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Psychedelic assisted therapy for major depressive disorder: Recent work and clinical directions 致幻剂辅助治疗重度抑郁症的研究进展及临床方向
IF 4.5 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2022-06-09 DOI: 10.1556/2054.2022.00211
A. McCartney, H. McGovern, Alexander De Foe
Psychedelic substances such as psilocybin and ketamine may represent the future of antidepressant treatment, due to their rapid and prolonged effects on mood and cognition. The current body of psychedelic research has focused on administration and treatment within a psychiatric context. Here, instead, we put to the test the contention that it is necessary to evaluate the current state of this literature from a broader biopsychosocial perspective. Examining these arguably neglected social and psychological aspects of psychedelic treatment can provide a more holistic understanding of the interplay between the interconnected domains. This review of six major clinical trials applies a biopsychosocial model to evaluate the antidepressant effects of psilocybin and ketamine assisted therapy. We conclude that combination psychedelic treatment and psychotherapy facilitate more enduring and profound antidepressant effects than produced by ketamine or psilocybin alone. Emphasising the advantages of therapeutic intervention will encourage those who may attempt to self-medicate with psychedelics to instead seek a framework of psychological support, minimising associated risks of unregulated use.
迷幻物质如裸盖菇素和氯胺酮可能代表抗抑郁治疗的未来,因为它们对情绪和认知的影响迅速而持久。目前的致幻剂研究主要集中在精神病学背景下的管理和治疗。在这里,相反,我们把测试的论点,有必要从更广泛的生物心理社会的角度来评估这一文献的现状。检查这些可能被忽视的迷幻治疗的社会和心理方面可以提供一个更全面的理解相互关联的领域之间的相互作用。本文综述了六项主要的临床试验,应用生物心理社会模型来评估裸盖菇素和氯胺酮辅助治疗的抗抑郁作用。我们得出结论,迷幻药治疗和心理治疗相结合,比氯胺酮或裸盖菇素单独产生更持久、更深刻的抗抑郁效果。强调治疗干预的优势将鼓励那些可能试图用致幻剂自我治疗的人转而寻求心理支持框架,最大限度地减少无管制使用的相关风险。
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引用次数: 2
Mystical experiences without mysticism: An argument for mystical fictionalism in psychedelics 没有神秘主义的神秘体验:迷幻学中神秘虚构主义的论证
IF 4.5 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2022-06-07 DOI: 10.1556/2054.2022.00207
Bradley Armour Garb, M. Earleywine
Mystical experiences frequently precede decreases in human suffering or increased functioning. Therapies that include the ingestion of psychoactive substances in supportive environments often lead to improvements that correlate with the magnitude of the mystical experiences generated. A close look at these phenomena from a philosophy of science perspective might put empiricists in a quandary. Arguments with critics of the import of these mystical experiences, prohibitionists, or others who are apprehensive about psychedelic-assisted treatments, might prove awkward or difficult given the tacit assertion that the mystical genuinely exists. The assumption might even dampen theorizing in ways that remain outside of theorists' awareness. The predicament might lack the epistemic humility ideal for good science as well. Nevertheless, abandoning the construct of mystical experiences would require ignoring compelling, replicated empirical work. We argue that a version of philosophical fictionalism that draws on research in logic and linguistics can help investigators engage in this discourse without implying a belief in the mystical. Comparable approaches have proven helpful in mathematics and empiricism more broadly. Mystical fictionalism could help theorists view reports of mystical experiences as true even if the mystical fails to be veridical. The approach creates an expressive advantage that could assist researchers and theorists eager to refine our understanding of mystical experiences and improve psychedelic-assisted treatments. Mystical fictionalism might also inspire novel looks at correlates of mystical experiences that might serve as mediators of their effects, potentially generating models with comparable explanatory power that sidestep the need for a fictionalist approach.
