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Perceptions and attitudes towards psychedelic-assisted psychotherapy among health professionals, patients, and the public: A systematic review 医护人员、患者和公众对迷幻药辅助心理疗法的看法和态度:系统回顾
IF 4.5 Q1 Social Sciences Pub Date : 2024-02-05 DOI: 10.1556/2054.2023.00294
Alesha Wells, Merciana Fernandes, Lisa Reynolds
Scientific interest in the therapeutic potential of psychedelics has been experiencing significant growth. Understanding the perceptions of psychedelic assisted psychotherapy (PAP) among health professional, patients, and the public is essential to guide future research objectives, trial protocols, and identify any barriers to future implementation.A comprehensive search of the databases (Medline, EMBASE, PSYCHinfo, SCOPUS, and Web of Science) was conducted on the 29th of November, 2022. This review included cross-sectional, longitudinal, and quasi-experimental studies published in peer-reviewed journals exploring perceptions of PAP among the three stakeholder groups. Studies were limited to English-language and the years 2012–2022. The protocol and review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines.The sample consisted of 29 studies, including n = 17 health professional, n = 6 patients, and n = 6 public. Broadly, knowledge of PAP was low among all three stakeholder groups. There was mixed to positive belief in the therapeutic potential of psychedelics, with male gender, younger age, and personal psychedelic experience/knowledge being key predictors of more favourable views. The majority of findings reported strong endorsement of further research. Consistent themes were identified surrounding concerns about legal status, funding, access, side-effects, and implementation.The evaluated research indicates a need for further research that will provide clarity about safety and elucidate how PAP may be implemented in public health settings. Further education of health professionals and the public should be a priority.
科学界对迷幻药治疗潜力的兴趣一直在大幅增长。2022 年 11 月 29 日,我们对数据库(Medline、EMBASE、PSYCHinfo、SCOPUS 和 Web of Science)进行了全面检索。本综述包括在同行评审期刊上发表的横向、纵向和准实验性研究,这些研究探讨了三个利益相关群体对 PAP 的看法。研究仅限于英语和 2012-2022 年。样本由 29 项研究组成,包括 n = 17 名卫生专业人员、n = 6 名患者和 n = 6 名公众。总体而言,所有三个利益相关群体对 PAP 的了解程度都很低。对于迷幻药的治疗潜力,人们的看法有好有坏,男性、年轻和个人迷幻药经历/知识是预测更赞成其观点的主要因素。大多数研究结果都强烈支持进一步的研究。所评估的研究表明,有必要开展进一步的研究,以澄清安全性问题,并阐明如何在公共卫生环境中实施 PAP。对卫生专业人员和公众的进一步教育应成为优先事项。
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引用次数: 0
MDMA-assisted dialectical behavioral therapy for borderline personality disorder: A qualitative study of mental health clinicians MDMA辅助辩证行为疗法治疗边缘型人格障碍:对心理健康临床医生的定性研究
IF 4.5 Q1 Social Sciences Pub Date : 2024-02-05 DOI: 10.1556/2054.2023.00281
Ann M. Inouye, Aaron S. Wolfgang, Lianne T. Philhower
In 2021, the final series of phase 3 clinical trials looking at MDMA-AT for treatment-resistant post-traumatic stress disorder (PTSD) found that 71.2% of 3,4-methylenedioxymethamphetamine (MDMA) full-dose participants no longer met criteria for PTSD. MDMA-assisted therapy is not US Food and Drug Administration (FDA) approved in treating borderline personality disorder (BPD), and while PTSD is quite different from BPD, it is possible that some of the beneficial effects of MDMA-assisted therapy may be applicable in treating BPD. Interviewing two clinicians utilizing dialectical behavioral therapy treatment and two MDMA-assisted therapy clinicians was one way to examine the phenomenology of MDMA-assisted therapy with BPD individuals in a thoughtful manner. An exploratory, qualitative, interview-based study assessed clinicians' perspectives of MDMA-assisted therapy and BPD and increased our understanding of underlying therapeutic mechanisms and processes and the role of pharmacological factors in these treatment modalities, optimizing treatment context, and leading to improved clinical responses and patient recovery. The codes generated unique perspectives of the participants revealing a chronological narrative which included three phases of treatment.
