This meta-analysis (2020) reported favorably on four trials (n=117) that studied the effect of psilocybin-assisted therapy for anxiety and depression.
Abstract of The experimental effects of psilocybin on symptoms of anxiety and depression
“The current meta-analysis examined the effects of psilocybin in combination with behavioral interventions on anxiety and depression in samples with elevated symptoms. Across four studies (one uncontrolled; three randomized, placebo-controlled; N = 117), within-group pre-post and pre-follow-up effects on anxiety and depression were large (Hedges’ gs=1.16 to 1.47) and statistically significant. Across three placebo-controlled studies, pre-post placebo-controlled effects were also large (gs = 0.82 to 0.83) and statistically significant. No serious adverse events were reported. Limitations include the small number of studies and risk for bias within studies. Results tentatively support future research on psilocybin for the treatment of anxiety and depression.“
Authors: Simon B. Goldberg, Brian T. Pace, Christopher R. Nicholas, Charles L. Raison & Paul R. Hutsong
Notes on The experimental effects of psilocybin on symptoms of anxiety and depression
“The current meta-analysis evaluated effects of psilocybin coupled with supportive behavioral interventions on anxiety and depression. Although a small number of studies were included, available data were promising. Within-group effects at post-treatment and six-month follow-up showed large reductions in anxiety and depression symptoms with no evidence of publication bias.”
“Additional large-scale studies examining the effects of psilocybin on treatment-resistant depression may be warranted, as only one of the four studies focused on this population. It may be valuable to evaluate various behavioral interventions to support or extend benefits of psilocybin treatments.”
The study didn’t get financial support directly, but two authors are affiliated with Usona Institute.
The studies included in the meta-analysis were:
- Psilocybin produces substantial and sustained decreases in depression and anxiety in patients with life-threatening cancer: a randomized double-blind trial (Griffiths et al., 2016)
- Pilot study of psilocybin treatment for anxiety in patients with advanced-stage cancer (Grob et al., 2011)
- Psilocybin with psychological support for treatment-resistant depression: an open-label feasibility study (Carhart-Harris et al., 2016)
- Psilocybin with psychological support for treatment-resistant depression: six-month follow-up (Carhart-Harris et al., 2018)
- Rapid and sustained symptom reduction following psilocybin treatment for anxiety and depression in patients with life-threatening cancer: a randomized controlled trial (Ross et al., 2016)
Summary of The experimental effects of psilocybin on symptoms of anxiety and depression
Several new treatment approaches have been developed for anxiety and depressive disorders in the past century, but some patients remain symptomatic, do not comply with treatment, or experience adverse side effects.
Researchers have recently resumed investigating psychedelic compounds as a novel treatment approach, including psilocybin, a plant alkaloid and 5-HT2A receptor agonist. A meta-analysis of clinical trials testing psilocybin for anxiety and depression was conducted.
Methods
Find this paper
The experimental effects of psilocybin on symptoms of anxiety and depression: A meta-analysis
https://doi.org/10.1016/j.psychres.2020.112749
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Cite this paper (APA)
Goldberg, S. B., Pace, B. T., Nicholas, C. R., Raison, C. L., & Hutson, P. R. (2020). The experimental effects of psilocybin on symptoms of anxiety and depression: A meta-analysis. Psychiatry research, 284, 112749.
Study details
Compounds studied
Psilocybin
Topics studied
Anxiety
Palliative Care
Depression
Study characteristics
Meta-Analysis
Participants
117
Humans
Authors
Authors associated with this publication with profiles on Blossom
Charles RaisonCharles "Chuck" L. Raison is an American psychiatrist and professor of psychiatry. Next to his academic affiliation, he is also affiliated with the Usona Institute.