Evidence map›Paper›PMID 40944034›Full record

ReviewJournal of clinical medicine2025

Chemsex as a Diagnostic Challenge: Toward Recognition in ICD-12 and Integrated Treatment Approaches-A Narrative Review.

Justyna Śniadach, Wiktor Orlof, Justyna Sołowiej-Chmiel, Aleksandra Kicman, Sylwia Szymkowiak, Napoleon Waszkiewicz

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Justyna ŚniadachDepartment of Psychiatry, The Faculty of Medicine, Medical University of Białystok, 15-272 Białystok, Poland.
Wiktor OrlofDepartment of Psychiatry, The Faculty of Medicine, Medical University of Białystok, 15-272 Białystok, Poland.
Justyna Sołowiej-ChmielDepartment of Psychiatry, The Faculty of Medicine, Medical University of Białystok, 15-272 Białystok, Poland.
Aleksandra KicmanDepartment of Psychiatry, The Faculty of Medicine, Medical University of Białystok, 15-272 Białystok, Poland.
Sylwia SzymkowiakHCP Medical Center in Poznań, 61-485 Poznań, Poland.
Napoleon WaszkiewiczDepartment of Psychiatry, The Faculty of Medicine, Medical University of Białystok, 15-272 Białystok, Poland.ORCID 0000-0002-7021-5133

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chemsex is a phenomenon involving the intentional use of psychoactive substances before or during sexual activity, especially among men who have sex with men (MSM). It is associated with various health risks, including substance dependence, risky sexual behaviors, and both mental and somatic disorders. Despite its growing prevalence and public health relevance, chemsex lacks a clear definition and is not recognized as a distinct diagnostic entity. This narrative review synthesizes clinical, epidemiological, and technological evidence on chemsex; argues for its classification as a form of mixed addiction; and preliminarily proposes diagnostic criteria for a potential entity in the International Classification of Diseases, 12th Revision (ICD-12). This paper highlights key psychotropic substances used in chemsex, patterns of use, and their neurobiological, psychological, and behavioral consequences. It explores the relationship between chemsex and compulsive sexual behavior disorder (CSBD), current diagnostic frameworks (ICD-10 and ICD-11), and challenges in clinical practice. Therapeutic strategies discussed include cognitive behavioral therapy (CBT), digital interventions, and emerging applications of artificial intelligence (AI) in prevention and treatment. Attention is also given to epidemiological trends, sociocultural influences, and barriers to seeking help. This review concludes by identifying research gaps and advocating for a more integrated, multidimensional approach to classifying and treating chemsex-related syndromes.

Indexed as

chemsexcompulsive sexual behavior disorder (CSBD)ICD-10ICD-11mixed addictionsexualitysubstance use disorderstherapeutic strategies

Identifiers

PMID40944034
PMCPMC12428834

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.