神秘的体验常常先于人类痛苦的减少或功能的增强。包括在支持性环境中摄入精神活性物质在内的治疗通常会导致与所产生的神秘体验的程度相关的改善。从科学哲学的角度仔细观察这些现象可能会使经验主义者陷入困境。与这些神秘体验的重要性的批评者、禁酒主义者或其他对迷幻辅助治疗感到担忧的人的争论,可能会被证明是尴尬或困难的,因为他们默认神秘确实存在。这一假设甚至可能以理论家们意识不到的方式抑制理论的发展。这种困境可能也缺乏对良好科学理想的认识上的谦卑。然而,放弃神秘体验的结构将需要忽略令人信服的、重复的经验工作。我们认为,一种借鉴逻辑和语言学研究的哲学虚构主义可以帮助研究者在不暗示对神秘主义的信仰的情况下参与这种论述。可比较的方法已被证明对数学和经验主义有更广泛的帮助。神秘小说主义可以帮助理论家将神秘经历的报告视为真实的,即使神秘的不真实。这种方法创造了一种表达优势,可以帮助渴望改进我们对神秘体验的理解和改进迷幻辅助治疗的研究人员和理论家。神秘小说主义也可能激发人们对神秘经历相关因素的新看法,这些经历可能作为神秘经历影响的中介,潜在地产生具有可比解释力的模型,从而避免了对虚构主义方法的需要。
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引用次数: 2
Divergent threads woven into a new spacetime fabric 不同的线编织成新的时空结构
IF 4.5 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2022-05-16 DOI: 10.1556/2054.2022.00221
G. Nixon
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引用次数: 0
Amanita muscaria: Fly Agaric history, mythology and pharmacology 鹅膏菌:蝇琼脂的历史、神话和药理学
IF 4.5 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2022-04-19 DOI: 10.1556/2054.2022.00216
M. Winkelman
Amanita muscaria is the most iconic mushroom in the world, with an ancient prehistory that can only be glimpsed in the remnants of myth and folklore. This fame of A. muscaria transcends time, with its iconic image still displayed in contemporary movies, video games, children’s books, and holiday art, yet most people are unaware of its true significance. Its reputation ranges from the foundation of an original Ur religion to an insignificant and misunderstood hallucinogenic toxin. Fly Agaric is the most comprehensive compendium of articles on A. muscaria available. It consists of an Introduction and 29 chapters, half authored or co-authored by Feeney. He is joined by more than a dozen researchers, explorers and academics who assemble a multilayered understanding of this exceptional fungus. Fly Agaric covers a range of topics organized into five sections: (I) Mushroom Hunting & Identification; (II) Religion, Culture, & Folklore; (III) Archaeological Evidence; (IV) Diet & Cuisine; and (V) Pharmacology & Physiological Effects. A useful feature of the book involves the basics of mushroom identification, learning common and distinguishing features of various Amanita species. Fly Agaric provides a photo illustrated guide with practical details necessary for identifying many Amanita varieties and distinguishing them from their relatives, including potentially harmful look-alikes. Beginning with the informed strategies of mushroom hunting, Feeney shows us the basics with advice regarding safety orientations, security strategies and needed equipment. Descriptions of all aspects of the mushrooms provide technical guidelines for correct species identifications, enhanced with color photographs. Mycological identification of the various species, phases of growth, psychoactive concentrations and doses provide technical details for more than a dozen species and varieties of psychoactive Amanitas. It includes important details about how to distinguish look-alike species and crucial location and general range distribution and habitat and seasonal features regarding the species that are important for finding and identifying the mushrooms. One chapter describes the pharmacological effects of the primary psychoactive ingredients, muscimol and ibotenic acid and their interrelationship via the body’s metabolic processes, issues that play an important role in interpreting evidence for A. muscaria in the past. Part II of this book delves into culture and folklore, ranging from historical and contemporary Siberian uses to the deep history of Amanita in mythology and religion. Several chapters continue Wasson’s comparative approach to understanding the prehistory of this fungi, combining ethnographic, linguistic and historical information with ecological, pharmacological, and biological data to reveal the circumstantial and substantial evidence that help one thread together the diverse forms of knowledge revealing prehistorical and historical cultural traditions of fly aga
