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CURRENT STATE OF PSILOCYBIN-ASSISTED THERAPY IN MOOD DISORDERS.

Psychiatria Danubina
August 1, 2024
Astrid Kaiserman et al. (3 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the safety, feasibility, and therapeutic efficacy of psilocybin-assisted therapy (PAT) for depression and anxiety, particularly in patients with life-threatening diseases.

Results Summary

PAT showed significant immediate and partially sustained improvements in depressive and anxious symptomatology, with comparable efficacy to selective serotonergic reuptake inhibitors in one study. The therapy was found safe and feasible in clinical models, though larger, more diverse studies are needed for stronger conclusions.

Population

General population with depressive symptoms and patients with somatic life-threatening diseases experiencing depression and anxiety.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (7)
InterventionDirectionEndpointPopulationDosageImpactClaim #
psilocybin-assisted therapy (PAT)
decrease
depression and psychiatric distress
patients suffering from depression and psychiatric distress associated with life-threatening disease
-
has been suggested to have positive effects
#1
psychedelics
increase
a hyper-plastic state
-
-
seem to induce
#2
psychedelics
increase
rapid, robust and sustained neuroplasticity
-
-
are suggested to induce
#3
PAT
neutral
-
-
-
is safe and feasible to administer
#4
PAT
decrease
depressive and anxious symptomatology
-
-
shows significant improvements
#5
PAT
no change
-
-
-
showed no significant difference of efficacy
#6
PAT
no change
-
-
-
showed no significant difference of efficacy
#7
Abstract

Psychedelics are currently undergoing a scientific renaissance, with modern studies investigating therapeutic efficacy of psychedelic-assisted therapy in a range of psychiatric conditions. In particular, psilocybin-assisted therapy (PAT) has been suggested to have positive effects on patients suffering from depression and psychiatric distress associated with life-threatening disease - contexts with growing needs for alternative treatments - in a therapeutic setting involving fewer doses and less important adverse effect compared to that of classic psychotrope administration. Psychedelics are partial agonists of the serotonin 2A (5-HT2A) G protein-coupled receptors, whose activation likely mediates the acute psychoactive effects. Furthermore, psychedelics seem to induce a hyper-plastic state which allows for adaptation of inflexible pathological thinking patterns. Post-acutely, they are suggested to induce rapid, robust and sustained neuroplasticity. Eight clinical PAT trials have been conducted between January 1st 2001 and March 31st 2023 and are reviewed here. Five of them evaluate the effect on depressive symptomatology in an otherwise general population. The other three evaluate effect on depression and anxiety in patients suffering from somatic life-threatening disease. The studies reviewed here show that PAT is safe and feasible to administer in current clinical models. Preliminary efficacy shows significant improvements in depressive and anxious symptomatology which are immediate and partially sustained. One study comparing PAT to selective serotonergic reuptake inhibitors showed no significant difference of efficacy between the two treatments. Preliminary results regarding efficacy of PAT on mood disorders are promising, but further research is warranted for stronger inferences, with a particular focus on larger, multicentric studies, more diverse populations and a stronger control for expectancy and unblinding.

Medical Subject Headings (MeSH)
HumansPsilocybinHallucinogensMood Disorders
Study Links
Quality Scores
Safety80
Efficacy75/10
Quality70/10
Research Impact Scores
APT Score0.05
Weight Score2.25
Normalized Score0.76
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