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Psychedelic medicine (New Rochelle, N.Y.)最新文献

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A Single Administration of Psilocybin Persistently Rescues Cognitive Deficits Caused by Adolescent Chronic Restraint Stress Without Long-Term Changes in Synaptic Protein Gene Expression in a Rat Experimental System with Translational Relevance to Depression 在一个与抑郁症相关的大鼠实验系统中,单次给药裸盖菇素持续拯救青少年慢性约束应激引起的认知缺陷,而不会长期改变突触蛋白基因表达
Pub Date : 2023-03-03 DOI: 10.1089/psymed.2022.0012
M. Hibicke, Hannah M. Kramer, C. Nichols
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引用次数: 4
A Bayesian Reanalysis of a Trial of Psilocybin versus Escitalopram for Depression. 裸盖菇素与艾司西酞普兰治疗抑郁症试验的贝叶斯再分析。
Pub Date : 2023-03-01 DOI: 10.1089/psymed.2022.0002
Sandeep M Nayak, Bilal A Bari, David B Yaden, Meg J Spriggs, Fernando E Rosas, Joseph M Peill, Bruna Giribaldi, David Erritzoe, David J Nutt, Robin Carhart-Harris

Objectives: To perform a Bayesian reanalysis of a recent trial of psilocybin (COMP360) versus escitalopram for Major Depressive Disorder (MDD) in order to provide a more informative interpretation of the indeterminate outcome of a previous frequentist analysis.

Design: Reanalysis of a two-arm double-blind placebo controlled trial.

Participants: Fifty-nine patients with MDD.

Interventions: Two doses of psilocybin 25mg and daily oral placebo versus daily escitalopram and 2 doses of psilocybin 1mg, with psychological support for both groups.

Outcome measures: Quick Inventory of Depressive Symptomatology-Self-Report (QIDS SR-16), and three other depression scales as secondary outcomes: HAMD-17, MADRS, and BDI-1A.

Results: Using Bayes factors and 'skeptical priors' which bias estimates towards zero, for the hypothesis that psilocybin is superior by any margin, we found indeterminate evidence for QIDS SR-16, strong evidence for BDI-1A and MADRS, and extremely strong evidence for HAMD-17. For the stronger hypothesis that psilocybin is superior by a 'clinically meaningful amount' (using literature defined values of the minimally clinically important difference), we found moderate evidence against it for QIDS SR-16, indeterminate evidence for BDI-1A and MADRS, and moderate evidence supporting it for HAMD-17. Furthermore, across the board we found extremely strong evidence for psilocybin's non-inferiority versus escitalopram. These findings were robust to prior sensitivity analysis.

Conclusions: This Bayesian reanalysis supports the following inferences: 1) that psilocybin did indeed outperform escitalopram in this trial, but not to an extent that was clinically meaningful--and 2) that psilocybin is almost certainly non-inferior to escitalopram. The present results provide a more precise and nuanced interpretation to previously reported results from this trial, and support the need for further research into the relative efficacy of psilocybin therapy for depression with respect to current leading treatments.

Trial registration number: NCT03429075.