2021 年,MDMA-AT 治疗难治性创伤后应激障碍(PTSD)的最后一系列 3 期临床试验发现,71.2% 的 3,4-亚甲二氧基甲基苯丙胺(MDMA)全剂量参与者不再符合创伤后应激障碍的标准。美国食品和药物管理局(FDA)并未批准 MDMA 辅助疗法用于治疗边缘型人格障碍(BPD),虽然创伤后应激障碍与 BPD 有很大不同,但 MDMA 辅助疗法的某些有益效果有可能适用于治疗 BPD。采访两名使用辩证行为疗法治疗的临床医生和两名使用摇头丸辅助治疗的临床医生,是一种以深思熟虑的方式研究摇头丸辅助治疗 BPD 患者的现象学的方法。这项以访谈为基础的探索性定性研究评估了临床医生对亚甲二氧基甲基苯丙胺辅助疗法和 BPD 的看法,加深了我们对潜在治疗机制和过程以及药理因素在这些治疗模式中的作用的理解,优化了治疗环境,改善了临床反应和患者康复。这些代码产生了参与者的独特视角,揭示了包括三个治疗阶段在内的按时间顺序的叙述。
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引用次数: 0
Perceptions and attitudes towards psychedelic-assisted psychotherapy among health professionals, patients, and the public: A systematic review 医护人员、患者和公众对迷幻药辅助心理疗法的看法和态度:系统回顾
IF 4.5 Q1 Social Sciences Pub Date : 2024-02-05 DOI: 10.1556/2054.2023.00294
Alesha Wells, Merciana Fernandes, Lisa Reynolds
Scientific interest in the therapeutic potential of psychedelics has been experiencing significant growth. Understanding the perceptions of psychedelic assisted psychotherapy (PAP) among health professional, patients, and the public is essential to guide future research objectives, trial protocols, and identify any barriers to future implementation.A comprehensive search of the databases (Medline, EMBASE, PSYCHinfo, SCOPUS, and Web of Science) was conducted on the 29th of November, 2022. This review included cross-sectional, longitudinal, and quasi-experimental studies published in peer-reviewed journals exploring perceptions of PAP among the three stakeholder groups. Studies were limited to English-language and the years 2012–2022. The protocol and review was conducted according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines.The sample consisted of 29 studies, including n = 17 health professional, n = 6 patients, and n = 6 public. Broadly, knowledge of PAP was low among all three stakeholder groups. There was mixed to positive belief in the therapeutic potential of psychedelics, with male gender, younger age, and personal psychedelic experience/knowledge being key predictors of more favourable views. The majority of findings reported strong endorsement of further research. Consistent themes were identified surrounding concerns about legal status, funding, access, side-effects, and implementation.The evaluated research indicates a need for further research that will provide clarity about safety and elucidate how PAP may be implemented in public health settings. Further education of health professionals and the public should be a priority.
