The Chem-Sex Inventory Scale (CSI): A Tool to Assess the Mental Health Risk of Chemsex Behaviors in Men Who Have Sex with Men
<b>Background</b>: Chemsex has been defined as the deliberate use of drugs for prolonged sexual intercourse between gay and bisexual men and other men who have sex with men (MSM). Drugs associated with chemsex can trigger mental health problems such as anxiety, depression, risk of psycho...
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MDPI AG
2024-09-01
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| author | Pablo Del Pozo-Herce Enrique Baca-García Antonio Martínez-Sabater Rubén Pérez-Elvira Vicente Gea-Caballero Elena Chover-Sierra Pedro José Satústegui-Dordá Alberto Tovar-Reinoso Francisco José Rodríguez-Velasco Mercedes Sánchez-Barba Jesús Pérez Raúl Juárez-Vela |
| author_facet | Pablo Del Pozo-Herce Enrique Baca-García Antonio Martínez-Sabater Rubén Pérez-Elvira Vicente Gea-Caballero Elena Chover-Sierra Pedro José Satústegui-Dordá Alberto Tovar-Reinoso Francisco José Rodríguez-Velasco Mercedes Sánchez-Barba Jesús Pérez Raúl Juárez-Vela |
| author_sort | Pablo Del Pozo-Herce |
| collection | DOAJ |
| description | <b>Background</b>: Chemsex has been defined as the deliberate use of drugs for prolonged sexual intercourse between gay and bisexual men and other men who have sex with men (MSM). Drugs associated with chemsex can trigger mental health problems such as anxiety, depression, risk of psychosis and suicidal ideation, social isolation, stigmatization, and even loss of impulse control and lack of coping strategies. Currently, the increase in illicit drugs in a sexual context is considered an outbreak of a public health emergency. <b>Objective</b>: The aim of this study is the construction and validation of the Chem-Sex Inventory (CSI), a new scale to assess the mental health risk of chemsex behaviors. <b>Methods</b>: A cross-sectional design was conducted to study 563 participants. Data were collected through an online questionnaire between January and April 2023, and the construct validity of the CSI was assessed through exploratory and confirmatory factor analysis. <b>Results</b>: The sample was, on average, 36 years old (SD: ±9.2). The majority of gender identity was cisgender (97.7%). A factor structure was found that can be summarized in four dimensions: emotional instability, risk of psychosis, altered body perception, and risk of suicide. The confirmatory factor analysis (CFA) presents adequate reliability values, with a Cronbach’s alpha above 0.87 for all dimensions and a McDonald’s omega above 0.88 with a good fit of the 42 items. <b>Conclusions</b>: Our study has shown that the Chem-Sex Inventory (CSI) scale has factorial validity and could be used in clinical practice and research to measure the behavioral contribution of the chemsex phenomenon in MSM. |
| format | Article |
| id | doaj-art-bad4260840234f4eaa31ef27a5edbf5b |
| institution | OA Journals |
| issn | 2039-439X 2039-4403 |
| language | English |
| publishDate | 2024-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Nursing Reports |
| spelling | doaj-art-bad4260840234f4eaa31ef27a5edbf5b2025-08-20T01:55:45ZengMDPI AGNursing Reports2039-439X2039-44032024-09-011432226224510.3390/nursrep14030166The Chem-Sex Inventory Scale (CSI): A Tool to Assess the Mental Health Risk of Chemsex Behaviors in Men Who Have Sex with MenPablo Del Pozo-Herce0Enrique Baca-García1Antonio Martínez-Sabater2Rubén Pérez-Elvira3Vicente Gea-Caballero4Elena Chover-Sierra5Pedro José Satústegui-Dordá6Alberto Tovar-Reinoso7Francisco José Rodríguez-Velasco8Mercedes Sánchez-Barba9Jesús Pérez10Raúl Juárez-Vela11Doctorate Program in Psychology, Autonomous University of Madrid, 28049 Madrid, SpainDepartment of Psychiatry, Fundación Jiménez Díaz University Hospital, 28040 Madrid, SpainNursing Care and Education Research Group (GRIECE), GIUV2019-456, Nursing Department, Universitat de Valencia, 46010 Valencia, SpainFaculty of Psychology, Potificial University of Salamanca, 37007 Salamanca, SpainResearch Group Community Health and Care, Faculty of Health Sciences, International University of Valencia, 46014 