鹅膏菌是世界上最具标志性的蘑菇,其古老的史前历史只能在神话和民间传说的残余中瞥见。A.muscaria的名声超越了时间,其标志性形象仍在当代电影、电子游戏、儿童书籍和节日艺术中展示,但大多数人都不知道它的真正意义。它的名声从一个原始乌尔宗教的基础到一种微不足道且被误解的致幻毒素。蝇琼脂是最全面的文章汇编。它由一篇引言和29章组成,其中一半由Feeney撰写或与人合著。十几名研究人员、探险家和学者加入了他的行列,他们对这种特殊的真菌有着多层次的了解。蝇琼脂涵盖了一系列主题,分为五个部分:(I)蘑菇狩猎与鉴定;(II) 宗教、文化和民俗;(III) 考古证据;(IV) 饮食与烹饪;(五)药理和生理作用。这本书的一个有用的特点涉及蘑菇鉴定的基础知识,学习各种鹅膏菌的常见和区别特征。Fly Agaric提供了一份带照片插图的指南,其中包含了识别许多鹅膏菌品种并将其与亲属区分开来所需的实用细节,包括可能有害的长相相似的鹅膏菌。从蘑菇狩猎的知情策略开始,Feeney向我们展示了有关安全方向、安全策略和所需设备的基本建议。对蘑菇各个方面的描述为正确的物种识别提供了技术指南,并用彩色照片进行了增强。不同物种、生长阶段、精神活性物质浓度和剂量的真菌学鉴定为十几种精神活性鹅膏菌提供了技术细节。它包括关于如何区分长相相似的物种的重要细节,以及对发现和识别蘑菇很重要的物种的关键位置和一般范围分布、栖息地和季节特征。其中一章描述了主要精神活性成分——麝香草酚和核糖核酸的药理作用及其通过身体代谢过程的相互关系,这些问题在解释过去毒蕈的证据中发挥了重要作用。本书的第二部分深入探讨了文化和民间传说,从西伯利亚的历史和当代用途到鹅膏在神话和宗教中的深刻历史。几章延续了Wasson理解这种真菌史前史的比较方法,将民族志、语言和历史信息与生态学、药理学、,生物数据揭示了间接和实质性证据,有助于将揭示蝇木耳使用的史前和历史文化传统的各种形式的知识联系在一起。Feeney和Austin在“Soma’s Third Filter:支持将A.muscaria鉴定为吠陀经的古代圣体的新发现”中更新了Gordon Wasson关于Soma身份的著名理论。Wasson提出,吠陀经指出了在Soma的制备中使用的三种不同的过滤器,它们对应于制备过程中的不同步骤。前两种过滤器相对没有争议,一种是通过阳光或阳光干燥提供的过滤器,另一种是使用羊毛过滤器将残余固体从水性制剂中分离出来。精神病研究杂志
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引用次数: 0
Predictors and potentiators of psychedelic-occasioned mystical experiences 迷幻引起的神秘体验的预测因素和潜在因素
IF 4.5 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2022-03-22 DOI: 10.1556/2054.2022.00198
Sam Gandy
Mystical experiences are often described as being among the most profound and meaningful events of a person’s life. Their occurrence, while a normal but uncommon phenomenon, is reliably occasioned by psychedelic substances under the appropriate conditions, although care is needed around the context of usage to help ensure safe and beneficial experiences. The occurrence of mystical experiences in psychedelic sessions is a key mediator of the sustained psychological benefits reported in both healthy and clinical populations. Certain factors including set and setting, drug dosage, trait absorption, drug type, intention and states of surrender and acceptance all predict or influence the occurrence of mystical experiences. Various additional factors may further contribute to the occurrence and intensity of mystical experiences and enhance their long-term benefits, including music, meditation and spiritual practices and nature-based settings. This review examines these factors and considers how they might be optimised to increase the chances of a mystical experience occurring, while also considering factors that are negatively associated with mystical experiences with suggestions on how these might be mitigated where applicable. Finally, potential future research avenues for furthering our knowledge of psychedelic mystical experiences and how their benefits might be enhanced is suggested. Maximising the potential for the occurrence of mystical experiences is an important aspect of the beneficial application of psychedelics.
神秘体验通常被描述为一个人一生中最深刻、最有意义的事件之一。它们的发生,虽然是一种正常但不常见的现象,但在适当的条件下,确实是由致幻剂引起的,尽管需要注意使用环境,以帮助确保安全和有益的体验。迷幻过程中神秘体验的出现是健康人群和临床人群中持续心理益处的关键中介。某些因素,包括设置和设置,药物剂量,特征吸收,药物类型,意图和投降和接受状态,都预测或影响神秘体验的发生。各种其他因素可能会进一步促进神秘体验的发生和强度,并增强其长期效益,包括音乐,冥想和精神实践以及基于自然的环境。本文审查了这些因素,并考虑了如何优化它们以增加神秘体验发生的机会,同时也考虑了与神秘体验负面相关的因素,并提出了如何在适用的情况下减轻这些因素的建议。最后,提出了未来潜在的研究途径,以进一步提高我们对迷幻神秘体验的认识,以及如何提高它们的益处。使神秘体验发生的可能性最大化是迷幻药有益应用的一个重要方面。
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引用次数: 5
Can psychedelic-assisted psychotherapy play a role in enhancing motivation to change in addiction treatment settings? 在成瘾治疗中,迷幻辅助心理治疗是否能增强改变的动机?
