Ayahuasca and public health: health status, psychosocial well-being, lifestyle, and coping strategies in a large sample of ritual ayahuasca users
Abstract
= 380) in places where ayahuasca ceremonies were occurring. Public health indicators were compared with Spanish normative data, and intergroup analyses were conducted. Long-term ayahuasca use was associated with higher positive perception of health or with a healthy lifestyle, among other outcomes. Fifty-six percent of the sample reported reducing their use of prescription drugs due to ayahuasca use. Participants who used ayahuasca more than 100 times scored higher in personal values measures. The main conclusion of this study is that a respectful and controlled use of hallucinogenic/psychedelic drugs taken in communitarian settings can be incorporated into modern society with benefits for public health. This new approach, based on the use of health indicators that were not used in previous ayahuasca studies, offers relevant information about the impact of long-term exposure to ayahuasca on public health.
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Individuals who regularly use ayahuasca in a communal setting exhibit higher general well-being, increased physical activity, and balanced diet than the general population.
“Several studies have evidenced that individuals who regularly use ayahuasca in a communal setting exhibit a higher level of general well-being, increased physical activity, and balanced diet than the general population (27–29).”
From Ayahuasca-assisted meaning reconstruction therapy for grief: a non-randomized clinical trial protocol (2025) · cites this paper as [28]
Cites
Happiness is everything, or is it? Explorations on the meaning of psychological well-being.
Ryff, C. D. (1989) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.57.6.1069 · Cited by 14,847 · see citing works
The Multidimensional Scale of Perceived Social Support
Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1988) · Journal of Personality Assessment · doi:10.1207/s15327752jpa5201_2 · Cited by 13,339 · see citing works
Assessing coping strategies: A theoretically based approach.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.56.2.267 · Cited by 11,682 · see citing works
Assessing coping strategies: A theoretically based approach.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.56.2.267 · Cited by 11,507 · see citing works
The structure of psychological well-being revisited.
Ryff, C. D., & Keyes, C. L. M. (1995) · Journal of Personality and Social Psychology · doi:10.1037//0022-3514.69.4.719 · Cited by 10,285 · see citing works
Sherbourne, C. D., & Stewart, A. L. (1991) · Social Science & Medicine · doi:10.1016/0277-9536(91)90150-b · Cited by 6,643 · see citing works
The detection of psychiatric illness by questionnaire
Levy, R. (1973) · Journal of Psychosomatic Research · doi:10.1016/0022-3999(73)90039-1 · Cited by 2,707 · see citing works
Wang, J., Mann, F., Lloyd-Evans, B., Ma, R., & Johnson, S. (2018) · BMC Psychiatry · doi:10.1186/s12888-018-1736-5 · Cited by 1,494 · see citing works
The Role of Social Relations in Health Promotion
Berkman, L. F. (1995) · Psychosomatic Medicine · doi:10.1097/00006842-199505000-00006 · Cited by 1,233 · cited 2× · see citing works
“…MacRae 1998; Talin and Sanabria 2017), thus strengthening social bonds (Andritzky 1989; Cavnar 2014; Kavenská and Simonová 2015; Prat et al. 2012), an aspect that is particularly important for the maintenance of a positive mental health status (Berkman 1995; Ozbay et al. 2007; Wang et al. 2018).”
BackgroundHuman hallucinogen research: guidelines for safety
Johnson, M., Richards, W., & Griffiths, R. (2008) · Journal of Psychopharmacology · doi:10.1177/0269881108093587 · Cited by 1,203 · see citing works
Social support and resilience to stress: from neurobiology to clinical practice.
(2007) · PubMed Central · Cited by 904 · see citing works
Psychedelics and the essential importance of context
Carhart-Harris, R. L., Roseman, L., Haijen, E., Erritzoe, D., Watts, R., Branchi, I., & Kaelen, M. (2018) · Journal of Psychopharmacology · doi:10.1177/0269881118754710 · Cited by 657 · see citing works
Hartogsohn, I. (2016) · Journal of Psychopharmacology · doi:10.1177/0269881116677852 · Cited by 483 · see citing works
McKenna, D. J., Towers, G. H. N., & Abbott, F. (1984) · Journal of Ethnopharmacology · doi:10.1016/0378-8741(84)90003-5 · Cited by 398 · see citing works
Psychedelics as Medicines: An Emerging New Paradigm
Nichols, D. E., Johnson, M., & Nichols, C. (2016) · Clinical Pharmacology & Therapeutics · doi:10.1002/cpt.557 · Cited by 373 · see citing works
Hendricks, P. S., Thorne, C. B., Clark, C. B., Coombs, D., & Johnson, M. W. (2015) · Journal of Psychopharmacology · doi:10.1177/0269881114565653 · Cited by 360 · see citing works
Psychedelics and mental health: a population study
Krebs, T. S., & Johansen, P.-Ø. (2013) · PLoS ONE · doi:10.1371/journal.pone.0063972 · Cited by 347 · see citing works
Human psychopharmacology of hoasca, a plant hallucinogen used in ritual context in Brazil.
