临床以外的psilocybin:公共卫生挑战增加宣传,可访问性和使用
Kent E Hutchison1, Jake F Hooper1, Hollis C Karoly1
1Department of Psychiatry, University of Colorado Anschutz Medical Campus, Aurora.
JAMA psychiatry
|November 5, 2025
概括
公众对的使用量正在上升,具有显著的强度变化和共同使用风险. 为了制定公共卫生和安全指南,需要更多的现实研究.
科学领域:
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
- 流行病学 流行病学
背景情况:
- 由于非犯罪化和临床试验的兴趣,在美国,psilocybin的使用正在增加.
- 公众的热情和访问正在超越科学理解和监管,造成潜在的健康风险.
研究的目的:
- 审查未受监管的使用psilocybin的公共卫生影响.
- 检查趋势,产品的变化,物质的共同使用,和与年龄相关的结果.
主要方法:
- 对同行评审文章,国家监测数据和化学测试数据的审查.
- 专注于2014-2024年的流行病学和药理学发现.
- 包括关于非临床西使用,产品成分,不良事件和共同使用模式的研究.
主要成果:
- 的使用量显著增加,特别是在19-50岁的成年人中.
- 增加了与迷幻药有关的中毒控制电话和不受管制产品的20倍以上的强度变化.
- 与大麻的共同使用可能会增加不良事件的风险;年龄可能会影响结果.
结论:
- 由于产品的可变性和共同使用,未受监管的psilocybin的使用引发了迫切的公共卫生问题.
- 目前的临床数据不足以减少危害或制定政策.
- 现实世界研究,公众教育,功效测试和特定年龄的风险评估至关重要.
更多相关视频
10:17High-throughput and Comprehensive Drug Surveillance Using Multisegment Injection-Capillary Electrophoresis-Mass Spectrometry
Published on: April 23, 2019
10.1K
11:14Rapid High-throughput Species Identification of Botanical Material Using Direct Analysis in Real Time High Resolution Mass Spectrometry
Published on: October 2, 2016
12.1K
相关概念视频
Hallucinogens and Psychedelics
555
Hallucinogens are psychoactive substances that profoundly alter perceptual experiences, generating unreal visual and sensory images. Often referred to as psychedelic drugs — a term derived from the Greek words "psyche" (mind) and "delos" (revealing) — these substances include marijuana and lysergic acid diethylamide (LSD), among others. These drugs vary in intensity and effects.
Marijuana, derived from the dried leaves and flowers of the hemp plant, contains...
Marijuana, derived from the dried leaves and flowers of the hemp plant, contains...
555
CNS Stimulants: Psychedelic Agents
618
Hallucinogens, also known as psychedelic drugs, are a class of substances known for their ability to alter perception, cognition, and emotions. Despite their profound effects on the mind, these drugs are non-addictive, setting them apart from many other abused substances. The mechanism of action of these drugs lies in their impact on the 5-HT2A receptor in the brain. Upon activation, this receptor couples to Gq-type G proteins, triggering a cascade that releases intracellular calcium. This...
618
Altered States of Awareness
956
Altered states of consciousness represent significant deviations from one's normal mental state. These deviations can range from subtle changes in awareness to profound transformations in perception, thought processes, and sensory experiences. Altered states of consciousness can be triggered by various factors, including drug use, meditation, hypnosis, illness, or even intense fatigue.
The ingestion of substances like stimulants or hallucinogens leads to chemical alterations in the brain...
The ingestion of substances like stimulants or hallucinogens leads to chemical alterations in the brain...
956
Community Based Intervention
255
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
255
Psychosurgery
1.3K
Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
Historical Development of Psychosurgery
In the 1930s, Portuguese neurologist Antonio Egas Moniz introduced a surgical procedure designed...
1.3K
Pharmacovigilance
1.6K
Post-marketing surveillance is a critical component of pharmaceutical regulation, often uncovering unanticipated adverse drug reactions (ADRs) once a drug is widely used over an extended period.
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
1.6K