科学界对迷幻药治疗潜力的兴趣一直在大幅增长。2022 年 11 月 29 日,我们对数据库(Medline、EMBASE、PSYCHinfo、SCOPUS 和 Web of Science)进行了全面检索。本综述包括在同行评审期刊上发表的横向、纵向和准实验性研究,这些研究探讨了三个利益相关群体对 PAP 的看法。研究仅限于英语和 2012-2022 年。样本由 29 项研究组成,包括 n = 17 名卫生专业人员、n = 6 名患者和 n = 6 名公众。总体而言,所有三个利益相关群体对 PAP 的了解程度都很低。对于迷幻药的治疗潜力,人们的看法有好有坏,男性、年轻和个人迷幻药经历/知识是预测更赞成其观点的主要因素。大多数研究结果都强烈支持进一步的研究。所评估的研究表明,有必要开展进一步的研究,以澄清安全性问题,并阐明如何在公共卫生环境中实施 PAP。对卫生专业人员和公众的进一步教育应成为优先事项。
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引用次数: 0
MDMA-assisted dialectical behavioral therapy for borderline personality disorder: A qualitative study of mental health clinicians MDMA辅助辩证行为疗法治疗边缘型人格障碍:对心理健康临床医生的定性研究
IF 4.5 Q1 Social Sciences Pub Date : 2024-02-05 DOI: 10.1556/2054.2023.00281
Ann M. Inouye, Aaron S. Wolfgang, Lianne T. Philhower
In 2021, the final series of phase 3 clinical trials looking at MDMA-AT for treatment-resistant post-traumatic stress disorder (PTSD) found that 71.2% of 3,4-methylenedioxymethamphetamine (MDMA) full-dose participants no longer met criteria for PTSD. MDMA-assisted therapy is not US Food and Drug Administration (FDA) approved in treating borderline personality disorder (BPD), and while PTSD is quite different from BPD, it is possible that some of the beneficial effects of MDMA-assisted therapy may be applicable in treating BPD. Interviewing two clinicians utilizing dialectical behavioral therapy treatment and two MDMA-assisted therapy clinicians was one way to examine the phenomenology of MDMA-assisted therapy with BPD individuals in a thoughtful manner. An exploratory, qualitative, interview-based study assessed clinicians' perspectives of MDMA-assisted therapy and BPD and increased our understanding of underlying therapeutic mechanisms and processes and the role of pharmacological factors in these treatment modalities, optimizing treatment context, and leading to improved clinical responses and patient recovery. The codes generated unique perspectives of the participants revealing a chronological narrative which included three phases of treatment.
2021 年,MDMA-AT 治疗难治性创伤后应激障碍(PTSD)的最后一系列 3 期临床试验发现,71.2% 的 3,4-亚甲二氧基甲基苯丙胺(MDMA)全剂量参与者不再符合创伤后应激障碍的标准。美国食品和药物管理局(FDA)并未批准 MDMA 辅助疗法用于治疗边缘型人格障碍(BPD),虽然创伤后应激障碍与 BPD 有很大不同,但 MDMA 辅助疗法的某些有益效果有可能适用于治疗 BPD。采访两名使用辩证行为疗法治疗的临床医生和两名使用摇头丸辅助治疗的临床医生,是一种以深思熟虑的方式研究摇头丸辅助治疗 BPD 患者的现象学的方法。这项以访谈为基础的探索性定性研究评估了临床医生对亚甲二氧基甲基苯丙胺辅助疗法和 BPD 的看法,加深了我们对潜在治疗机制和过程以及药理因素在这些治疗模式中的作用的理解,优化了治疗环境,改善了临床反应和患者康复。这些代码产生了参与者的独特视角,揭示了包括三个治疗阶段在内的按时间顺序的叙述。
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引用次数: 0
Recreational use of psychedelics at music festivals: Motivation, nature of experiences and learnings 音乐节上迷幻药的娱乐使用:动机、体验和学习的性质
IF 4.5 Q1 Social Sciences Pub Date : 2024-02-02 DOI: 10.1556/2054.2023.00282
Iryana Mosina, Pascal Michael
The present research study investigated the phenomenon of recreational use of psychedelics at music festivals, analysing whether the resulting experiences could possibly be recognized as valuable in terms of preventive mental health strategies. Quantitative (online survey) and qualitative (interviews) research methods have been combined to illuminate 3 main topics: motivation for the setting choice; the nature of the resulting experiences & their influence on people's lives; learnings from psychedelic experiences at music festivals (PEMF).Among other findings, motivation evolved around fun, enhancing the sensory exploration of the world, and deepening the connection to its diverse parts through engagement with art, nature and other beings. Factors, distinguishing music festivals from other settings, were significant for the setting choice (non-controllability of the environment, community & connection aspect, diversity & richness of the surroundings, pharmacological specifics). Remarkably, the non-controllability of the environment, otherwise avoided in the psychedelic research, contributed to the life-changing effects of PEMF. Exploration of their nature showed that, mostly rooted in poly-drug use, the enjoyable were clearly dominating over the challenging ones. The mystical PEMF appeared to be surprisingly common. Participants shared the related