Trial document




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  DRKS00022336

Trial Description

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Title

Chems, Queer Identity, Shame and Sexual Self-Concept

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Trial Acronym

Chem-QuISS

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URL of the Trial

http://www.sexstudie.com/

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Brief Summary in Lay Language

Chemsex, a neologism consisting of the words "chemicals" and "sex", describes a sub-form of sexualized substance use.
This practice is particularly common among men who have sex with men (MSM), with methamphetamine, GHB/GBL, mephedrone and ketamine being among the substances most commonly used. This is not a regionally limited phenomenon, as studies both in Germany and internationally suggest an increase, predominantly in urban areas.
Recent research shows that MSM who engage in chemsex are at increased risk, especially with regard to their physical and mental health.
The aim of this study is to use psychological questionnaires to determine whether participants with Chemsex activity may differ on some aspects from participants without Chemsex activity. Furthermore, it is to be examined whether sexual orientation has a correlation with sense of shame, sexual self-concept and pattern of consumption.
The data collection takes place in form of an online survey, which is advertised on contact platforms, counseling centers, magazines and MSM venues. Demographic data, pattern of consumption, the assessment of positive and negative aspects of one's own queer identity (if applicable), the expression of different dimensions of shame and the sexual self-concept are surveyed.
This will help to identify potentially important aspects for therapy.

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Brief Summary in Scientific Language

Chemsex, also known as sexualized drug use (SDU) or sexualized substance (ab)use, is being reported increasingly among men who have sex with men (MSM). It is characterized by deliberately using substances to initiate, influence, and sustain sexual activity.
The difference between MSM with SDU and MSM with addiction alone is, among other things, the clear temporal association with sexual activity. However, this association can become less evident when substance use progresses.
The reasons for consumption are manifold, but disinhibition, increasing performance, intensification of pleasure, and increasing self-confidence are often mentioned. The most typical substances in this context are methamphetamine, GHB/GBL, mephedrone, and ketamine.
Previous studies indicate that MSM with SDU have a significantly increased risk of developing diseases and having negative psychosocial experiences. Mental illnesses, such as depression or substance-induced psychoses, as well as reduced physical health due to e.g. infectious diseases, are of primary concern. Additionally, non-consensual traumatic experiences and changes in sexual self-concept, up to the cessation of substance-free sexuality, are described.
In terms of a non-sexual context, international studies have already shown that negative experiences and attitudes towards being part of a sexual minority (minority stress, internalized homonegativity) correlate positively with shame and substance consumption.
The majority of these studies were conducted in the Anglo-American region. Since socio-culturally influenced experiences of minority status and the resultant self-perception are subject to very strong regional and cultural differences, this study aims to find out whether these well established sociological hypotheses can also be used to assess perisexual substance use among German-speaking MSM.
Recruitment is carried out by placing advertisements in queer magazines and contact platforms, as well as by displaying informational resources in therapy and counseling centers and MSM venues. Data acquisition is conducted via an online questionnaire consisting of several validated psychometric tests. The aspects measured include demographics, the pattern of use (substance, frequency, sexual context), different socio-culturally influenced aspects associated with sexual minority status (hereafter called queer identity; LGBIS-DE; if applicable), multidimensional shame (SHAME), and different psychological dimensions of sexuality (hereafter called sexual self-concept; MFS).
Through this study we hope to obtain a more precise description of German-speaking MSM with SDU and identify possible differences to MSM without SDU and non-MSM. These results could help in designing a therapeutic guideline that takes into account the constellation of substance use, sexuality, and minority specific societal experiences. Currently, no such therapeutic guideline exists, which leads to a suboptimal therapeutic situation for patients seeking professional assistance.

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Do you plan to share individual participant data with other researchers?

Yes

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Description IPD sharing plan:

Personal data protected by privacy laws are not collected. Anonymized, non-personal data will be evaluated and published. For completely anonymized raw data, please contact us.

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Organizational Data

  •   DRKS00022336
  •   2020/10/29
  •   [---]*
  •   yes
  •   Approved
  •   KB 20/004, Ethik-Kommission der Medizinischen Fakultät der Ludwig-Maximilians-Universität München
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Secondary IDs

  • [---]*
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Health Condition or Problem studied

  •   Sexualized drug use
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Interventions/Observational Groups

  •   MSM with SDU
    Online questionnaire, one time of examination: demographic questionnaire, pattern of consumption, LGBIS-DE (Queer Identity), SHAME (Shame), MFS (sexual self-concept)
  •   MSM without SDU
    Online questionnaire, one time of examination: demographic questionnaire, pattern of consumption, LGBIS-DE (Queer Identity), SHAME (Shame), MFS (sexual self-concept)
  •   Non-MSM
    Online questionnaire, one time of examination: demographic questionnaire, pattern of consumption, LGBIS-DE (Queer Identity; if applicable), SHAME (Shame), MFS (sexual self-concept)
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Characteristics

  •   Non-interventional
  •   Observational study
  •   Non-randomized controlled trial
  •   Open (masking not used)
  •   [---]*
  •   Historical
  •   Prevention
  •   Other
  •   N/A
  •   N/A
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Primary Outcome

The aim of the study is to test different hypotheses related to MSM and SDU using several published and validated psychometric questionnaires.

Hypothesis 1:
MSM with SDU differ from MSM without SDU in regard to their queer identity.

Hypothesis 2:
MSM with SDU differ from MSM without SDU in regard to their sense of shame.

Hypothesis 3:
MSM with SDU differ from MSM without SDU in regard to their sexual self-concept.

Hypothesis 4:
Queer identity, sense of shame and sexual self-concept influence the pattern of consumption of MSM.

Hypothesis 5:
Sexual orientation influences sense of shame, sexual self-concept and the pattern of consumption.

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Secondary Outcome

- Correlations between demographic data and LGBIS-DE, SHAME, MFS
- Intercorrelations between LGBIS-DE, SHAME, MFS
- Correlations between demographic data and pattern of consumption

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Countries of Recruitment

  •   Germany
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Locations of Recruitment

  •  
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Recruitment

  •   Actual
  •   2020/12/14
  •   1500
  •   Monocenter trial
  •   National
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Inclusion Criteria

  •   Both, male and female
  •   18   Years
  •   no maximum age
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Additional Inclusion Criteria

Sexual activity within last 12 months.

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Exclusion Criteria

Inadequate ability to handle online survey tool.

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Addresses

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    • Klinik für Psychiatrie und Psychotherapie des LMU Klinikum München
    • Mr.  PD Dr. med  Tobias  Rüther 
    • Nußbaumstraße 7
    • 80336  München
    • Germany
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    • Klinik für Psychiatrie und Psychotherapie des LMU Klinikum München
    • Mr.  Marcus  Gertzen 
    • Nußbaumstraße 7
    • 80336  München
    • Germany
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    • Ambulanz für sexualisierten Substanzgebrauch der Klinik für Psychiatrie und Psychotherapie des LMU Klinikum München
    • Mr.  Sinan  Karcher 
    • Nußbaumstraße 7
    • 80336  München
    • Germany
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Sources of Monetary or Material Support

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    • Klinik für Psychiatrie und Psychotherapie des LMU Klinikum München
    • Mr.  PD Dr. med.  Tobias  Rüther 
    • Nußbaumstraße 7
    • 80336  München
    • Germany
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Status

  •   Recruiting ongoing
  •   [---]*
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Trial Publications, Results and other Documents

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* This entry means the parameter is not applicable or has not been set.