Prevalence of sexual dysfunction risk in cocaine users in a sample of Spanish men

Sexuality should be able to be experienced in a healthy way. This can be affected by drug use in general and cocaine use in particular. Other aspects that can influence sexuality are anxiety and sexual attitudes. The main aim of this work is to explore and analyse how cocaine use affects men’s sexual response. In the present study, the GRISS (Golombok Rust Inventory of Sexual Satisfaction) questionnaire was used to assess sexual function, the SOS (Sexual Opinion Survey) questionnaire to evaluate sexual attitudes, and the STAI (State-Trait Anxiety Inventory) questionnaire to measure sexual anxiety. The sample consisted of 471 male cocaine users and 82 male non-users. The sampling was carried out in different treatment centres throughout Spain. The results indicate that male cocaine users score worse on the GRISS questionnaire, indicating a higher likelihood of sexual dysfunction, worse scores on the SOS questionnaire and higher anxiety levels. It is also observed that scores on the GRISS questionnaire did not improve over time. The differences were statistically significant and the initial study hypotheses were confirmed. The practical utility of this research lies in the applicability of these data in addiction treatment centres, and the potential for these centres to enhance specific interventions that promote healthy sexuality.

Cocaine; Sexual dysfunctions; Trait-state anxiety; Sexual opinion survey; HJ-Biplot

[1] Valente S, Pellegrino JA, Tatti S. Sexuality and sexual health. Journal of the Argentine Medical Association. 2021; 134: 9–14. (In Spanish)

[2] Marques-Pinto A, Machado AS, Dias-Amaral A. Drugs abuse and sexual function: what is new? The Canadian Journal of Addiction. 2022; 13: 10–18.

[3] Calvo-Abaunza AF, Rueda-Monsalbe A, Castañeda-Martínez DA. Sexual dysfunction and drug use in women: a reciprocal etiological relationship. Colombian Journal of Obstetrics and Gynecology. 2021; 72: 193–201. (In Spanish)

[4] Mostafa T, Alghobary M. Substance abuse and male sexual dysfunction: what lies beneath? To be published in Sexual Medicine Reviews. 2023. [Preprint].

[5] Ghosh A, Kathiravan S, Sharma K, Mattoo SK. A scoping review of the prevalence and correlates of sexual dysfunction in adults with substance use disorders. The Journal of Sexual Medicine. 2022; 19: 216–233.

[6] Valeiro C, Matos C, Scholl J, Hunsel F. Drug-induced sexual dysfunctioin: an analysis of reports to a national pharmacovigilance database. Drug Safety. 2022; 45: 639–650.

[7] del Río FP, Guardiola MM. Sexual abuse in childhood and adult drug addiction. Psychologist Papers. 2013; 34: 144–149.

[8] del Río Olvera FJ. Sexuality Treatment in Addictions. 1st edn. Editorial Síntesis: Madrid. 2016.

[9] Observatorio Español de las Drogas y las Adicciones. STATISTICS 2022. Alcohol, tobacco and illegal drugs in Spain. 2022. Available at: https://pnsd.sanidad.gob.es/profesionales/sistemasInformacion/informesEstadisticas/pdf/2022OEDA-ESTADISTICAS.pdf (Accessed: 10 July 2023).

[10] Delegación del Gobierno para el Plan Nacional sobre Drogas. EDADES 2022. Survey on alcohol and other drugs in Spain (EDADES), 1995–2022. 2022. Available at: https://pnsd.sanidad.gob.es/profesionales/sistemasInformacion/sistemaInformacion/pdf/2022_Informe_EDADES.pdf (Accessed: 10 July 2023).

[11] Cabello-Santamaría F. Sexology and sex therapy manual. 1st edn. Editorial Síntesis: Madrid. 2010.

[12] Ljungman L, Lampic C, Wettergren L. Sexual dysfunction among young adults in Sweden—a population-based observational study. Sexual Medicine. 2020; 8: 631–642.

[13] Malhi GS, Bell E. Questions in psychiatry (QuiP): psychological basis for sexual dysfunction in psychiatry. Bipolar Disorders. 2022; 24: 830–833.

[14] Pyke RE. Sexual performance anxiety. Sexual Medicine Reviews. 2020; 8: 183–190.

[15] Stephenson KR. Exploring the role of sexual avoidance in male sexual dysfunction. The Journal of Sex Research. 2020; 57: 522–533.

[16] del Río FJ, Cabello-García MA, Cabello-Santamaría F. Guide for the classification of clinical research articles for the International Journal of Andrology. International Journal of Andrology. 2018; 16: 107–111. (In Spanish)

[17] American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5™. 5th edn. American Psychiatric Publishing, Inc.: Washington, DC. 2013.

[18] Cabello-Santamaría F, del Río FJ, Cabello-García MA. Validation of the Spanish version of the Golombok rust inventory of sexual satisfaction. International Journal of Andrology. 2021; 19: 123–128. (In Spanish)

[19] del Río Olvera FJ, Santamaría FC, Cabello García MA, López Vega DJ. SOSPECHA (sexual opinion survey in a Spanish population with a history of addiction). International Journal of Andrology. 2012; 10: 125–131. (In Spanish)

[20] Spielberger CD, Gorsuch RL, Lushene RE. STAI manual, trait state anxiety questionnaire. 1st edn. TEA Ediciones: Madrid. 1982.

[21] del Río Olvera FJ, Cabello-Santamaría F, Cabello-García MA, Aragón-vela J. State trait anxiety inventory (STAI): psychometric analysis and functioning in a sample of drug addicts and controls. Universitas Psychologica. 2018; 17: 1–10. (In Spanish)

[22] Vicente-Villardón JL. Multbiplot: a package for multivariate analysis using Biplots. 2015. Available at: http://biplot.usal.es/ClassicalBiplot/index.html (Accessed: 10 July 2023).

[23] Frutos-Bernal E, Martín del Rey A, Galindo-Villardón P. Analysis of Madrid metro network: from structural to HJ-Biplot perspective. Applied Sciences. 2020; 10: 5689.

[24] Valchev N, Ivanova M, Stoyanova A, Dospatliev L. Application of the mathematical model HJ-Biplot to identifying the links among bioactive compounds of the tomato variety panekra. Scientific Papers. Series B. Horticulture. 2020; 64: 490–497.

[25] da Silva AO, Freitas A. Time series components separation based on singular spectral analysis visualization: an HJ-Biplot method application. Statistics, Optimization & Information Computing. 2020; 8: 346–358.

[26] Vallejo-Medina P, Guillén-Riquelme A, Sierra JC. Psychometric analysis of the Spanish version of the brief sexual function inventory (BSFI) in a male drug abuse sample. Addictions. 2009; 21; 221–228. (In Spanish)

[27] Jiann BP. Erectile dysfunction associated with psychoactive substances. Chonnam Medical Journal. 2008; 44: 117–124.

[28] Calafat A, Juan M, Becoña E, Mantecón A. Which drugs are preferred for sex in nightlife recreational settings? Addictions. 2008; 20: 37–47. (In Spanish)

[29] Vallejo‐Medina P, Sierra JC. Effect of drug use and influence of abstinence on sexual functioning in a Spanish male drug‐dependent sample: a multisite study. The Journal of Sexual Medicine. 2013; 10: 333–341.

[30] Grover S, Shouan A. Assessment scales for sexual disorders—a review. Journal of Psychosexual Health. 2020; 2: 121–138.

[31] Mohamed II, Ahmad HEK, Hassan SH, Hassan SM. Assessment of anxiety and depression among substance use disordere patients: a case-control study. Middle East Current Psychiatry. 2020; 27: 1–8.