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Hassan Shafiei
Abstract
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 ...
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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.
hassan Shafiei; Shadi Nasiri
Abstract
Objective: The purpose of the present research was to prediction the quality of life in patients with type 2 diabetes based on psychological well-being, health literacy and self-efficacy. Method: This study was a descriptive correlational study. The statistical population of this study consisted of all ...
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Objective: The purpose of the present research was to prediction the quality of life in patients with type 2 diabetes based on psychological well-being, health literacy and self-efficacy. Method: This study was a descriptive correlational study. The statistical population of this study consisted of all diabetic patients referring to diabetes clinic of Imam Sadegh Hospital in Delijan City in 1396. The research sample consisted of 150 patients with type 2 diabetes who were selected by random sampling method. The data for the research were collected through Quality of life Test (WHOQOL-BREF), Psychological well-being Test, Health Literacy for Iranian Adults & Diabetes Management Self-efficacy Scale. Pearson correlation and multiple regression analysis were used to analyze the data. Findings: Data analysis showed that 59% of the quality of life of diabetic patients is predictable by psychological well-being (β = 0.59, p = 0.001), health literacy (β =0.42, p=0.001) and Self-efficacy (β=0.34, p= 0.001). Conclusion: Health literacy, psychological well-being and self-efficacy in diabetes management play an important role in increasing the quality of life of patients with type 2 diabetes, and this finding has important implications for the education and promotion of mental health in diabetic patients.