[Case - control study of factors influencing on drug abuse relapse in addicts referred to two recovery centers in Tehran]

Relapse after treatment is a common problem among drug addicts in addiction control and prevention programs. About 80% of the addicts relapse into drug abuse within 6 months after treatment. The purpose of this study was to determine factors associated with drug abuse relapse in patients consulting two selected addiction treatment centers in Tehran. In this case-control study, 160 relapsed patients were compared with 160 abstentious patients. A researcher-developed questionnaire was used to collect data. Chi-square test, odds ratio [OR] and logistic regression were performed for data analysis. The findings showed that factors increasing rate of relapse were smoking after relapse [OR=7.14, CI=3.855-13.244], substance-related cues [OR=6.76, CI= 3.915-11.678], interaction with addict peers [OR=6.38, CI=3.921-10398], malaise [OR=3.93, CI=2.446-6.305], and family conflict [OR=2.04, CI=1.227-3.385]. Opium- and dross-addicts were found to be less likely to have a relapse than crack- or pot- users [OR= 0.208, CI-0.128- 0.336]. The findings of this study reveal that relapse into drug abuse is significantly associated with personal, social, psychological and medical variables. It is recommended to integrate family counseling and therapeutic approaches, constant monitoring, and health care in treatment plans in order to reduce the adverse effects of factors such as family conflicts, peer pressure and drug-related cues in patients' likelihood of relapse

Relationship between sexual pleasure and marital satisfaction

Marital satisfaction depends on many factors and one of the most important factors is safe and pleasing sexual relationship. However, there is not sufficient information about these issues in Iran. Therefore the aim of this study was to determine the relationship between sexual and marital satisfaction. It was a descriptive - correlational study. The sample includes 292 married males and females who had come to selected hospitals in west of Tehran to visit their reletives. The participants were recruited by convenient sampling. Data was collected by sexual satisfaction and marital satisfaction questionnaires and analyzed using SPSS-PC [ver. 14]. Marital satisfaction was significantly related to sexual satisfaction [p=0/00]. Moreover, there was a significant relationship between sexual satisfaction and age difference [p=0/04], duration of marriage [p=0/05], and drug abuse of the participants [p=0/007]. Among all variables which have been tested in this study, only age difference was shown to have a significant relationship with marital satisfaction [0/00]. Regarding the relationship between sexual satisfaction and satisfaction with marital life, approaches to teaching young males and females and giving sexual consultation would help them enjoy a successful and satisfactionary marital life

Sexual satisfaction and its relation to marital happiness in Iranians

Marital satisfaction is affected by many factors. Satisfaction with one's sexual life tends to be a pivotal factor in marital satisfaction. In Iran, Socio-cultural and political limitations are obstacles for sexuality-related studies, therefore, insufficient information is available in the area. Unique in its own, in this paper we report how sexual relationships relate to marital satisfaction among Iranians. This descriptive-correlation study was conducted in 2007 in Tehran, continuous sampling was used to recruit 292 married men, and women aged 19-58 yr from selected hospitals in Tehran while visiting their hospitalized relatives. Sometimes the participants were couple too. Three questionnaires were used for data collection. The data were analyzed using descriptive and inferential statistics [x[2] Fisher and Anova] with SPSS. Marital satisfaction significantly relates to sexual satisfaction [P= 0/00]. There was also a significant relation between sexual satisfaction and the following variables: age difference of couples [P= 0.04], length of marital life [P= 0.05], and a drug abused participant [P= 0.007]. Of these variables, only the age difference of couples significantly relates to marital satisfaction [0.00]. Findings suggest that sexual satisfaction plays a seminal role in marital satisfaction of Iranians. Therefore, we need to develop culturally appropriate practical strategies to improve Iranian couples' awareness in sexuality issues as well as training them in communication skills through their sexual encounters