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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.
Background:
The prosocial compound ± 3,4-methylenedioxymethamphetamine (MDMA) is an amphetamine derivative that has shown promise as an adjunct to psychotherapy in the treatment of post-traumatic stress disorder. MDMA increases positive responses to social images, and it has been suggested that the ability of MDMA to positively bias social perception may underlie its therapeutic efficacy as a psychotherapy adjunct. However, the effect of the compound on affective responses to positive or negative social feedback has not been tested.
Aims:
In this study, we aimed to test the effects of MDMA compared to placebo and the prototypical stimulant, methamphetamine (MA), on responses to positive and negative social feedback.
Methods:
This was a double-blind, placebo-controlled, crossover trial (NCT03790618), comparing the effects of two doses of MDMA (0.75 mg/kg, 1.5 mg/kg) to both placebo and MA (20 mg) on responses to a personalized social feedback task, similar to a dating app, in healthy adult volunteers ages 18-40 (N = 36, 18 women, 18 men).
Results/Outcomes:
The high dose of MDMA increased positive affective responses to social feedback.
Conclusions/Interpretations:
These findings suggest one process by which MDMA may facilitate social connection. Further work is needed to understand how MDMA affects responses to more generalized types of social feedback and to understand these effects in clinical populations.
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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