评估psilocybin在缓解癌症患者痛苦中的有效性:一个系统性审查
Maria I Lapid1,2, Sandeep R Pagali2,3, Andrea L Randall4
1Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Palliative & supportive care
|April 22, 2025
概括
松素辅助疗法在减少与癌症相关的心理和存在性痛苦方面表现有前途. 这次审查发现显著的症状减少,尽管需要更多的大规模试验.
科学领域:
- 在瘤学瘤学.
- 精神病学是一个精神病学.
- 药理学 药理学是指药理学的学科.
背景情况:
- 癌症患者经常经历心理和存在的痛苦,影响生活质量.
- 松素辅助疗法是这些症状的新兴治疗方法.
研究的目的:
- 系统地审查psilocybin在缓解与癌症相关的痛苦中的有效性和安全性.
- 综合现有证据,探讨psilocybin对癌症患者心理健康的影响.
主要方法:
- 搜索了多个数据库 (MEDLINE,PsycINFO,Cochrane,Embase,Scopus) 查找相关的研究,直到2024年2月.
- 包括随机对照试验,开放试验,定性研究和病例报告.
- 使用已确定的标准评估研究质量 (Cochrane偏差风险,MINORS).
主要成果:
- 14项研究 (3项RCT,5项开放标签,5项定性,1项病例报告) 符合纳入标准.
- псилоцибин治疗显示,抑郁症,焦虑症和存在困境的显著减少.
- 改善持续了几个月,通常是轻微和短暂的不良影响.
结论:
- 松素辅助疗法显示出作为癌症患者痛苦的有效治疗的潜力.
- 进一步的大规模,精心设计的随机对照试验是必要的,以确认疗效和解决研究差距.
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