研究迷幻药对晚期癌症患者的疗效:综合综述和荟萃分析。

IF 2.6 Q3 ONCOLOGY World journal of clinical oncology Pub Date : 2024-07-24 DOI:10.5306/wjco.v15.i7.908
Husam Bader, Husam Farraj, Joud Maghnam, Yazan Abu Omar
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引用次数: 0

摘要

背景介绍迷幻药是一种天然迷幻化合物,存在于某些种类的蘑菇中,因其对焦虑和抑郁的作用而闻名。最近,它因其潜在的治疗效果,尤其是对晚期癌症患者的治疗效果而受到越来越多的关注。本系统综述和荟萃分析旨在评估银环蛇毒素对成年晚期癌症患者的影响。目的:研究银环蛇毒素对晚期癌症患者的治疗效果:在 PubMed、Cochrane Central Register of Controlled Trials 和 Google Scholar 等电子数据库中对截至 2023 年 2 月发表的文章进行了全面检索。同时还搜索了纳入研究的参考文献目录,以检索可能的其他研究:共有 7 项研究符合系统综述的纳入标准,包括 132 名参与者。研究结果显示,在接受迷幻药辅助治疗后,患者的生活质量、疼痛控制和焦虑缓解均有明显改善,尤其是焦虑缓解方面。汇总效应大小显示,在 4 至 4.5 个月[35.15(95%CI:32.28-38.01)]和 6 至 6.5 个月[33.06(95%CI:28.73-37.40)],焦虑症状均有统计学意义的显著减轻。用药后评估与基线评估相比(P < 0.05)。此外,患者还报告说,在接受迷幻药治疗后,他们的心理健康和生存压力得到了持续改善:研究结果为迷幻药辅助疗法在改善晚期癌症患者的生活质量、疼痛控制和焦虑缓解方面的潜在益处提供了有力证据。
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Investigating the therapeutic efficacy of psilocybin in advanced cancer patients: A comprehensive review and meta-analysis.

Background: Psilocybin, a naturally occurring psychedelic compound found in certain species of mushrooms, is known for its effects on anxiety and depression. It has recently gained increasing interest for its potential therapeutic effects, particularly in patients with advanced cancer. This systematic review and meta-analysis aim to evaluate the effects of psilocybin on adult patients with advanced cancer.

Aim: To investigate the therapeutic effect of psilocybin in patients with advanced cancer.

Methods: A comprehensive search of electronic databases was conducted in PubMed, Cochrane Central Register of Controlled Trials, and Google Scholar for articles published up to February 2023. The reference lists of the included studies were also searched to retrieve possible additional studies.

Results: A total of 7 studies met the inclusion criteria for the systematic review, comprising 132 participants. The results revealed significant improvements in quality of life, pain control, and anxiety relief following psilocybin-assisted therapy, specifically results on anxiety relief. Pooled effect sizes indicated statistically significant reductions in symptoms of anxiety at both 4 to 4.5 months [35.15 (95%CI: 32.28-38.01)] and 6 to 6.5 months [33.06 (95%CI: 28.73-37.40)]. Post-administration compared to baseline assessments (P < 0.05). Additionally, patients reported sustained improvements in psychological well-being and existential distress following psilocybin therapy.

Conclusion: The findings provided compelling evidence for the potential benefits of psilocybin-assisted therapy in improving quality of life, pain control, and anxiety relief in patients with advanced cancer.

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期刊介绍: The WJCO is a high-quality, peer reviewed, open-access journal. The primary task of WJCO is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of oncology. In order to promote productive academic communication, the peer review process for the WJCO is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJCO are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in oncology. Scope: Art of Oncology, Biology of Neoplasia, Breast Cancer, Cancer Prevention and Control, Cancer-Related Complications, Diagnosis in Oncology, Gastrointestinal Cancer, Genetic Testing For Cancer, Gynecologic Cancer, Head and Neck Cancer, Hematologic Malignancy, Lung Cancer, Melanoma, Molecular Oncology, Neurooncology, Palliative and Supportive Care, Pediatric Oncology, Surgical Oncology, Translational Oncology, and Urologic Oncology.
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