Historique
Article de Périodique
Chemsex: review of the current literature and treatment guidelines (2023)
Auteur(s) :
MALANDAIN, L. ;
THIBAUT, F.
Année
2023
Page(s) :
563-571
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Refs biblio. :
76
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
CHEMSEX
;
HSH
;
PRISE EN CHARGE
;
EFFET RECHERCHE
;
COMORBIDITE
;
USAGE PROBLEMATIQUE
;
TRAITEMENT
;
RECOMMANDATION
Résumé :
Purposeof the review: Chemsex mainly concerned men who have sex with men, but seems to spread in general population. Clinical characteristics and expected effects are diverse. This paper aims at reviewing existing literature on chemsex and providing treatment guidelines.
Recent findings: The use of substances for improving or extending sexual intercourses is commonly referred to as chemsex. Substances used are mainly methamphetamine, GHB/GBL, cocaine and cathinones. Prevalence is estimed between 3 and 42% of MSM. Risk factors are mainly living in a metropolis, using dating apps and practicing "hard-sex". Chemsex practice is not necessarily pathological and only the loss of control, the association with addictive, psychiatric and/or infectious comorbidities should require care.
Summary: Management of problematic chemsex should be multidisciplinary and must take into account psychiatric, addictive and infectious comorbidities. Information and education are crucial in order to reduce risks and potential harm associated to chemsex.
Recent findings: The use of substances for improving or extending sexual intercourses is commonly referred to as chemsex. Substances used are mainly methamphetamine, GHB/GBL, cocaine and cathinones. Prevalence is estimed between 3 and 42% of MSM. Risk factors are mainly living in a metropolis, using dating apps and practicing "hard-sex". Chemsex practice is not necessarily pathological and only the loss of control, the association with addictive, psychiatric and/or infectious comorbidities should require care.
Summary: Management of problematic chemsex should be multidisciplinary and must take into account psychiatric, addictive and infectious comorbidities. Information and education are crucial in order to reduce risks and potential harm associated to chemsex.
Affiliation :
Department of Psychiatry and Addiction, University Hospital Cochin AP-HP (Site Tarnier), Paris, France
Institute of Psychiatry and Neurosciences, INSERM U1266, University Paris Cité, Paris, France
Institute of Psychiatry and Neurosciences, INSERM U1266, University Paris Cité, Paris, France