Valencia, SpainNursing Care and Education Research Group (GRIECE), GIUV2019-456, Nursing Department, Universitat de Valencia, 46010 Valencia, SpainSAPIENF (B53_23R) Research Group, Faculty of Health Sciences, University of Zaragoza, 50009 Zaragoza, SpainUNIE Universidad, 28040 Madrid, SpainBiopsychosocial Research Group (GIBIPSO), Faculty of Medicine and Health Sciences, University of Extremadura, 10003 Caceres, SpainDepartment of Statistics, Faculty of Medicine, University of Salamanca, 37007 Salamanca, SpainPrevention and Early Intervention in Mental Health (PRINT), Faculty of Medicine, Biomedical Institute of Salamanca, University of Salamanca, 37007 Salamanca, SpainPrevention and Early Intervention in Mental Health (PRINT), Faculty of Medicine, Biomedical Institute of Salamanca, University of Salamanca, 37007 Salamanca, Spain<b>Background</b>: Chemsex has been defined as the deliberate use of drugs for prolonged sexual intercourse between gay and bisexual men and other men who have sex with men (MSM). Drugs associated with chemsex can trigger mental health problems such as anxiety, depression, risk of psychosis and suicidal ideation, social isolation, stigmatization, and even loss of impulse control and lack of coping strategies. Currently, the increase in illicit drugs in a sexual context is considered an outbreak of a public health emergency. <b>Objective</b>: The aim of this study is the construction and validation of the Chem-Sex Inventory (CSI), a new scale to assess the mental health risk of chemsex behaviors. <b>Methods</b>: A cross-sectional design was conducted to study 563 participants. Data were collected through an online questionnaire between January and April 2023, and the construct validity of the CSI was assessed through exploratory and confirmatory factor analysis. <b>Results</b>: The sample was, on average, 36 years old (SD: ±9.2). The majority of gender identity was cisgender (97.7%). A factor structure was found that can be summarized in four dimensions: emotional instability, risk of psychosis, altered body perception, and risk of suicide. The confirmatory factor analysis (CFA) presents adequate reliability values, with a Cronbach’s alpha above 0.87 for all dimensions and a McDonald’s omega above 0.88 with a good fit of the 42 items. <b>Conclusions</b>: Our study has shown that the Chem-Sex Inventory (CSI) scale has factorial validity and could be used in clinical practice and research to measure the behavioral contribution of the chemsex phenomenon in MSM.https://www.mdpi.com/2039-4403/14/3/166illicit drugsmental healthpsychiatrysubstance-related disorders |
| spellingShingle | Pablo Del Pozo-Herce Enrique Baca-García Antonio Martínez-Sabater Rubén Pérez-Elvira Vicente Gea-Caballero Elena Chover-Sierra Pedro José Satústegui-Dordá Alberto Tovar-Reinoso Francisco José Rodríguez-Velasco Mercedes Sánchez-Barba Jesús Pérez Raúl Juárez-Vela The Chem-Sex Inventory Scale (CSI): A Tool to Assess the Mental Health Risk of Chemsex Behaviors in Men Who Have Sex with Men Nursing Reports illicit drugs mental health psychiatry substance-related disorders |
| title | The Chem-Sex Inventory Scale (CSI): A Tool to Assess the Mental Health Risk of Chemsex Behaviors in Men Who Have Sex with Men |
| title_full | The Chem-Sex Inventory Scale (CSI): A Tool to Assess the Mental Health Risk of Chemsex Behaviors in Men Who Have Sex with Men |
| title_fullStr | The Chem-Sex Inventory Scale (CSI): A Tool to Assess the Mental Health Risk of Chemsex Behaviors in Men Who Have Sex with Men |
| title_full_unstemmed | The Chem-Sex Inventory Scale (CSI): A Tool to Assess the Mental Health Risk of Chemsex Behaviors in Men Who Have Sex with Men |
| title_short | The Chem-Sex Inventory Scale (CSI): A Tool to Assess the Mental Health Risk of Chemsex Behaviors in Men Who Have Sex with Men |
| title_sort | chem sex inventory scale csi a tool to assess the mental health risk of chemsex behaviors in men who have sex with men |
| topic | illicit drugs mental health psychiatry substance-related disorders |
| url | https://www.mdpi.com/2039-4403/14/3/166 |
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