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Validation of the Swiss Psychedelic Side Effects Inventory: Standardized assessment of adverse effects in studies of psychedelics and MDMA
Open accessAbstract
Introduction Studies of psychedelic-assisted therapy with LSD, psilocybin, MDMA, and related substances show clinical promise but inadequately assess side effects. Measuring side effects is challenging because they are not always easily differentiated from treatment effects or disease symptoms and show high heterogeneity, variable duration and impact, and sensitivity to context. A systematic questionnaire describing important characteristics of side effects of psychedelics and MDMA would greatly improve on previous methods. We aimed to create a standardized tool for recording clinically relevant side effects of psychedelics and MDMA, including their severity, duration, impact, and treatment-relatedness. Methods We constructed the Swiss Psychedelic Side Effects Inventory (SPSI) based on insights from previous research. It was pilot tested in 145 participants from three studies. Structured feedback from an expert panel was used to improve validity and feasibility. Results The final SPSI contains 32 side effects and standardized follow-up questions about their severity, impact, treatment-relatedness, and duration. It is compatible with any study design and can be administered as an interview or self-report at any timepoint after treatment with psychedelics or MDMA. Limitations The SPSI omits relatively unimportant side effects for brevity's sake, though space for additional symptoms is given. Future studies are needed to confirm its validity in different contexts. Conclusions Th…
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Adverse effects were systematically assessed after PAT sessions using a preliminary version of the Swiss Psychedelic Side Effects Inventory (SPSI).
“Adverse effects were systematically assessed after PAT sessions using a preliminary version of the Swiss Psychedelic Side Effects Inventory (SPSI), which was developed in our clinic by GH and AEC and will be described in detail in an upcoming publication (Calder and Hasler, 2024).”
From Naturalistic psychedelic therapy: The role of relaxation and subjective drug effects in antidepressant response (2024) · cites this paper as Calder and Hasler, 2024
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Psychedelics and the essential importance of context
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Calder, A. E., Rausch, B., Liechti, M. E., Holze, F., & Hasler, G. (2024) · Journal of Psychopharmacology · doi:10.1177/02698811241278873 · Cited by 20
“Adverse effects were systematically assessed after PAT sessions using a preliminary version of the Swiss Psychedelic Side Effects Inventory (SPSI), which was developed in our clinic by GH and AEC and will be described in detail in an upcoming publication (Calder and Hasler, 2024).”
MethodSelf-citationAlbert, A. E., & Back, A. L. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1529427 · Cited by 6
Metadata
- Authors
- Calder, A. E., & Hasler, G.
- Affiliations
- University of Freiburg (DE)
- Corresponding author
- Hasler, Gregor
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2024-11
- Volume
- 365
- Pages
- 258-264
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W4401689244
- Cited by
- 28
- References
- 8
- Citations by year
- 2026: 11 · 2025: 14 · 2024: 3
- FWCI
- 11.46
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Journal of Affective Disorders (publishedVersion, cc-by)
- PubMed (publishedVersion)
- PsyArXiv (OSF Preprints) (submittedVersion, public-domain)
- Funders
- Université de Fribourg
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Keywords
- MDMA, questionnaire development, instrument validation, psychedelic therapy, LSD, psilocybin, patient safety, informed consent
- MeSH terms
- Adult, Female, Hallucinogens, Humans, Lysergic Acid Diethylamide, Male, Middle Aged, Psilocybin, Surveys and Questionnaires, Switzerland, Reproducibility of Results, N-Methyl-3,4-methylenedioxyamphetamine, Young Adult
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