life-changing effects, centred around changed perception (increased empathy, awareness, acceptance; new perspectives, etc.) and changed behaviours (increased mindfulness in all life areas; making different life choices; changed approach to relationships, etc.). Except for post MDMA recovery, a positive impact of PEMF on mental health and the emotional state of the participants was reported, referring to increased levels of happiness, compassion, awe, trust and to emotional balance. This study showed the potential value of PEMF in terms of preventive mental health strategies in various forms. Acknowledging these findings as well as the existence of potential risks for triggering psychiatric conditions, de-stigmatization of recreational use could help introduce meaningful changes, including substance testing availability, prioritization of education as well as mandatory welfare and harm reduction services on-site.
本研究调查了在音乐节上休闲使用迷幻药的现象,分析了由此产生的体验是否有可能被认为是有价值的心理健康预防策略。研究结合了定量(在线调查)和定性(访谈)研究方法,以阐明三大主题:选择音乐节的动机;音乐节体验的性质及其对人们生活的影响;从音乐节迷幻体验(PEMF)中汲取的经验。音乐节有别于其他场所的因素对选择场所具有重要意义(环境的不可控性、社区和联系方面、周围环境的多样性和丰富性、药理学的特殊性)。值得注意的是,环境的不可控性(在迷幻研究中本来是被避免的)促成了 PEMF 改变生活的效果。对其本质的探究表明,主要源于多种药物的使用,令人愉悦的效果明显优于具有挑战性的效果。神秘的 PEMF 似乎出奇地普遍。参与者分享了相关的改变生活的效果,主要集中在观念的改变(增强了同理心、意识、接受能力;新的视角等)和行为的改变(在所有生活领域增强了正念;做出了不同的生活选择;改变了处理人际关系的方法等)。除了亚甲二氧基甲基苯丙胺康复后,据报告,PEMF 对参与者的心理健康和情绪状态产生了积极影响,参与者的幸福感、同情心、敬畏感、信任感和情绪平衡水平都有所提高。这项研究表明,就各种形式的预防性心理健康策略而言,PEMF 具有潜在价值。认识到这些研究结果以及存在引发精神疾病的潜在风险,消除对娱乐性使用的污名化可能有助于引入有意义的变革,包括提供药物检测、优先教育以及强制福利和现场减低伤害服务。
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引用次数: 0
Recreational use of psychedelics at music festivals: Motivation, nature of experiences and learnings 音乐节上迷幻药的娱乐使用:动机、体验和学习的性质
IF 4.5 Q1 Social Sciences Pub Date : 2024-02-02 DOI: 10.1556/2054.2023.00282
Iryana Mosina, Pascal Michael
The present research study investigated the phenomenon of recreational use of psychedelics at music festivals, analysing whether the resulting experiences could possibly be recognized as valuable in terms of preventive mental health strategies. Quantitative (online survey) and qualitative (interviews) research methods have been combined to illuminate 3 main topics: motivation for the setting choice; the nature of the resulting experiences & their influence on people's lives; learnings from psychedelic experiences at music festivals (PEMF).Among other findings, motivation evolved around fun, enhancing the sensory exploration of the world, and deepening the connection to its diverse parts through engagement with art, nature and other beings. Factors, distinguishing music festivals from other settings, were significant for the setting choice (non-controllability of the environment, community & connection aspect, diversity & richness of the surroundings, pharmacological specifics). Remarkably, the non-controllability of the environment, otherwise avoided in the psychedelic research, contributed to the life-changing effects of PEMF. Exploration of their nature showed that, mostly rooted in poly-drug use, the enjoyable were clearly dominating over the challenging ones. The mystical PEMF appeared to be surprisingly common. Participants shared the related life-changing effects, centred around changed perception (increased empathy, awareness, acceptance; new perspectives, etc.) and changed behaviours (increased mindfulness in all life areas; making different life choices; changed approach to relationships, etc.). Except for post MDMA recovery, a positive impact of PEMF on mental health and the emotional state of the participants was reported, referring to increased levels of happiness, compassion, awe, trust and to emotional balance. This study showed the potential value of PEMF in terms of preventive mental health strategies in various forms. Acknowledging these findings as well as the existence of potential risks for triggering psychiatric conditions, de-stigmatization of recreational use could help introduce meaningful changes, including substance testing availability, prioritization of education as well as mandatory welfare and harm reduction services on-site.
