псилоцибин辅助心理治疗的安全性:一个系统的审查
Rosana R Freitas1,2, Efstathia S Gotsis1,2, Alexander T Gallo1,2
1School of Medicine and Psychology, College of Health and Medicine, The Australian National University, Canberra, ACT, Australia.
The Australian and New Zealand journal of psychiatry
|December 13, 2024
概括
松素辅助心理治疗对治疗耐药性抑郁症有希望,但不良事件报告有所不同. 标准化数据收集对于理解安全至关重要,常见的副作用包括焦虑和头痛,以及罕见的自杀想法在高危人群中.
科学领域:
- 精神病学和神经科学 精神病学和神经科学
- 临床心理学 临床心理学
- 药理学 药理学是指药理学的学科.
背景情况:
- 现在在澳大利亚,psilocybin已被批准用于治疗耐药抑郁症.
- 了解与松素辅助心理治疗相关的不良事件至关重要.
- 现有的关于不良事件的临床试验数据是异质的.
研究的目的:
- 审查和评估从psilocybin辅助心理治疗临床试验的不良事件数据.
- 评估这些试验中不良事件的定义,测量和报告.
主要方法:
- 对报告不良事件的临床试验进行系统的文献搜索.
- 对不良事件报告,监测和定义的质量评估.
- 对24项研究的分析包括了不同剂量和设计的psilocybin研究.
主要成果:
- 常见的不良事件包括血压升高,头痛,恶心,疲劳和焦虑.
- 自杀想法/行为不常见,主要是参与者有先前的历史.
- 在不良事件测量和报告方法中观察到显著的异质性.
结论:
- 需要在迷幻药试验中对不良事件的定义,测量和报告进行标准化.
- 对参与者进行自杀倾向查和持续监测是必不可少的.
- 松素辅助心理治疗似乎普遍是安全的,尽管由于数据的限制,谨慎的乐观是合理的.
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