Impact of Spouse's Opiate Dependence on the Partner's

  • Roya Noori Mail Research Center for Substance Use and Dependency (DARIUS Institute), Welfare and Rehabilitation University, Tehran, Iran
  • Hassan Rafiey Research Center for Substance Use and Dependency (DARIUS Institute), Welfare and Rehabilitation University, Tehran, Iran
  • Laila Solaimani-nia Research Center for Substance Use and Dependency (DARIUS Institute), Welfare and Rehabilitation University, Tehran, Iran
  • Hooman Narenjiha Research Center for Substance Use and Dependency (DARIUS Institute), Welfare and Rehabilitation University, Tehran, Iran
  • Shervin Assari Medicine and Health Promotion Institute, Tehran, Iran
  • Maryam Moghani Lankarani Medicine and Health Promotion Institute, Tehran, Iran
Opiate, Opiate dependents, Partners, Spouse, Sexual function, Intercourse


Objective: We aimed to evaluate the influence of drug dependency on sexual function of wives of opium addicts.Materials and methods: In a cross-sectional study, 150 wives of opiate dependent men were assessed for the impact of drug addiction. Sociodemographic factors like age, educational level, job, marital duration and having child were evaluated. Sexual function was measured using relationship and sexuality scale (RSS). Results: Approximately 73% of the participitants were sexually active with having at least one intercourse in the last 2 weeks, and approximately half of the participitants had unsatisfied intercourse. About ninety percent reported negative effect of the addiction on their sexual life. After the spouse addiction, sexual desire, ability to reach orgasm and frequency of sexual intercourse were decreased in 73%, 64% and 67.3%, respectively. Conclusion: The wives of opiate addicts believe that their sexual function has been impaired by the addiction of their husbands.


De Leon G. Wexler HK. Heroin addiction: its relation to sexual behavior and sexual experience. Journal of Abnormal Psychology 1973; 81(1):36–8.

Dawley HH JR, Winstead DK, Baxter AS, Gay JR. An attitude survey of the effects of marijuana on sexual enjoyment. J Clin Psychol 1979;35(1):212-7.

Henderson DJ, Boyd CJ, Whitmarsh J. Women and illicit drugs: sexuality and crack cocaine; Health Care Women Int 1995; 16(2):113-24.

Rosenblum O. Drug addiction: A link between sexuality and maternal desire. Gynecol Obstet Fertil 2006; 34(10):990-3.

Kapadia F, Latka MH, Hudson SM, Golub ET, Campbell JV, Bailey S, et al. Correlates of consistent condom use with main partners by partnership patterns among young adult male injection drug users from five US cities. Drug Alcohol Depend 2007; 91 Suppl 1:S56-63.

Amadora-Nolasco F, Alburo RE, Aguilar EJ, Trevathan WR. Knowledge and perception of risk for HIV and condom use among male injecting drug users in Cebu City, Philippines. Drug Alcohol Rev 2002; 21(2):137-43.

Brown R, Balousek S, Mundt M, Fleming M. Methadone maintenance and male sexual dysfunction. J Addict Dis 2005;24(2):91-106.

Spring WD JR, Willenbring ML, Maddux TL. Sexual dysfunction and psychological distress in methadone maintenance. Int J Addict 1992; 27(11):1325-34.

Pinger RR, Payne WA, Hahn DB, Hahn EJ. Drugs: Issues for today. (3rd ed.), McGraw-Hill, Boston, MA: 1998 .

El-Bassel N, Gilbert L, Rajah V. The relationship between drug abuse and sexual performance among women on methadone: Heightening the risk of sexual intimate violence and HIV. Addict Behav 2003;28(8):1385-403.

Gay GR , Sheppard CW, Inaba DS, Newmeyer JA . An old girl: Flyin' low, dyin, slow, blinded by snow. Cocaine in perspective. International Journal of Addictions 1973; 8(6):1027-42.

Buffum J. Pharmacosexology: The effects of drugs on sexual function, a review. J Psychoactive Drugs 1982;14(1-2):5-44.

Buffum C. Moser and D. Smith. Street drugs and sexual function. In: J.M.A. Sisten, Eds. Handbook of sexology: The pharmacology and endocrinology of sexual function . Vol 1. New York: Elsevier, 1988; 462–77.

Mirin SM, Meyer RE, Mendelson JH, Ellingboe J. Opiate use and sexual functions. Am J Psychiatry 1980; 137:909-15.