本研究调查了在音乐节上休闲使用迷幻药的现象,分析了由此产生的体验是否有可能被认为是有价值的心理健康预防策略。研究结合了定量(在线调查)和定性(访谈)研究方法,以阐明三大主题:选择音乐节的动机;音乐节体验的性质及其对人们生活的影响;从音乐节迷幻体验(PEMF)中汲取的经验。音乐节有别于其他场所的因素对选择场所具有重要意义(环境的不可控性、社区和联系方面、周围环境的多样性和丰富性、药理学的特殊性)。值得注意的是,环境的不可控性(在迷幻研究中本来是被避免的)促成了 PEMF 改变生活的效果。对其本质的探究表明,主要源于多种药物的使用,令人愉悦的效果明显优于具有挑战性的效果。神秘的 PEMF 似乎出奇地普遍。参与者分享了相关的改变生活的效果,主要集中在观念的改变(增强了同理心、意识、接受能力;新的视角等)和行为的改变(在所有生活领域增强了正念;做出了不同的生活选择;改变了处理人际关系的方法等)。除了亚甲二氧基甲基苯丙胺康复后,据报告,PEMF 对参与者的心理健康和情绪状态产生了积极影响,参与者的幸福感、同情心、敬畏感、信任感和情绪平衡水平都有所提高。这项研究表明,就各种形式的预防性心理健康策略而言,PEMF 具有潜在价值。认识到这些研究结果以及存在引发精神疾病的潜在风险,消除对娱乐性使用的污名化可能有助于引入有意义的变革,包括提供药物检测、优先教育以及强制福利和现场减低伤害服务。
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引用次数: 0
LSD use in the United States: Examining user demographics and their evolution from 2015–2019 美国的迷幻剂使用情况:研究 2015-2019 年期间使用者的人口统计数据及其演变情况
IF 4.5 Q1 Social Sciences Pub Date : 2024-02-01 DOI: 10.1556/2054.2024.00309
Jeremy Weleff, A. Anand, Elizabeth N. Dewey, Brian S. Barnett
Lysergic acid diethylamide (LSD) use has risen in the United States in recent years amid increased interest in therapeutic applications of psychedelics. Despite this, contemporary epidemiological investigations of LSD users are few. To expand the literature on this topic, we sought to characterize past-year LSD users in the United States and investigate recent demographic evolution within this population.Using National Survey on Drug Use and Health (NSDUH) data from 2015–2019, we investigated correlates of past-year LSD use and associated changes over the study period.Past-year LSD use increased by 47% from 2015 to 2019 (0.59%–0.87%). However, among people reporting past-year hallucinogen use disorder there was no significant proportional increase in LSD users. Notable correlates of LSD use on multivariable analysis were: increased LSD access, lower perceived risk of trying LSD, low income, fewer children in the home, being approached by someone selling drugs in the past month, and past-year suicide attempt among people age 18 and older. We found no associations with unemployment, arrest history, or past-year psychological distress. From 2015 to 2019, the proportion of respondents reporting past-year LSD use who were age 26–34 and married increased. Past-year LSD use among lifetime users of methamphetamine also rose.Though still uncommonly used in the United States, LSD's societal acceptance may be increasing. Overall, LSD does not appear to contribute significantly to the country's public health problems.
