A pilot RCT of an online mindfulness-based cognitive intervention for chemsex

IF 1.2 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research Pub Date : 2023-11-27 DOI:10.1002/capr.12728

Samantha Banbury, Joanne Lusher, Chris Chandler, Karyofyllis Zervoulis

{"title":"A pilot RCT of an online mindfulness-based cognitive intervention for chemsex","authors":"Samantha Banbury, Joanne Lusher, Chris Chandler, Karyofyllis Zervoulis","doi":"10.1002/capr.12728","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objectives</h3>\n \n <p>Chemsex is a term used to describe sex acts using psychoactive substances to enhance the sexual experience/arousal and predominates among men who have sex with men (MSM). Chemsex drugs predominantly include γ-hydroxybutyric acid (GHB) and analogues, methamphetamine, mephedrone and erectile dysfunction agents (e.g., Sildenafil). <i>Mindfulness</i><i>-based</i> <i>cognitive therapy</i> (MBCT) combines <i>cognitive therapy</i> and <i>mindfulness</i> and has been shown to help support both sexual functioning and methamphetamine use. However, limited clinical trials have evaluated the use of cognitive mindfulness for chemsex in MSM. The present study assessed the effectiveness of an online mindfulness-based cognitive intervention (MBCI) among 29 MSM aged 18–30 years engaged in chemsex.</p>\n </section>\n \n <section>\n \n <h3> Design and Setting</h3>\n \n <p>A mixed methods approach consisted of a randomised waitlist-controlled trial and a content analysis reviewing participants' feedback on MBCI. The design of the intervention was based on a behavioural taxonomy mapped to selected behaviour change techniques (BCTs) to support the reliability of MBCI in its delivery.</p>\n </section>\n \n <section>\n \n <h3> Main Outcome Measures</h3>\n \n <p>Participants completed assessments measuring levels of chemsex, mindfulness, sexual self-efficacy and well-being, taken at Weeks 0, 8 and 12 (follow-up).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Participants reported lower levels of chemsex and higher levels of cognitive mindfulness, sexual self-efficacy and well-being postintervention and at the 12-week follow-up. The content analysis feedback responses yielded favourable outcomes, suggesting that participants developed a sense of self-compassion, confidence and positive identity.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>The MBCI effectively reduced chemsex; however, this study warrants replication with a larger, more diverse group of participants.</p>\n </section>\n </div>","PeriodicalId":46997,"journal":{"name":"Counselling & Psychotherapy Research","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/capr.12728","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Counselling & Psychotherapy Research","FirstCategoryId":"1085","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/capr.12728","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objectives

Chemsex is a term used to describe sex acts using psychoactive substances to enhance the sexual experience/arousal and predominates among men who have sex with men (MSM). Chemsex drugs predominantly include γ-hydroxybutyric acid (GHB) and analogues, methamphetamine, mephedrone and erectile dysfunction agents (e.g., Sildenafil). Mindfulness-based cognitive therapy (MBCT) combines cognitive therapy and mindfulness and has been shown to help support both sexual functioning and methamphetamine use. However, limited clinical trials have evaluated the use of cognitive mindfulness for chemsex in MSM. The present study assessed the effectiveness of an online mindfulness-based cognitive intervention (MBCI) among 29 MSM aged 18–30 years engaged in chemsex.

Design and Setting

A mixed methods approach consisted of a randomised waitlist-controlled trial and a content analysis reviewing participants' feedback on MBCI. The design of the intervention was based on a behavioural taxonomy mapped to selected behaviour change techniques (BCTs) to support the reliability of MBCI in its delivery.

Main Outcome Measures

Participants completed assessments measuring levels of chemsex, mindfulness, sexual self-efficacy and well-being, taken at Weeks 0, 8 and 12 (follow-up).

Results

Participants reported lower levels of chemsex and higher levels of cognitive mindfulness, sexual self-efficacy and well-being postintervention and at the 12-week follow-up. The content analysis feedback responses yielded favourable outcomes, suggesting that participants developed a sense of self-compassion, confidence and positive identity.

Conclusions

The MBCI effectively reduced chemsex; however, this study warrants replication with a larger, more diverse group of participants.

Abstract Image

查看原文本刊更多论文

基于正念的化性在线认知干预试验性研究

化学性性行为（Chemsex）是指使用精神活性物质来增强性体验/性兴奋的性行为，主要发生在男男性行为者（MSM）中。化学性性行为药物主要包括γ-羟丁酸（GHB）及其类似物、甲基苯丙胺、甲氧麻黄酮和勃起功能障碍药物（如西地那非）。正念认知疗法（MBCT）结合了认知疗法和正念，已被证明有助于支持性功能和甲基苯丙胺的使用。然而，对认知正念用于 MSM 化学性行为的临床试验评估有限。本研究评估了基于正念的在线认知干预（MBCI）对29名年龄在18-30岁之间从事化学性行为的MSM的有效性。干预的设计基于行为分类法，并与选定的行为改变技术（BCTs）相匹配，以支持 MBCI 在实施过程中的可靠性。参与者在第 0 周、第 8 周和第 12 周（随访）完成了测量化学性行为水平、正念、性自我效能感和幸福感的评估。参与者在干预后和 12 周的随访中报告了较低的化学性行为水平和较高的认知正念、性自我效能感和幸福感水平。内容分析反馈的结果很好，表明参与者培养了自我同情感、自信心和积极的身份认同感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

4.40

自引率

12.50%

发文量

期刊介绍： Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.