Petros D. Petridis, Jack Grinband, Gabrielle Agin-Liebes, Connor J. Kinslow, Richard J. Zeifman, Michael P. Bogenschutz, Roland R. Griffiths, Stephen Ross
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引用次数: 0
摘要
迷幻药辅助心理疗法(PAP)在治疗癌症患者的情绪和焦虑症方面显示出良好的前景。然而,癌症患者通常不仅仅患有抑郁症和焦虑症,迄今为止,PAP 对其他精神症状的影响在很大程度上仍不为人所知。为了填补这一空白,我们汇总了之前未公开的两项 II 期随机安慰剂对照交叉试验的数据,涉及 79 名癌症相关困扰的参与者,并分析了 PAP 对 9 种精神症状的影响:焦虑、抑郁、人际关系敏感、敌意、强迫症、躯体化、恐惧症、偏执狂和精神病。PAP 能明显改善焦虑、抑郁、人际关系敏感、敌意、强迫症和躯体化,但不会诱发任何持久的恐惧症、妄想症或精神病。不同试验之间的临床改善效果一致。总之,我们的研究结果表明,PAP 有可能成为癌症患者的一种综合心理健康治疗方法。在这项汇总分析中,作者评估了迷幻剂辅助心理疗法对癌症相关痛苦患者精神症状各方面的影响。
Psilocybin-assisted psychotherapy improves psychiatric symptoms across multiple dimensions in patients with cancer
Psilocybin-assisted psychotherapy (PAP) has shown promise in treating mood and anxiety disorders in patients with cancer. However, patients with cancer often suffer from more than just depression and anxiety, and so far, PAP’s effect on other psychiatric symptoms remains largely unknown. To address this gap, we pooled previously unpublished data from two phase II, randomized, placebo-controlled crossover trials involving 79 participants with cancer-related distress and analyzed PAP’s effect on 9 psychiatric symptom dimensions: anxiety, depression, interpersonal sensitivity, hostility, obsession–compulsion, somatization, phobia, paranoia and psychosis. PAP significantly improved anxiety, depression, interpersonal sensitivity, hostility, obsession–compulsion and somatization without inducing any lasting phobia, paranoia or psychosis. Clinical improvements were consistent between trials. Together, our findings suggest that PAP has the potential to be a comprehensive mental health treatment for patients with cancer. In this pooled analysis, the authors evaluate the effects of psilocybin-assisted psychotherapy across various dimensions of psychiatric symptoms in people with cancer-related distress.