治疗甲基胺使用障碍的psilocybin辅助心理治疗:一个开放标签的试点安全性和可行性研究
Elizabeth Knock1, Krista J Siefried1,2,3,4, Gill Bedi5
1St Vincent's Hospital Alcohol and Drug Service, Sydney, New South Wales, Australia.
Addiction (Abingdon, England)
|September 20, 2025
概括
松素辅助心理治疗在治疗甲基胺使用障碍方面表现有前途. 这项试点研究发现,在门诊环境中,治疗是可行的和安全的,药物使用和渴望减少.
科学领域:
- 精神病学是一个精神病学.
- 心理药理学 心理药理学
- 成 药物 药物 药物 药物
背景情况:
- 甲基胺使用障碍 (MUD) 的有效治疗选择有限.
- 全球对创新的MUD疗法的需求日益增长.
- 这项研究探讨了psilocybin辅助心理治疗作为一种潜在的MUD治疗方法.
研究的目的:
- 评估门诊治疗MUD的psilocybin辅助心理治疗的安全性和可行性.
- 评估初步有效性,以减少甲基胺的使用和渴望.
主要方法:
- 进行了一项单臂,开放标签的试点研究.
- 15名患有MUD的成年参与者接受了准备和整合心理治疗课程,并服用一次25mg口服西宾剂量.
- 结果包括90天的不良事件,入学/退学率,药物使用,渴望和心理健康措施.
主要成果:
- 这项干预是可行的,有15名参与者被录取,13人完成了90天的随访.
- 没有报告严重的不良事件;发生轻度至中度,自我限制的不良事件.
- 治疗后观察到甲基胺使用和渴望的显著减少,生活质量,抑郁,焦虑和压力有所改善.
结论:
- 门诊psilocybin辅助心理治疗是对MUD的可行和安全的干预措施.
- 初步结果表明,它在减少甲基胺使用和相关症状方面具有潜在的有效性.
- 需要进行一项更大的随机对照试验来证实这些发现.
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