IF 4.5 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2022-03-11 DOI: 10.1556/2054.2022.00190
M. Kang, Lindsay Mackay, Devon Christie, Cody Callon, E. Argento
Despite growing availability of several evidence-based approaches in the treatment of substance use disorders, existing pharmacotherapy and psychosocial interventions continue to have significant limitations, such as low treatment retention rates and high rates of relapse. There is a need to develop new strategies and models to address these limitations and target underlying psychosocial drivers of addiction, such as motivation to change – a crucial factor in achieving positive addiction treatment outcomes. Re-emerging clinical evidence and literature signal the promise of psychedelic-assisted psychotherapies as being novel, adjunctive treatments for a range of mental health and substance use disorders, encouraging further research. However, there remains a lack of formally validated metrics to evaluate recovery capital and motivation, limiting interpretation of the growing psychedelic literature. This commentary describes the current state of this line of investigation and potential impact of psychedelic-assisted psychotherapy on enhancing motivation to change in addiction treatment, and the need for validated metrics to evaluate recovery motivation and capital to assess the potential for psychedelic-assisted psychotherapies to elicit positive, lasting changes in substance use behaviors among those seeking treatment.
尽管治疗药物使用障碍的几种循证方法越来越多,但现有的药物治疗和心理社会干预仍然存在重大局限性,如治疗保留率低和复发率高。有必要制定新的战略和模式来解决这些局限性,并针对成瘾的潜在心理社会驱动因素,例如改变的动机——这是实现积极成瘾治疗结果的关键因素。重新出现的临床证据和文献表明,迷幻辅助心理治疗师有望成为一系列心理健康和物质使用障碍的新型辅助治疗方法,鼓励进一步研究。然而,仍然缺乏正式验证的指标来评估恢复资本和动机,这限制了对不断增长的迷幻文学的解释。这篇评论描述了这一研究领域的现状和迷幻辅助心理治疗对增强成瘾治疗改变动机的潜在影响,以及需要经过验证的指标来评估恢复动机和资本,以评估迷幻辅助心理治疗师引发积极、,寻求治疗者药物使用行为的持久变化。
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引用次数: 1
Heart rate (HR) and heart rate variability (HRV) response to inhaled N, N-dimethyltryptamine (N, N-DMT): A case report 心率(HR)和心率变异性(HRV)对吸入N, N-二甲基色胺(N, N- dmt)的反应:1例报告
IF 4.5 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2022-03-11 DOI: 10.1556/2054.2022.00178
D. W. Lawrence
N, N-Dimethyltryptamine (N, N-DMT) is a naturally occurring tryptamine-based alkaloid and classic psychedelic. The potent psychoactive properties of N, N-DMT are mediated by serotonin 2A (5-HT2A) receptor agonism. There are limited investigations into the physiologic effects of inhaled N, N-DMT, despite this being one of the most common routes of administration. Heart rate variability (HRV) is an emergent non-invasive marker of cardiac autonomic nervous system (ANS) regulation and reductions in HRV have been negatively associated with multiple health outcomes. A case is described with a brief review of supportive findings. Heart rate (HR) and HRV responses following three naturalistic inhaled N, N-DMT experiences were documented in a healthy 31-year-old male. Acute transient elevations in HR immediately following N, N-DMT administration and a pronounced elevation in the average daily HRV one-day following the experiences were observed. The duration of experience shortened across the three experiences despite similar N, N-DMT doses. These findings offer preliminary evidence into the effect of inhaled N, N-DMT on HR and HRV. Given the emergent understanding of reductions in HRV as a hazardous marker of stress, psychiatric conditions, and mental health outcomes, further research into the effects of psychedelics on HRV is warranted.