麦角酰二乙胺(LSD)的使用近年来在美国有所上升,因为人们对迷幻药的治疗应用越来越感兴趣。尽管如此,当代针对 LSD 使用者的流行病学调查却很少。为了扩展有关这一主题的文献,我们试图描述美国上一年LSD使用者的特征,并调查这一人群最近的人口演变情况。利用2015-2019年的美国全国药物使用和健康调查(NSDUH)数据,我们调查了上一年LSD使用的相关因素以及研究期间的相关变化。然而,在报告上一年致幻剂使用障碍的人群中,LSD使用者并没有明显的比例增长。在多变量分析中,使用迷幻剂的显著相关因素包括:获得迷幻剂的机会增加、尝试迷幻剂的感知风险降低、收入低、家中子女较少、过去一个月内曾被贩卖毒品的人接触过,以及 18 岁及以上人群过去一年曾试图自杀。我们没有发现与失业、逮捕史或过去一年的心理困扰有关。从 2015 年到 2019 年,报告过去一年吸食过迷幻剂的受访者中 26-34 岁和已婚者的比例有所上升。在甲基苯丙胺的终生使用者中,上一年使用迷幻剂的比例也有所上升。虽然迷幻剂在美国仍不常见,但社会对它的接受程度可能正在提高。总体而言,迷幻剂似乎并未对美国的公共健康问题造成重大影响。
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引用次数: 0
LSD use in the United States: Examining user demographics and their evolution from 2015–2019 美国的迷幻剂使用情况:研究 2015-2019 年期间使用者的人口统计数据及其演变情况
IF 4.5 Q1 Social Sciences Pub Date : 2024-02-01 DOI: 10.1556/2054.2024.00309
Jeremy Weleff, A. Anand, Elizabeth N. Dewey, Brian S. Barnett
Lysergic acid diethylamide (LSD) use has risen in the United States in recent years amid increased interest in therapeutic applications of psychedelics. Despite this, contemporary epidemiological investigations of LSD users are few. To expand the literature on this topic, we sought to characterize past-year LSD users in the United States and investigate recent demographic evolution within this population.Using National Survey on Drug Use and Health (NSDUH) data from 2015–2019, we investigated correlates of past-year LSD use and associated changes over the study period.Past-year LSD use increased by 47% from 2015 to 2019 (0.59%–0.87%). However, among people reporting past-year hallucinogen use disorder there was no significant proportional increase in LSD users. Notable correlates of LSD use on multivariable analysis were: increased LSD access, lower perceived risk of trying LSD, low income, fewer children in the home, being approached by someone selling drugs in the past month, and past-year suicide attempt among people age 18 and older. We found no associations with unemployment, arrest history, or past-year psychological distress. From 2015 to 2019, the proportion of respondents reporting past-year LSD use who were age 26–34 and married increased. Past-year LSD use among lifetime users of methamphetamine also rose.Though still uncommonly used in the United States, LSD's societal acceptance may be increasing. Overall, LSD does not appear to contribute significantly to the country's public health problems.
