青少年临床迷幻药物研究:范围审查和伦理考虑概述
Khaleel Rajwani1, Edward Jacobs2, Lori Bruce3
1Department of Philosophy, McGill University, Montreal, QC, Canada.
The Lancet. Child & adolescent health
|September 4, 2025
概括
对于青少年的迷幻辅助疗法的研究很少. 一项审查发现,在这个年龄组中没有完成的试验或发表的治疗结果,如MDMA辅助或psilocybin辅助的心理治疗.
科学领域:
- 精神病学与心理健康
- 神经科学
- 临床心理学
背景情况:
- 现代迷幻药研究主要涉及成年人,
- 青少年参与迷幻研究面临道德和法律方面的挑战.
- 人们对各种精神疾病的心理疗法越来越感兴趣.
研究的目的:
- 进行医学文献的综述, 确定青少年参与21世纪的迷幻药物研究.
- 确定涉及迷幻药物辅助治疗和18岁以下参与者的研究范围.
- 突出了青少年心理健康方面的证据差距.
主要方法:
- 从2000年1月到2025年4月的医学文献范围审查.
- 在数据库中搜索了涉及精神药物辅助疗法和青少年参与者的研究.
- 分析了试验注册,试验计划和发表的结果.
主要成果:
- 确定了三个试验注册和一个试验计划,涉及18岁以下的参与者.
- 没有一项涉及青少年的临床试验完成.
- 没有发现包括青少年在内的迷幻研究试验的已公布结果.
- 报告的伦理认可和招聘细节不一致.
结论:
- 关于青少年心理辅助疗法的安全性和有效性存在显著的证据缺口.
- 缺乏研究数据可能会阻碍青少年的临床护理.
- 建议进行谨慎的,有道德依据的研究,优先考虑具有高益处风险比率的老年青少年,以探索潜在的风险和益处.
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