GROB, C. S., McKENNA, D. J., CALLAWAY, J. C., BRITO, G. S., NEVES, E. S., OBERLAENDER, G., SAIDE, O. L., LABIGALINI, E., TACLA, C., MIRANDA, C. T., et al. (1996) · The Journal of Nervous and Mental Disease · doi:10.1097/00005053-199602000-00004 · Cited by 338 · see citing works
McKenna, D. J. (2004) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2004.03.002 · Cited by 321 · see citing works
Bouso, J. C., González, D., Fondevila, S., Cutchet, M., Fernández, X., Ribeiro Barbosa, P. C., Alcázar-Córcoles, M. Á., Araújo, W. S., Barbanoj, M. J., Fábregas, J. M., et al. (2012) · PLoS ONE · doi:10.1371/journal.pone.0042421 · Cited by 313 · see citing works
Danforth, A. L., Grob, C. S., Struble, C., Feduccia, A. A., Walker, N., Jerome, L., Yazar-Klosinski, B., & Emerson, A. (2018) · Psychopharmacology · doi:10.1007/s00213-018-5010-9 · Cited by 280 · cited 1× · see citing works
“…disorder, posttraumatic stress disorder (PTSD), anxiety and depression associated with life-threatening diseases, and social anxiety among individuals with autism (Danforth et al. 2018; dos Santos et al. 2018; dos Santos, Bouso, and Hallak 2016; Mithoefer, Grob, and Brewerton 2016).”
BackgroundPsychedelics not linked to mental health problems or suicidal behavior: A population study
Johansen, P.-Ø., & Krebs, T. (2015) · Journal of Psychopharmacology · doi:10.1177/0269881114568039 · Cited by 268 · see citing works
Hyman, S. E. (2012) · Science Translational Medicine · doi:10.1126/scitranslmed.3003142 · Cited by 260 · see citing works
Novel psychopharmacological therapies for psychiatric disorders: psilocybin and MDMA
Mithoefer, M. C., Grob, C. S., & Brewerton, T. D. (2016) · The Lancet Psychiatry · doi:10.1016/s2215-0366(15)00576-3 · Cited by 239 · see citing works
van Amsterdam, J., Nutt, D., Phillips, L., & van den Brink, W. (2015) · Journal of Psychopharmacology · doi:10.1177/0269881115581980 · Cited by 229 · cited 1× · see citing works
“Moreover, participants described using mostly cannabis and psychedelics, which are substances associated with less social and physical harm to the individual and to society when compared to other drugs such as alcohol, crack cocaine, and heroin (van Amsterdam et al. 2015).”
BackgroundSANTOS, R. G. D., Bouso, J. C., Alcázar‐Córcoles, M. Á., & Hallak, J. E. C. (2018) · Expert Review of Clinical Pharmacology · doi:10.1080/17512433.2018.1511424 · Cited by 228 · see citing works
Self-citationAssessment of addiction severity among ritual users of ayahuasca.
Fábregas, J. M., González, D., Fondevila, S., Cutchet, M., Fernández, X., Barbosa, P. C. R., Alcázar-Córcoles, M. Á., Barbanoj, M. J., Riba, J., & Bouso, J. C. (2010) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2010.03.024 · Cited by 227 · see citing works
Self-citationBouso, J. C., Palhano-Fontes, F., Rodríguez-Fornells, A., Ribeiro, S., Sanches, R., Crippa, J. A. S., Hallak, J. E. C., de Araujo, D. B., & Riba, J. (2015) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2015.01.008 · Cited by 218 · see citing works
Self-citationPsychological and Cognitive Effects of Long-Term Peyote Use Among Native Americans
Halpern, J. H., Sherwood, A. R., Hudson, J. I., Yurgelun-Todd, D. A., & Pope, H. G. (2005) · Biological Psychiatry · doi:10.1016/j.biopsych.2005.06.038 · Cited by 187 · see citing works
Trompetter, H. R., ten Klooster, P. M., Schreurs, K. M. G., Fledderus, M., Westerhof, G. J., & Bohlmeijer, E. T. (2013) · Psychological Assessment · doi:10.1037/a0033813 · Cited by 184 · cited 2× · see citing works
“Last, the Personal values dimension used the Engaged Living Scale (ELS; Trompetter et al. 2013).”