N, N-二甲基色胺(N, N- dmt)是一种天然存在的基于色胺的生物碱和经典的致幻剂。N, N- dmt的有效精神活性是由5-羟色胺2A (5-HT2A)受体激动作用介导的。尽管吸入N, N- dmt是最常见的给药途径之一,但对其生理效应的研究有限。心率变异性(HRV)是心脏自主神经系统(ANS)调节的紧急非侵入性标志物,HRV的降低与多种健康结果呈负相关。案例描述与简要回顾支持性发现。记录了一名31岁健康男性在三次自然吸入N、N- dmt后的心率(HR)和HRV反应。在服用N、N- dmt后立即观察到急性短暂性HRV升高,并且在经历后一天平均每日HRV明显升高。尽管N, N- dmt剂量相似,但三种体验的持续时间缩短了。这些发现为吸入N、N- dmt对HR和HRV的影响提供了初步证据。鉴于HRV降低作为压力、精神状况和心理健康结果的危险标志的新认识,进一步研究致幻剂对HRV的影响是有必要的。
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引用次数: 2
Philosophy and classic psychedelics: A review of some emerging themes 哲学与经典迷幻药:对一些新兴主题的回顾
IF 4.5 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2022-01-21 DOI: 10.1556/2054.2021.00191
Chris Letheby, Jaipreet Mattu
Serotonergic (or “classic”) psychedelics have struck many researchers as raising significant philosophical questions that, until recently, were largely unexplored by academic philosophers. This paper provides an overview of four emerging lines of research at the intersection of academic philosophy and psychedelic science that have gained considerable traction in the last decade: selfless consciousness, psychedelic epistemology, psychedelic ethics, and spiritual/religious naturalism. In this paper, we highlight philosophical questions concerning (i) psychedelics, self-consciousness, and phenomenal consciousness, (ii) the epistemic profile of the psychedelic experience; (iii) ethical concerns about the appropriate use of psychedelics; and (iv) whether spiritual or religious dimensions of psychedelic use are compatible with a naturalistic worldview.
血清素(或“经典”)迷幻药引起了许多研究人员的注意,因为它提出了重要的哲学问题,直到最近,学术哲学家还基本上没有对此进行探索。本文概述了学术哲学和迷幻科学交叉点的四个新兴研究领域,这些领域在过去十年中获得了相当大的吸引力:无私意识、迷幻认识论、迷幻伦理和精神/宗教自然主义。在这篇论文中,我们强调了有关(i)迷幻药、自我意识和现象意识的哲学问题,(ii)迷幻体验的认识论概况;(iii)关于适当使用迷幻药的伦理问题;以及(iv)使用迷幻药的精神或宗教层面是否符合自然主义世界观。
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引用次数: 4
An experience with Holotropic Breathwork is associated with improvement in non-judgement and satisfaction with life while reducing symptoms of stress in a Czech-speaking population 在捷克语人群中,全身性呼吸工作的经历与改善不判断和对生活的满意度有关,同时减少压力症状
IF 4.5 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2021-12-14 DOI: 10.1556/2054.2021.00193
M. V. Uthaug, N. Mason, M. Havenith, Michael Vancura, J. Ramaekers
Holotropic breathwork (Grof ® Breathwork), was developed by Stanislav Grof and Christina Grof as a ‘non-drug’ alternative technique to evoke altered states of consciousness (ASC). Interestingly, although HBW has been anecdotally reported to evoke experiences and mental health effects corresponding to those of psychedelic substances, the scientific literature on the matter is scarce. The objective of this study was to assess the (sub)acute and long-term effects of HBW on satisfaction with life, and whether these depend on the depth of the experience evoked by the HBW session. A naturalistic observational design was employed in the present study. Between January 2019 and July 2020, 58 Czech-speaking participants who had an experience with HBW were assessed using three separate anonymous online-surveys created and hosted on Qualtrics. Assessments of mindfulness, satisfaction with life, depression, anxiety, and stress were made once prior to (baseline), and two times following (sub-acutely and 4-weeks) the participants’ experience with HBW. The ego dissolution inventory and the 5-dimensional altered states of consciousness scale was used to quantify the HBW experience. Despite low ratings of the psychedelic experience (mean range of 0–34% out of 100%), ratings of non-judgement significantly increased sub-acutely following the HBW session and persisted for 4-weeks. Stress-related symptoms significantly decreased while satisfaction with life significantly increased at 4-weeks after HBW. An experience with HBW may be associated with improvement in non-judgement, satisfaction with life, and reductions of stress-related symptoms.
