The Efficacy of PLISSIT as Adjuvant Therapy with Bupropion on Sexual Dysfunction and Marital Satisfaction among Men Patients on Methadone Maintenance Therapy

Document Type : Original Article (s)

Authors

1 Resident, Department of Psychiatry, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

2 Professor, Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

3 PhD in Sexual and Reproductive Health, Behavioral Sciences Research Center, Isfahan University of Medical Sciences, Isfahan, Iran

4 Assistant Professor, Department of Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

5 Assistant Professor, Department of Biostatistics, School of Health, Kermanshah University of Medical Sciences, Kermanshah, Iran

Abstract

Background: Sexual and marital dissatisfaction seems to be one the most common complications among patients on methadone maintenance therapy (MMT), which may decrease adherence to continue treatment in patients. Efficacy of adding bupropion to MMT protocols has been investigated in previous studies; but evidence for implication of permission, limited information, specific suggestions, intensive therapy (PLISSIT) method for these patients is limited. So, this study was designed to investigate the efficacy of adding PLISSIT as an adjuvant therapy to MMT protocol on sexual dysfunction and marital satisfaction among men patients.Methods: During a clinical trial study conducted in the addiction quitting clinics of Isfahan University of Medical Sciences, Isfahan, Iran, 50 men patients with sexual dysfunction receiving MMT were randomized into two equal treatment group of 6-week PLISSIT program and control. Both groups received slow-release bupropion with a usual dosage (150 to 300 mg/day) for improving sexual function. Sexual function and marital satisfaction for both groups were assessed accordingly using Arizona sexual experience scale (ASEX), and revised dyadic adjustment scale (RDAS).Findings: During the intervention, the mean changes in the overall scores of sexual dysfunction and marital satisfaction were significantly different between the two groups (P < 0.001 for all).Conclusion: Adding PLISSIT to bupropion could improve sexual function and marital satisfaction among men under MMT. Further studies can support these findings for implication of PLISSIT by counselors in addiction treatment clinics.

Keywords

References

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Journal of Isfahan Medical School
Volume 36, Issue 488 - Serial Number 488
May and June 2018
Pages 814-822

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History

  • Receive Date: 16 June 2018
  • Revise Date: 01 November 2024
  • Accept Date: 06 April 2022

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