MethodAyahuasca, dimethyltryptamine, and psychosis: a systematic review of human studies
SANTOS, R. G. D., Bouso, J. C., & Hallak, J. E. C. (2017) · Therapeutic Advances in Psychopharmacology · doi:10.1177/2045125316689030 · Cited by 168 · see citing works
Self-citation(2008) · PubMed · Cited by 130 · see citing works
Innovative solutions to novel drug development in mental health
Insel, T. R., Voon, V., Nye, J. S., Brown, V. J., Altevogt, B. M., Bullmore, E. T., Goodwin, G. M., Howard, R. J., Kupfer, D. J., Malloch, G., et al. (2013) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2013.03.022 · Cited by 124 · see citing works
Rocha, K. B., Pérez, K., Rodríguez‐Sanz, M., Borrell, C., & Obiols, J. E. (2011) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) · Cited by 120 · see citing works
Health status of ayahuasca users
Barbosa, P. C. R., Mizumoto, S., Bogenschutz, M. P., & Strassman, R. J. (2012) · Drug Testing and Analysis · doi:10.1002/dta.1383 · Cited by 112 · see citing works
Kavenská, V., & Simonová, H. (2015) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2015.1094590 · Cited by 108 · see citing works
Psychological and neuropsychological assessment of regular hoasca users
Barbosa, P. C. R., Strassman, R. J., da Silveira, D. X., Areco, K., Hoy, R., Pommy, J., Thoma, R., & Bogenschutz, M. (2016) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2016.09.003 · Cited by 105 · see citing works
Ayahuasca’s entwined efficacy: An ethnographic study of ritual healing from ‘addiction’
Talin, P., & Sanabria, E. (2017) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2017.02.017 · Cited by 103 · see citing works
Losing faith and finding religion: Religiosity over the life course and substance use and abuse
Moscati, A., & Mezuk, B. R. (2014) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2013.12.018 · Cited by 102 · see citing works
Assessment of Alcohol and Tobacco Use Disorders Among Religious Users of Ayahuasca
Barbosa, P. C. R., Tófoli, L. F., Bogenschutz, M. P., Hoy, R. V., Berro, L. F., Marinho, E. A. V., Areco, K. C. N., & Winkelman, M. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00136 · Cited by 97 · see citing works
Psychiatry, The Pharmaceutical Industry, and The Road to Better Therapeutics
Fibiger, H. C. (2012) · Schizophrenia Bulletin · doi:10.1093/schbul/sbs073 · Cited by 95 · see citing works
The 21st century psychedelic renaissance: heroic steps forward on the back of an elephant
Sessa, B. (2017) · Psychopharmacology · doi:10.1007/s00213-017-4713-7 · Cited by 92 · see citing works
Nunes, A. A., SANTOS, R. G. D., Osório, F. D. L., Sanches, R. F., Crippa, J. A. S., & Hallak, J. E. C. (2016) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2016.1188225 · Cited by 91 · see citing works
Self-citationLawn, W., Hallak, J. E. C., Crippa, J. A. S., SANTOS, R. G. D., Porffy, L., Barratt, M. J., Ferris, J., WINSTOCK, A. R., & Morgan, C. J. A. (2017) · Scientific Reports · doi:10.1038/s41598-017-14700-6 · Cited by 78 · see citing works
Self-citationSociopsychotherapeutic Functions of Ayahuasca Healing in Amazonia
Andritzky, W. (1989) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1989.10472145 · Cited by 59 · see citing works
Psychological variables implied in the therapeutic effect of ayahuasca: A contextual approach
Franquesa, A., Sainz-Cort, A., Gandy, S., Soler, J., Alcázar-Córcoles, M. Á., & Bouso, J. C. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.04.012 · Cited by 58 · cited 2× · see citing works
“Similar studies used this approach in ayahuasca users (Franquesa et al. 2018) and when analyzing practices like sweatlodge ceremonies or the use of other psychedelic drugs like peyote in Navajo communities (Sabucedo 2017), finding that psychedelic practices performed in ritualistic communitarian…”
BackgroundResultSelf-citationMartinez, T., Gleghorn, A. A., Marx, R., Clements, K., Boman, M., & Katz, M. H. (1998) · Journal of Psychoactive Drugs · doi:10.1080/02791072.1998.10399665 · Cited by 56 · see citing works
Tupper, K. W., & Labate, B. C. (2015) · Current Drug Abuse Reviews · doi:10.2174/1874473708666150107155042 · Cited by 48 · see citing works
Jones, R., & Wilsdon, J. (2018) · White Rose Research Online (University of Leeds, The University of Sheffield, University of York) · doi:10.13140/rg.2.2.15613.05609 · Cited by 47 · see citing works
Ayahuasca and the Treatment of Drug Addiction
Bouso, J. C., & Jordi Riba, A. (2013) · Springer eBooks · doi:10.1007/978-3-642-40426-9_6 · Cited by 40 · see citing works
Self-citationApud, I., & Romaní, O. (2016) · International Journal of Drug Policy · doi:10.1016/j.drugpo.2016.07.011 · Cited by 40 · see citing works
The antiaddictive effects of ibogaine: A systematic literature review of human studies
SANTOS, R. G. D., Bouso, J. C., & Hallak, J. E. C. (2017) · Journal of Psychedelic Studies · doi:10.1556/2054.01.2016.001 · Cited by 36 · see citing works
Self-citationConstrucción de una escala para evaluar la salud mental positiva
Canut, L., & Teresa, M. (2000) · Tesis Doctorals en Xarxa (Consorci de Serveis Universitaris de Catalunya) · Cited by 35 · see citing works
The Effects of Ayahuasca Ritual Participation on Gay and Lesbian Identity
Cavnar, C. (2014) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2014.920117 · Cited by 30 · see citing works
Ayahuasca: An ancient sacrament for treatment of contemporary psychiatric illness?