目的:对最近的一项关于裸盖菇素(COMP360)与艾司西酞普兰治疗重度抑郁症(MDD)的试验进行贝叶斯再分析,以便为先前频率分析的不确定结果提供更有信息的解释。设计:再分析一项双盲安慰剂对照试验。参与者:59例重度抑郁症患者。干预措施:两组均给予2剂裸盖菇素25mg和每日口服安慰剂,对照每日艾司西酞普兰和2剂裸盖菇素1mg,并给予心理支持。结果测量:抑郁症状自我报告快速量表(QIDS SR-16)和其他三个抑郁量表作为次要结果:HAMD-17、MADRS和BDI-1A。结果:使用贝叶斯因子和“怀疑先验”,对于裸盖菇素优于任何边缘的假设,我们发现QIDS SR-16的不确定证据,BDI-1A和MADRS的有力证据,以及HAMD-17的极其有力的证据。对于更强的假设,即裸盖菇素优于“临床有意义的量”(使用文献定义的最小临床重要差异值),我们发现了对QIDS SR-16不利的中度证据,对BDI-1A和MADRS不利的不确定证据,以及对HAMD-17有利的中度证据。此外,我们全面发现了极有力的证据,证明裸盖菇素与艾司西酞普兰相比没有劣效性。这些发现对先前的敏感性分析是稳健的。结论:本贝叶斯再分析支持以下推论:1)裸盖菇素在本试验中确实优于艾司西酞普兰,但没有达到具有临床意义的程度;2)裸盖菇素几乎肯定不逊于艾司西酞普兰。目前的结果为先前报道的该试验结果提供了更精确和细致的解释,并支持进一步研究裸盖菇素治疗抑郁症的相对疗效与当前领先的治疗方法的必要性。试验注册号:NCT03429075。
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引用次数: 2
Dedication 奉献
Pub Date : 2023-03-01 DOI: 10.1089/psymed.2022.0000.ded
Psychedelic MedicineVol. 1, No. 1 DedicationPublished Online:13 Mar 2023https://doi.org/10.1089/psymed.2022.0000.dedAboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View article"Dedication." Psychedelic Medicine, 1(1), p. iFiguresReferencesRelatedDetails Volume 1Issue 1Mar 2023 InformationCopyright 2023, Mary Ann Liebert, Inc., publishersTo cite this article:Dedication.Psychedelic Medicine.Mar 2023.i-i.http://doi.org/10.1089/psymed.2022.0000.dedPublished in Volume: 1 Issue 1: March 13, 2023Online Ahead of Print:November 7, 2022PDF download
迷幻MedicineVol。1、No. 1 Dedication发表在线:2023年3月13日https://doi.org/10.1089/psymed.2022.0000.dedAboutSectionsView articleView全文pdf /EPUB Permissions & CitationsPermissionsDownload CitationsTrack CitationsAdd to favorites Back to Publication ShareShare onFacebookTwitterLinked InRedditEmail查看文章“Dedication”。致幻药物,1(1),p. iFiguresReferencesRelatedDetails卷1期1 march 2023信息版权所有,Mary Ann Liebert, Inc.,出版商。迷幻药。2023年3月i-i.http://doi.org/10.1089/psymed.2022.0000.dedPublished卷:1期:2023年3月13日在线提前印刷:2022年11月7日pdf下载
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引用次数: 0
Lysergic Acid Diethylamide Alters the Effects of Brain Stimulation in Rodents 麦角酸二乙胺改变啮齿动物脑刺激的效果
Pub Date : 2023-03-01 DOI: 10.1089/psymed.2022.0014
Lucas Dwiel, Angela Henricks, Elise Bragg, Jeff Nicol, Jiang Gui, Wilder Doucette
Background: Psychedelic drugs have resurged in neuroscience and psychiatry with promising success in psychedelic-assisted therapy for the treatment of anxiety, depression, and addiction. At the cellular level, psychedelic drugs elicit neuroplastic processes 24 h after administration, priming neural circuits for change. The acute effects of psychedelic drugs are well characterized with functional imaging and neural oscillations showing an increase in the entropy of spontaneous cortical activity. Hypotheses: We hypothesized that cortical–striatal oscillations recorded in rats would confirm the effects of psychedelic drugs. We also hypothesized that brain stimulation delivered 24 h after lysergic acid diethylamide (LSD) administration would lead to different effects than brain stimulation alone. Methods: We recorded local field potential oscillations from rats after LSD or saline (SAL) administration and determined whether exposure to these treatments altered the effect of a targeted intervention (brain stimulation) 24 h later. Results: We confirmed