الفهرس 
Aim of The WorkOnly 14 pages are availabe for public view
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Abstract
Sexual addiction, sexual compulsion, or hypersexuality is a disorder characterized by repetitive intrusive sexual fantasies and thoughts, excessive sexual behaviors, and inability to control one’s own sexuality, resulting in distress and impairment of relational and social life. Sexual addiction linked to a variety of negative outcomes, including psychological distress, risky sexual behaviours, interpersonal relationship impairment, and decreased professional performance. Although some authors claim a high prevalence, with estimates of 2% in young adults, scientific evidence on the underlying nature of this condition is limited. This ignorance justifies the nomenclature debate, with each label implying different assumptions about etiological mechanisms.
Many authors consider sexual addiction to be the most appropriate designation due to similarities with substance addictions. Sexual addiction is common in alcoholics and drug addicts, with a 25% prevalence of a dual diagnosis. Despite previously described links between the conditions and potential treatment implications, few studies have assessed the risk of sexual addiction among individuals with substance addiction, particularly when it comes to various drugs of choice or usage patterns.
Rationale of the work: As there were few data about sexual addictive behavior and its relation with substance use disorder, so our study spotted the light on the correlation between substance use disorder and sexual addiction.
Hypothesis: We hypothesized that patients with substance use disorder have a higher level of sexual addiction, when compared to individuals not suffering from substance use disorder.
Aim of the work: In the current study we aimed to evaluate the occurrence of sexual addiction in a sample of substance use disorder patients, and compare it with individuals not suffering from substance use disorder.
Study Design:
• The patients in our study are allocated to two groups:
1. Case group (n= 100) consists of patients of Substance use Disorder coming to the addiction unit &clinic.
2. Control group (n= 103) consists of male adults from the general population.
The study conducted on The Addiction unit and addiction clinic in El Kankah hospital, Qalyubia Governorate, Egypt.
We enrolled patients who fulfilled the following inclusion criteria: males, 18-55 years old, currently active substance addicts fulfilling DSM V criteria of substance use disorder and currently sexually active, at least over the last two months.
The two groups were assessed by:
Semistructured clinical interview
Drug urine test
SCID I
Addiction Severity Idex
Sexual Addiction Screening Test- Revised, Version 2 (SAST-R V2)
Results:
Regarding socio-demographic data, we did not find statistically significant difference for age (P>0.05) between substances abuse addiction group and healthy control. There was a statistically significant difference between both groups for education, as those with a lower education level were more likely to be substance users. Unemployed (9%) and craftsmen (20%) were significantly higher among substance abuse addiction cases than control
The most common drugs of abuse were poly-substances (27%), cannabinoids (26%), synthetic cannabinoids (15%), and opiates (19%). Only a small percentage of individuals tested positive for other substances such as tramadol (7%), methamphetamines (4%), and benzodiazepines (2%).
Among cases, Addiction Severity Index data was used and showing that the most severe problems in the drug and family/social categories, with a significant percentage of participants experiencing severe or extreme problems. However, in the legal category, most participants had no problems, and in the psychological category, most participants had mild problems
We found statistically significant higher prevalence of sexual addiction (SAST core items) in substances abuse cases(42%) than healthy controls (10.68%), also the higher prevalence was reported for cases for separate SAST items as preoccupation items, the loss of control items, the relationship disturbance items, affect disturbance items, the internet items and the men’s items. However, in the homosexual men items, there was no significant difference between the two groups, with both having a low proportion of positive cases.
Significant correlation was found between marital status and the presence of sexual addiction (married status showed negative correlation and divorced status showed positive correlation). Also the analysis shows positive significant correlation between core items and different aspects of addiction Severity Index; the same correlation was reported with; preoccupation items, the loss of control items, disturbance items and men’s items. Moreover, in lower levels of education was significantly correlated with Internet items.
Furthermore, terms of correlation, and the results of univariate regression analysis between the drug Type and SAST items showing that Methamphetamines had positive correlation with many items as core items, preoccupation, Loss of control, Affect Disturbance , Internet items. However, Cannabinoids showing a statistically significant negative correlation with Loss of control and Men’s items.
Limitations