MDMA enhances positive affective responses to social feedback

Anya K Bershad1, David T Hsu2, Harriet de Wit3

  • 1Department of Psychiatry and Biobehavioral Sciences, UCLA, Los Angeles, CA, USA.

Abstract

Insights

The high dose of 3,4-methylenedioxymethamphetamine (MDMA) enhanced positive emotional responses to social feedback. This suggests MDMA may improve social connection, warranting further research in clinical populations.

Area of Science:

  • Psychopharmacology
  • Social Neuroscience

Background:

  • 3,4-methylenedioxymethamphetamine (MDMA) is an amphetamine derivative explored as a psychotherapy adjunct for PTSD.
  • MDMA's potential therapeutic effects may stem from its ability to positively bias social perception.
  • Previous research has not investigated MDMA's impact on affective responses to social feedback.

Purpose of the Study:

  • To investigate the effects of MDMA compared to placebo and methamphetamine (MA) on affective responses to social feedback.
  • To determine if MDMA influences reactions to positive and negative social cues.

Main Methods:

  • A double-blind, placebo-controlled, crossover trial (NCT03790618) was conducted.
  • Healthy adult volunteers (N=36) received two doses of MDMA (0.75 mg/kg, 1.5 mg/kg), placebo, or MA (20 mg).
  • Participants completed a personalized social feedback task, simulating a dating app interface.

Main Results:

  • The high dose of MDMA (1.5 mg/kg) significantly increased positive affective responses to social feedback.
  • No significant effects were observed for the lower MDMA dose or methamphetamine on affective responses to social feedback.

Conclusions:

  • MDMA may facilitate social connection by enhancing positive affective responses to social feedback.
  • Further research is required to explore MDMA's effects on generalized social feedback and in clinical populations, particularly those with PTSD.

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