近年来,随着人们对迷幻药的治疗应用越来越感兴趣,麦角酰二乙胺(LSD)的使用率在美国有所上升。尽管如此,当代针对 LSD 使用者的流行病学调查却很少。为了扩展有关这一主题的文献,我们试图描述美国上一年LSD使用者的特征,并调查这一人群最近的人口演变情况。利用2015-2019年的美国全国药物使用和健康调查(NSDUH)数据,我们调查了上一年LSD使用的相关因素以及研究期间的相关变化。然而,在报告上一年致幻剂使用障碍的人群中,LSD使用者并没有明显的比例增长。在多变量分析中,使用迷幻剂的显著相关因素包括:获得迷幻剂的机会增加、尝试迷幻剂的感知风险降低、收入低、家中子女较少、过去一个月内曾被贩卖毒品的人接触过,以及 18 岁及以上人群过去一年曾试图自杀。我们没有发现与失业、逮捕史或过去一年的心理困扰有关。从 2015 年到 2019 年,报告过去一年吸食过迷幻剂的受访者中 26-34 岁和已婚者的比例有所上升。在甲基苯丙胺的终生使用者中,上一年使用迷幻剂的比例也有所上升。虽然迷幻剂在美国仍不常见,但社会对它的接受程度可能正在提高。总体而言,迷幻剂似乎并未对美国的公共健康问题造成重大影响。
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引用次数: 0
Psychedemia: Charting the future of interdisciplinary Psychedelic Studies Psychedemia:描绘跨学科迷幻研究的未来
IF 4.5 Q1 Social Sciences Pub Date : 2023-12-29 DOI: 10.1556/2054.2023.00358
Neşe Devenot, Brian A. Pace, Jason Slot, Alan K. Davis
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引用次数: 0
MDMA-assisted therapy for borderline personality disorder MDMA辅助治疗边缘型人格障碍
IF 4.5 Q1 Social Sciences Pub Date : 2023-12-14 DOI: 10.1556/2054.2023.00196
Ann M. Inouye, Aaron S. Wolfgang, Lianne T. Philhower
Associated with high-risk behavior, borderline personality disorder (BPD) remains one of the field's most misunderstood, misdiagnosed, and stigmatized conditions. Individuals with BPD are frequently labeled as treatment-resistant patients. Furthermore, 25–58% of BPD individuals have a comorbid diagnosis of post-traumatic stress disorder (PTSD), and BPD may be conceptualized as a trauma-spectrum disorder. In Phase 3 clinical trials for 3,4-methylenedioxymethamphetamine (MDMA) full-dose participants for treatment-resistant PTSD found that up to 71.2% no longer met the criteria for PTSD. While PTSD is quite different from BPD, a qualitative exploration on the overlap in etiology and conceptualization provided new perspectives by interviewing two clinicians who focus their treatment with BPD diagnosed individuals and two MDMA-assisted therapy clinicians. This research examines the etiological, conceptualization, and therapeutic mechanisms of MDMA-assisted therapists and dialectical behavioral therapists. Through eight qualitative interviews, perspectives of the four participants revealed the similarities and limitations of both treatments.
边缘型人格障碍(BPD)与高风险行为有关,仍然是该领域最容易被误解、误诊和污名化的疾病之一。边缘型人格障碍患者经常被贴上 "抗拒治疗 "的标签。此外,25%-58%的BPD患者合并有创伤后应激障碍(PTSD)的诊断,因此BPD可被视为一种创伤谱障碍。在 3,4-亚甲二氧基甲基苯丙胺(MDMA)治疗难治性创伤后应激障碍的 3 期临床试验中发现,高达 71.2% 的患者不再符合创伤后应激障碍的标准。虽然创伤后应激障碍与 BPD 有很大不同,但通过采访两位专注于治疗 BPD 患者的临床医生和两位接受过 MDMA 辅助治疗的临床医生,对病因学和概念化方面的重叠进行的定性探索提供了新的视角。本研究探讨了 MDMA 辅助治疗师和辩证行为治疗师的病因学、概念化和治疗机制。通过八次定性访谈,四位参与者的观点揭示了两种治疗方法的相似性和局限性。
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引用次数: 0
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Journal of Psychedelic Studies
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