全营养呼吸法(Grof®breathwork)由Stanislav Grof和Christina Grof开发,是一种“非药物”替代技术,用于唤起意识状态的改变(ASC)。有趣的是,尽管有传闻称HBW会唤起与迷幻物质相对应的体验和心理健康影响,但有关这一问题的科学文献却很少。本研究的目的是评估HBW对生活满意度的(亚)急性和长期影响,以及这些影响是否取决于HBW会话引发的体验深度。本研究采用了自然主义的观察设计。2019年1月至2020年7月,58名有HBW经历的捷克语参与者使用Qualtrics上创建和主持的三项独立的匿名在线调查进行了评估。在参与者HBW经历之前(基线)和之后(亚急性和4周)分别对正念、生活满意度、抑郁、焦虑和压力进行了一次评估。自我溶解量表和5维意识状态改变量表用于量化HBW体验。尽管迷幻体验的评分较低(平均范围为0–34%(满分100%)),但在HBW治疗后,非判断评分显著增加,并持续了4周。HBW后4周,应激相关症状显著下降,而生活满意度显著提高。HBW的经历可能与非判断能力的改善、对生活的满意度以及压力相关症状的减少有关。
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引用次数: 2
Psychedelic treatment for co-occurring alcohol misuse and post-traumatic stress symptoms among United States Special Operations Forces Veterans 美国特种作战部队退伍军人同时出现酒精滥用和创伤后应激症状的迷幻药治疗
IF 4.5 Q3 PHARMACOLOGY & PHARMACY Pub Date : 2021-11-16 DOI: 10.1556/2054.2021.00176
P. Mangini, L. Averill, Alan K. Davis
Background & aims Special Operations Forces Veterans (SOFV) have unique treatment needs stemming from multiple repeated forms of combat exposure resulting in a complex sequela of problems including alcohol misuse and post-traumatic stress symptoms. Current approved pharmacologic treatments for alcohol misuse and PTSD are lacking in adherence and efficacy, warranting novel treatment development. The current study examined the correlations between psychedelic treatment and changes in alcohol misuse among trauma exposed United States SOFV. An anonymous internet-based survey was conducted among SOFV who completed a specific psychedelic clinical program in Mexico. Retrospective questions probed alcohol use and post-traumatic stress symptoms during the 30-days before and 30-days after the psychedelic treatment. A total of 65 SOFV completed treatment and were eligible for contact. Of these, 51 (78%) completed the survey, and 27 (42%) reported alcohol misuse (≥4 on the AUDIT-C) in the 30 days prior to treatment and were included in analyses (Mean Age = 40; male = 96%; Caucasian/White = 96%). There were significant and very large reductions in retrospective reports of alcohol use (P < 0.001; d = –2.4) and post-traumatic stress symptoms (P < 0.001; d = –2.8) and a significant and large increase in psychological flexibility (P < 0.001; d = –1.8), from before-to-after the psychedelic treatment. In the 30 days after treatment, 85% reduced their alcohol consumption to non-risky levels (33% abstinent; 52% non-risky drinking). Increases in psychological flexibility were strongly associated with reductions in alcohol use and post-traumatic stress symptoms (rs range 0.38–0.90; ps < 0.05). Rigorous longitudinal studies should be conducted to determine whether psychedelic-assisted therapy holds promise as an intervention in this population.
背景与目的特种作战部队退伍军人(SOFV)有独特的治疗需求,源于多种重复形式的战斗暴露,导致复杂的问题后遗症,包括酒精滥用和创伤后应激症状。目前批准的酒精滥用和创伤后应激障碍的药物治疗缺乏依从性和有效性,需要开发新的治疗方法。目前的研究调查了在美国暴露于创伤的SOFV中,迷幻药治疗与酒精滥用变化之间的相关性。一项匿名的基于互联网的调查在SOFV中进行,他们在墨西哥完成了一个特定的迷幻临床项目。回顾性问题探讨了迷幻治疗前后30天的酒精使用和创伤后应激症状。共有65例SOFV完成治疗并符合接触条件。其中,51人(78%)完成了调查,27人(42%)在治疗前30天报告酒精滥用(AUDIT-C≥4),并被纳入分析(平均年龄= 40;男性= 96%;高加索/白人= 96%)。酒精使用的回顾性报告有显著和非常大的减少(P < 0.001;d = -2.4)和创伤后应激症状(P < 0.001;d = -2.8),心理灵活性显著增加(P < 0.001;D = -1.8),从迷幻治疗前到后。在治疗后的30天内,85%的人将饮酒量减少到无风险水平(33%的人戒酒;52%无风险饮酒)。心理灵活性的增加与酒精使用和创伤后应激症状的减少密切相关(rs范围0.38-0.90;p < 0.05)。应该进行严格的纵向研究,以确定迷幻剂辅助疗法是否有希望作为这一人群的干预手段。
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引用次数: 4
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Journal of Psychedelic Studies
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