Jaffe JH , Knapp CM , Ciraulo DA . Opiates: Clinical aspects. In: Lowinson JH , Ruiz P ,. Millman RB , Langrod JG Substance abuse: A comprehensive textbook (3rd ed.),, Williams Wilkins, Baltimore, MD 1997; 158–166.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th ed. Washington, D.C. 1994:175-255.

Berglund G, Nystedt M, Bolund C, Sjoden PO, Rutquist LE. Effect of endocrine treatment on sexuality in premenopausal breast cancer patients: A prospective randomized study. J Clin Oncol 2001; 19: 2788–96.

Kazemi-Saleh D, Pishgou B, Assari S, Tavallaii SA. Fear of sexual intercourse in patients with coronary artery disease: a pilot study of associated morbidity. J Sex Med 2007;4(6):1619-25.

Tavallaii SA, Fathi-Ashtiani A, Nasiri M, Assari S, Maleki P, Einollahi B. Correlation between sexual function and postrenal transplant quality of life: does gender matter? J Sex Med 2007;4(6):1610-8.

Kazemi-Saleh D, Pishgoo B, Farrokhi F, Fotros A, Assari S. Sexual function and psychological status among males and females with ischemic heart disease. J Sex Med 2008;5(10):2330-7.

Kazemi-Saleh D, Pishgou B, Farrokhi F, Assari S, Fotros A, Naseri H. Gender impact on the correlation between sexuality and marital relation quality in patients with coronary artery disease. J Sex Med 2008;5(9):2100-6.

Tripathi BM, Hosanagar A.Sexual behavior among opiate users attending a Drug Dependence Treatment Clinic in India. Int Conf AIDS. 2002; 7-12; 14:

Pisani E, Dadun, Sucahya PK, Kamil O, Jazan S. Sexual behavior among injection drug users in 3 indonesian cities carries a high potential for HIV spread to noninjectors. : J Acquir Immune Defic Syndr 2003 1;34(4):403-6.

Rawson RA, Reiber C, Washton A; Domier C. Gender Differences in Sexual Behavior and Attitudes among Opiate, Alcohol, Cocaine and Methamphetamine Users.

Hatzimouratidis K, Hatzichristou D. Sexual dysfunctions: Classifications and definitions. J Sex Med 2007;4:241–50.

Koskimaki J, Hakama M, Huhtala H, Tammela TL. Effect of erectile dysfunction on frequency of intercourse: A population based prevalence study in Finland. J Urol 2000;164:367–70.

Riley A, Beardsworth A, Kontodimas S, Suarez D, Torres JV, Haro JM. Sexual intercourse frequency in men presenting for treatment of erectile dysfunction: Results from the pan-European erectile dysfunction observational study. J Sex Marital Ther 2007;33:3–18.

Chen KK, Chiang HS, Jiann BP, Lin JS, Liu WJ, Wu CJ, et al. Prevalence of erectile dysfunction and impacts on sexual activity and self-reported intercourse satisfaction in men older than 40 years in Taiwan. Int J Impot Res 2004;16:249–55.

Althof S. The psychology of premature ejaculation: Therapies and consequences. J Sex Med 2006;3 (4 suppl): 324–31.

Latini DM, Penson DF, Wallace KL, Lubeck DP, Lue TF. Clinical and psychosocial characteristics of men with erectile dysfunction: Baseline data from ExCEED. J Sex Med 2006;3:1059–67.

Dean J, Hackett GI, Gentile V, Pirozzi-Farina F, Rosen RC, Zhao Y,et al. Psychosocial outcomes and drug attributes affecting treatment choice in men receiving sildenafil citrate and tadalafil for the treatment of erectile dysfunction: Results of a multicenter, randomized, open-label, crossover study. J Sex Med 2006;3: 650–61.

Laumann EO, West S, Glasser D, Carson C, Rosen R, Kang JH. Prevalence and correlates of erectile dysfunction by race and ethnicity among men aged 40 or older in the United States: From the male attitudes regarding sexual health survey. J Sex Med 2007;4: 57–65.

Basson R, Brotto LA, Laan E, Redmond G, Utian WH. Assessment and management of women’s sexual dysfunctions: Problematic desire and arousal. J Sex Med 2005;2:291–300.

How to Cite
Noori R, Rafiey H, Solaimani-nia L, Narenjiha H, Assari S, Moghani Lankarani M. Impact of Spouse’s Opiate Dependence on the Partner’s. J Fam Reprod Health. 2(4):185-180.
Original Articles