*Consent Form


Hypersexuality and Couples: An Exploratory Study


Dr. James Cantor, Senior Scientist, CAMH 416-535-8501 ext.4078

Dr. Katherine Sutton, Post-Doctoral Fellow, CAMH 416-535-8501 ext.6532

Purpose: You are being invited to take part in a research study that involves filling in some questionnaires in order for us to learn more about relationships of men with hypersexuality. Hypersexuality, commonly referred to as “sexual addiction” is defined, for the purposes of this study, as sexually problematic behaviour that feels out of control and interferes with one’s life.

The purpose of this study is to explore general mental health, sexual attitudes and functioning, and relationship functioning of men with hypersexuality and their partners, with the eventual aim of assisting in the development of partner support groups and couples counseling.

Procedures: The study consists of filling out questionnaires online. At the end of this form we will ask you to provide consent. We are not collecting any identifying information that is linked with your data. If you consent to the study, you will be asked to enter a study ID consisting of the first two letters of your mother’s first name, two digit month of birth, and the first two letters of your street. If you have a partner, you will also be asked to enter their ID (the first two letters of their mother’s first name, two digit month of birth, and the first two letters of their street). The study will take approximately 25-35 minutes to complete. There is the optional opportunity to enter a prize draw at the end of the study by entering your email address. The email address is in no way linked with your questionnaire responses.

Eligibility: To participate in this study you must be over the age of 18 and fluent in English.

Confidentiality: Your identity will be kept confidential to the full extent provided by the law. Your personal identifying information is never entered into this survey; however, should you choose to enter your partner’s ID, your ID number will be linked with your partner’s data. Once the survey is complete, you cannot re-enter to examine your responses, so neither you nor your partner will have access to one another’s data. No personal identifying information will be used in any reports or publications associated with this study. As part of continuing review of the research, your study records may be assessed on behalf of the Research Ethics Board; however, these records will not contain any identifying information.

Compensation: There is no financial compensation for this study; however, once you have completed the study, you have the option to enter your email for a prize draw of a $50.00 gift card to Amazon. Draws will take place every 3 months for the duration of the study.

Risks: Participation in this study does not pose any health risks or cause any physical discomfort. Participation may result in some psychological discomfort, as the questionnaires are of a personal nature.

Possible Benefits: There are no direct health benefits to you from participating in this study.

Voluntary Participation: It is entirely up to you whether you participate in this study, and you may discontinue at anytime. Should you begin the study and wish to withdraw your responses, you may telephone or email Dr. Sutton and ask that your data be deleted.

Privacy and Confidentiality: Study information will be kept in a password protected file. Your questionnaire responses are anonymous, as there is no identifying information attached to them. Should you choose to enter your name in the draw, it will not be linked with your questionnaire data. The database with names for the draw will be kept under password protection. The data will be kept confidential to the extent permitted by law. Your name will never be mentioned in any papers, presentations, or publications that come from this study.

Additional Information: The contact for any questions about the nature of this study is Dr. Katherine Sutton, 416-535-8501 ext. 6532, katherine.sutton@camh.ca. The primary supervisor, Dr. James Cantor, at the Centre for Addiction and Mental Health, can be contacted at any time if you have any further questions about the study or your rights, 416-535-8501 ext. 4078. In addition, Dr. Darby, Chair of the Research Ethics Board, Centre for Addiction and Mental Health, may be contacted to discuss your rights. Dr. Darby may be reached by telephone at 416-535-8501 ext. 6876.


I have read the Information Sheet for the study named “Hypersexuality and Couples: An Exploratory Study.” The purpose of this study is not to help me with my problem, my partner’s problem, or our relationship. My role in the study is as a research volunteer to help the investigators collect information about relationships of people with hypersexuality. This information may or may not be useful in designing better ways to help people with these problems in the future. My questions, if any, have been answered to my satisfaction. By signing this consent form, I do not waive any of my rights.

***Please note that we ask you to fill out these questionnaires without the input or assistance of your partner***

By checking below, I agree to participate.