acutely decreased low frequency power across the brain when rats are given LSD. We also demonstrated these altered states return to baseline after 24 h. Brain stimulation applied in the previously reported window of heightened neuroplasticity produced distinct shifts in brain state compared with brain stimulation applied 24 h after SAL administration. Conclusions: Despite the acute effects of LSD disappearing after 24 h, there are still latent effects that interact with brain stimulation to create larger and distinct changes in brain activity compared with brain stimulation alone. Our proof-of-concept findings are the first to suggest that psychedelic drugs could work in combination with brain stimulation to achieve enhanced effects on brain activity and future study will assess impacts on stimulation-induced changes in behavior.
背景:迷幻药在神经科学和精神病学中重新兴起,在治疗焦虑、抑郁和成瘾的迷幻辅助疗法中取得了有希望的成功。在细胞水平上,迷幻药物在给药24小时后引发神经可塑性过程,引发神经回路的变化。迷幻药物的急性作用表现为功能成像和神经振荡,显示自发皮层活动熵的增加。假设:我们假设在大鼠中记录的皮质纹状体振荡可以证实迷幻药物的作用。我们还假设在给予麦角酸二乙胺(LSD) 24小时后给予脑刺激会导致与单独脑刺激不同的效果。方法:我们记录了LSD或生理盐水(SAL)给药后大鼠的局部场电位振荡,并确定暴露于这些治疗是否会改变24小时后靶向干预(脑刺激)的效果。结果:我们证实给大鼠服用LSD后,整个大脑的低频功率急剧下降。我们还证明,这些改变的状态在24小时后恢复到基线。与SAL给药后24小时进行脑刺激相比,在先前报道的神经可塑性增强窗口进行脑刺激产生了明显的脑状态变化。结论:尽管LSD的急性效应在24 h后消失,但与单独的脑刺激相比,仍存在与脑刺激相互作用的潜在效应,使脑活动发生更大、更明显的变化。我们的概念验证研究结果首次表明,迷幻药物可以与大脑刺激结合使用,以增强对大脑活动的影响,未来的研究将评估刺激引起的行为改变的影响。
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引用次数: 0
Psychedelic Medicine's Future Depends on Proactive Development of a Robust Medical Billing and Coding Strategy 迷幻药的未来取决于积极发展稳健的医疗计费和编码策略
Pub Date : 2023-02-28 DOI: 10.1089/psymed.2022.0005
B. Barnett, Andrey Ostrovsky
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引用次数: 3
Incilius alvarius Cell-Based Synthesis of 5-Methoxy-N,N-Dimethyltryptamine 5-甲氧基- n, n -二甲基色胺的合成
Pub Date : 2023-02-23 DOI: 10.1089/psymed.2022.0001
Leonardo A. Lerer, E. Reynolds, J. Varia, K. Blakolmer, B. Lerer
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引用次数: 1
Personal Psychedelic Use Is Common Among a Sample of Psychedelic Therapists: Implications for Research and Practice 个人使用迷幻药在迷幻治疗师样本中很常见:对研究和实践的影响
Pub Date : 2023-02-16 DOI: 10.1089/psymed.2022.0004
Jacob S. Aday, Zach Skiles, Noa Eaton, Lisa Fredenburg, M. Pleet, Jessica Mantia, Ellen R. Bradley, Gisele Fernandes-Osterhold, J. Woolley
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引用次数: 3
Editors' Introduction to Psychedelic Medicine 编辑介绍迷幻药
Pub Date : 2022-10-28 DOI: 10.1089/psymed.2022.0007
P. Hendricks, C. Nichols
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引用次数: 0
Past, Present, and Future of Psychedelics: A Psychedelic Medicine Roundtable Discussion 迷幻药的过去、现在和未来:迷幻药圆桌讨论
Pub Date : 2022-10-28 DOI: 10.1089/psymed.2022.0003
P. Hendricks, C. Nichols, K. Cunningham, M. Geyer, R. Griffiths, David Nichols
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引用次数: 1
Proposed Consensus Statement on Defining Psychedelic Drugs 关于迷幻药定义的建议共识声明
Pub Date : 2022-10-28 DOI: 10.1089/psymed.2022.0008
D. Nichols, C. Nichols, P. Hendricks
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引用次数: 8
期刊
Psychedelic medicine (New Rochelle, N.Y.)
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