Cited by 142Psychedelics and Drug StudiesReligion, Spirituality, and PsychologyParanormal Experiences and Beliefs

5-methoxy-N,N-dimethyltryptamine (5-MeO-DMT) used in a naturalistic group setting is associated with unintended improvements in depression and anxiety

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Davis, Alan K., So, Sara, Lancelotta, Rafael, Barsuglia, Joseph P., Griffiths, Roland R.·2019·The American Journal of Drug and Alcohol Abuse

Abstract

BACKGROUND: A recent epidemiological study suggested that 5-methoxy-N,N-dimethyltryptamine (5-MeO-DMT) used for spiritual and recreational reasons is associated with subjective improvement in depression and anxiety. Further exploration of the potential psychotherapeutic effects of 5-MeO-DMT could inform future clinical trials. OBJECTIVES: We examined self-reported improvement in depression and anxiety among people who use 5-MeO-DMT in a group setting with structured procedures guiding dose and administration of 5-MeO-DMT. Such procedures also include activities for the preparation of, and support during/following sessions, which are similar to procedures used in clinical trials of hallucinogen administration. Next, we examined whether depression or anxiety were improved following use, and whether the acute subjective effects (mystical/challenging) or beliefs about the 5-MeO-DMT experience were associated with improvements in these conditions. METHODS: = 47.7; Male = 55%; White/Caucasian = 84%) completed an anonymous web-based survey. RESULTS: Of those reporting having been diagnosed with depression (41%) or anxiety (48%), most reported these conditions were improved (depression = 80%; anxiety = 79%) following 5-MeO-DMT use, and fewer reported they were unchanged (depression = 17%; anxiety = 19%) or worsened (depression = 3%; anxiety = 2%). Improvement in depression/anxiety conditions were associated with greater intensity of mystical experiences and higher ratings of the spiritual significance and personal meaning of the 5-MeO-DMT experience. There were no associations between depression or anxiety improvement and the intensity of acute challenging physical/psychological effects during the 5-MeO-DMT experience. CONCLUSIONS: Future prospective controlled clinical pharmacology studies should examine the safety and efficacy of 5-MeO-DMT administration for relieving depression and anxiety.

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  • Greater acute effects of psychedelics on measures of mystical experiences are associated with positive effects in multiple domains including attitudes, prosocial behavior, depression, anxiety and satisfaction with life in healthy individuals.

    “Greater acute effects of psychedelics on measures of mystical experiences are associated with positive effects in multiple domains including attitudes, prosocial behavior, depression, anxiety and satisfaction with life in healthy individuals (Davis et al. 2019;Griffiths et al. 2018Griffiths et al. , 2011;;Uthaug et al. 2019).”

    From Psychedelic Microdosing, Mindfulness, and Anxiety: A Cross-Sectional Mediation Study (2023) · cites this paper as Davis et al. 2019

    The Discussion (page unavailable) reports that more intense acute mystical effects of 5-MeO-DMT were associated with self-reported improvements in depression and anxiety. The Results also report higher ratings of well-being/life satisfaction among those whose depression or anxiety improved, but do not establish the claimed direct association with mystical effects. This study does not establish effects on attitudes or prosocial behavior, and its depression/anxiety findings concern respondents who reported those conditions, not healthy individuals. (LLM, conf=0.88)

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  • 5-MeO-DMT has an acceptable physiological safety profile in naturalistic settings.

    “it appears that 5-MeO-DMT has an acceptable physiological safety profile in naturalistic settings (Davis et al. 2018; Davis et al. 2019)”
  • The present findings are in line with previous research on use of synthetic 5-MeO-DMT in ceremonial settings (Davis et al. 2019), as well as a naturalistic observational study investigating the effects following use of toad secretion containing 5-MeO-DMT (Uthaug et al. 2019).

    “However, the present findings are in line with previous research on use of synthetic 5-MeO-DMT in ceremonial settings (Davis et al. 2019), as well as a naturalistic observational study investigating the effects following use of toad secretion containing 5-MeO-DMT (Uthaug et al. 2019).”

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Authors
Davis, A. K., So, S., Lancelotta, R., Barsuglia, J. P., & Griffiths, R. R.
Affiliations
  • Johns Hopkins University (US)
  • University of Wyoming (US)
  • New School Research, LLC, North Hollywood, CA, USA
Corresponding author
Davis, Alan K.
Venue
The American Journal of Drug and Alcohol Abuse
Published
2019-03-01
Volume
45
Issue
2
Pages
161-169
ISSN
  • 0095-2990 (ISSN-L)
  • 1097-9891
OpenAlex
W2919995896
Cited by
142
References
43
Citations by year
2026: 15 · 2025: 19 · 2024: 29 · 2023: 21 · 2022: 20 · 2021: 17 · 2020: 13 · 2019: 7 · 2018: 1
FWCI
16.64
Type
journal article
Language
en
Open access
Locations
  • The American Journal of Drug and Alcohol Abuse (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute on Alcohol Abuse and Alcoholism (AA007747)
  • National Institute on Drug Abuse (DA003889, DA007209)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
  • Social Sciences › Health › Religion, Spirituality, and Psychology
  • Social Sciences › Psychology › Social Psychology › Paranormal Experiences and Beliefs
Keywords
5-MeO-DMT, depression, anxiety, psychedelics, mystical experience, challenging experiences, spiritual meaning, group settings, recreational drug use, subjective improvement, hallucinogens
MeSH terms
Adult, Depressive Disorder, Female, Hallucinogens, Humans, Male, Methoxydimethyltryptamines, Middle Aged, Psychometrics, Surveys and Questionnaires, Internet, Self Report

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