Abstract

Sex under the influence of psychoactive substances (SUIPS) has gained much attention in the press and scientific literature over the last years, especially among men who have sex with men (MSM). Concerns have thus far been expressed in relation to short-term physical health risks, like contracting bloodborne diseases, like viruses. However, much less is known about long-term mental health consequences of SUIPS, like depression, anxiety, and substance use disorders (SUD). Therefore, we systematically reviewed literature for evidence on mental health complications of SUIPS in MSM. SUIPS was associated with a lower general mental health status, and higher rates of depression, anxiety disorders and suicide ideation in 15 studies, and higher rates of SUD were found among MSM practicing SUIPS in four studies. Motives of SUIPS were increasing sexual performance, fear of rejection, anxiety, and low self-esteem among others. Furthermore, long-term mental health risks, as associated with some of the most frequently reported psychoactive substances in the context of SUIPS, include psychosis and substance dependence. Therefore, the present findings indicate that SUIPS is associated with mental disorders and that they are probably closely intertwined with motives for SUIPS and the long-term effects of using psychoactive substances. This underlines the need to address the presence of mental disorders in people practicing SUIPS, alongside the physical risks.

中文翻译：

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在精神活性物质影响下男男性行为者的心理健康：系统评价

摘要

过去几年，精神活性物质影响下的性行为（SUIPS）引起了媒体和科学文献的广泛关注，特别是在男男性行为者（MSM）中。迄今为止，人们对短期身体健康风险表示担忧，例如感染病毒等血源性疾病。然而，人们对 SUIPS 的长期心理健康后果（如抑郁、焦虑和药物滥用障碍 (SUD)）知之甚少。因此，我们系统地回顾了有关 MSM 中 SUIPS 心理健康并发症的文献证据。在 15 项研究中，SUIPS 与较低的一般心理健康状况以及较高的抑郁症、焦虑症和自杀意念发生率相关，在 4 项研究中发现，练习 SUIPS 的 MSM 中 SUD 的发生率较高。SUIPS 的动机包括提高性能力、害怕被拒绝、焦虑和自卑等。此外，与 SUIPS 背景下一些最常报告的精神活性物质相关的长期精神健康风险包括精神病和物质依赖。因此，目前的研究结果表明，SUIPS 与精神障碍有关，并且它们可能与 SUIPS 的动机以及使用精神活性物质的长期影响密切相关。这强调了需要解决 SUIPS 患者所存在的精神障碍以及身体风险。