاد در معتادان مراجعه کننده به کمپ های ترک اعتیاد (مقاله علمی وزارت علوم)
درجه علمی: نشریه علمی (وزارت علوم)
آرشیو
چکیده
مقدمه: پژوهش حاضر باهدف بررسی نقش ابعاد روان شناختی مشکلات جنسی و رضایت جنسی در پیش بینی خودکارآمدی ترک اعتیاد در استان مرکزی انجام گرفت. روش: ﺟﺎﻣﻌﻪ آﻣﺎری ﭘﮋوﻫﺶ شامل کلیه مردان معتاد به مواد افیونی مراجعه کننده به کمپ های ترک اعتیاد استان مرکزی در سال 1398 بود که با استفاده از فرمول برآورد حجم نمونه کوکران تعداد 377 مردان معتاد متأهل به صورت نمونه گیری مضاعف انتخاب شدند. جهت سنجش متغیرهای تحقیق از پرسشنامه های چندوجهی مشکلات جنسی اسنل، فیشر و والترز (1993)، خودکارآمدی ترک اعتیاد برامسون (۱۹۹۹) و پرسشنامه رضایت جنسی زناشویی لارسون (1998) استفاده شد. برای تحلیل داده ها از ضریب همبستگی پیرسون و تحلیل رگرسیون چند متغیری استفاده شد. یافته ها: نتایج نشان داد که بین رضایت جنسی و کنترل جنسی درونی و خودکارآمدی ترک اعتیاد رابطه مثبت و بین اضطراب جنسی، نظارت جنسی، افسردگی جنسی و قاطعیت جنسی و خودکارآمدی ترک اعتیاد در معتادان رابطه منفی معناداری وجود دارد. نتایج تحلیل رگرسیون نیز نشان داد که 24 درصد از واریانس خودکارآمدی ترک اعتیاد در افراد معتاد به صورت مثبت بر اساس کنترل جنسی درونی، رضایت جنسی، افسردگی جنسی و به صورت منفی بر اساس اضطراب جنسی، قاطعیت جنسی و خود نظارتی جنسی قابل پیش بینی است. رضایت جنسی زناشویی، حرمت جنسی، اشتغال جنسی، آگاهی جنسی، انگیزش جنسی، کنترل جنسی بیرونی و ترس از رابطه جنسی نتوانستند خودکارآمدی ترک اعتیاد را پیش بینی کنند. نتیجه گیری: ابعاد روان شناختی مشکلات جنسی و رضایت جنسی نقش مهمی در خودکارآمدی ترک اعتیاد دارند و شناسایی مشکلات جنسی در معتادان به مواد افیونی و انجام مداخلات درمانی جنسی و آموزش مهارت های جنسی نقش مهمی درافزایش خودکارآمدی ترک اعتیاد دارد.The Role of Psychological Dimensions of Sexual Problems and Sexual Satisfaction in Predicting the Self-Efficacy of Quitting Addiction among Addicts Referring to Addiction Treatment Camps
Objective: Substance use disorders are characterized by a cluster of cognitive, behavioral, and physiological symptoms indicating that the individual continues using the substance despite significant substance-related problems. Given the high likelihood of relapse, addiction is considered a chronic relapsing disorder, and relapse among individuals in recovery is a significant concern. One factor that can play a significant role in preventing relapse and enhancing coping abilities is quit addiction self-efficacy. Self-efficacy refers to an individual's belief in their ability to abstain from substance use and improve their quality of life. Individuals with high self-efficacy are more likely to cope with life challenges and less likely to relapse. Among the factors influencing addiction recovery self-efficacy, sexual satisfaction and sexual problems are noteworthy. Sexual dissatisfaction among individuals with substance use disorders can lead to marital problems and decreased sexual desire. Research has shown that substance use negatively impacts sexual functioning, and sexual problems are a significant reason for relapse. These problems can further reduce quit addiction self-efficacy and non-adherence to treatment in married individuals with substance use disorders. Therefore, sexual satisfaction and sexual problems may play a crucial role in predicting quit addiction self-efficacy among married individuals with substance use disorders. Given the limited research. in this area, the present study aims to investigate the role of psychological sexual problems and sexual satisfaction in predicting quit addiction self-efficacy among married men with substance use disorders in Markazi Province. Method: The present study was conducted with the aim of investigating the role of psychosexual problems and sexual satisfaction in predicting quit addiction self-efficacy in Central Province. The statistical population of the study included all opiate addicted men who referred to Markazi province addiction treatment camps, and 377 married addicts were selected using convenience sampling using the Cochran sample size estimation formula. In order to measure the research variables, Snell,Fisher and Walters’ Multidimensional Sexuality Questionnaire (1993), Bramson’s quit addiction self-efficacy questionnaire (1999) and Larson (1998) sexual satisfaction questionnaires were used. Pearson's correlation coefficient and regression analysis were used to analyze the data. Results: The results showed that there is a positive relationship between sexual satisfaction, internal sexual control and quit addiction self-efficacy, and there is a significant negative relationship between sexual anxiety, Sexual Self-Monitoring, sexual depression and sexual assertiveness and quit addiction self-efficacy in addicts. The results of regression analysis showed that 24% of the variance of quit addiction self-efficacy in addicts can be predicted based on internal sexual control, sexual satisfaction, sexual depression positively and sexual anxiety, sexual assertiveness and sexual monitoring negatively. Marital sexual satisfaction, sexual esteem, sexual preoccupation, sexual consciousness, sexual motivation, external sexual control and fear of sexual relationships could not. Conclusion: This study aimed to investigate the role of psychological dimensions of sexual problems and sexual satisfaction in predicting addiction recovery self-efficacy. Results indicated that internal sexual control, sexual satisfaction, and sexual depression positively predicted quit addiction self-efficacy, while sexual anxiety, sexual assertiveness, and sexual self-monitoring negatively predicted it. In this research, increased sexual satisfaction and internal sexual control led to higher self-efficacy for quitting addiction, whereas sexual anxiety and sexual self-monitoring resulted in lower self-efficacy. Additionally, variables such as marital sexual satisfaction, sexual esteem, sexual preoccupation, and fear of sexual intimacy were unable to predict quit addiction self-efficacy. This research emphasizes the importance of sex education and therapeutic interventions for sexual problems in addiction treatment centers and suggests conducting similar studies in other provinces with larger samples. Limitations of the study include its cross-sectional design, the use of self-report questionnaires, cultural challenges in reporting sexual issues, and the limited sample to married men attending addiction treatment centers in Markazi Province.
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