Malcolm, B., & Lee, K. C. (2017) · Mental Health Clinician · doi:10.9740/mhc.2017.01.039 · Cited by 29 · see citing works
LABATE, Beatriz Caiuby. 2004. A Reinvenção do Uso da Ayahuasca nos Centros Urbanos
Mercante, M. S. (2005) · CAMPOS - Revista de Antropologia Social · doi:10.5380/cam.v6i0.4533 · Cited by 23 · see citing works
Therapeutic Potential Ascribed to Ayahuasca by Users in the Czech Republic
Horák, M., Hasíková, L., & Verter, N. (2018) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2018.1511878 · Cited by 17 · see citing works
Sabucedo, P. (2017) · International Journal of Culture and Mental Health · doi:10.1080/17542863.2017.1323935 · Cited by 16 · see citing works
Can Psychedelics be the Treatment for the Crisis in Psychopharmacology?Preprint
Oña, G., & Bouso, J. C. (2019) · Preprints.org · doi:10.20944/preprints201901.0249.v1 · Cited by 8 · see citing works
Self-citationautores, V. (2012) · Publicacions URV eBooks · doi:10.17345/9788484242161 · Cited by 6 · see citing works
Guiado por la luna : shamanismo y uso ritual de la ayahuasca en el culto de Santo Daime
MacRae, E. (1998) · UNM’s Digital Repository (University of New Mexico) · Cited by 3 · see citing works
Kline, co-editor, & Nathan, S. (1967) · Cited by 3 · see citing works
Flagged first, then by citations
Cited by
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Psychedelics in Psychiatry: Neuroplastic, Immunomodulatory, and Neurotransmitter Mechanisms
Inserra, A., De Gregorio, D., & Gobbi, G. (2021) · Pharmacological Reviews · doi:10.1124/pharmrev.120.000056 · Cited by 232 · see citing works
Adverse effects of ayahuasca: Results from the Global Ayahuasca Survey
Bouso, J. C., Andión, Ó., Sarris, J. J., Scheidegger, M., Tófoli, L. F., Opaleye, E. S., Schubert, V., & Perkins, D. (2022) · PLOS Global Public Health · doi:10.1371/journal.pgph.0000438 · Cited by 118 · see citing works
Self-citationdos Santos, R. G., & Hallak, J. E. C. (2020) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2019.12.001 · Cited by 111 · see citing works
Self-citationJiménez-Garrido, D. F., Gómez-Sousa, M., Ona, G., Dos Santos, R. G., Hallak, J. E. C., Alcázar-Córcoles, M. Á., & Bouso, J. C. (2020) · Scientific Reports · doi:10.1038/s41598-020-61169-x · Cited by 110 · see citing works
Self-citationCarhart-Harris, R. L., Wagner, A. C., Agrawal, M., Kettner, H., Rosenbaum, J. F., Gazzaley, A., Nutt, D. J., & Erritzoe, D. (2022) · Journal of Psychopharmacology · doi:10.1177/02698811211008567 · Cited by 51 · see citing works
The Shipibo ceremonial use of ayahuasca to promote well-being: An observational study
Gonzalez, D., Cantillo, J., Perez, I., Carvalho, M., Aronovich, A., Farre, M., Feilding, A., Obiols, J. E., & Bouso, J. C. (2021) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.623923 · Cited by 40 · see citing works
The ritual use of ayahuasca during treatment of severe physical illnesses: a qualitative study
Maia, L. O., Daldegan-Bueno, D., & Tófoli, L. F. (2021) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2020.1854399 · Cited by 32 · see citing works
Kohek, M., Ona, G., van Elk, M., Dos Santos, R. G., Hallak, J. E. C., Alcázar-Córcoles, M. Á., & Bouso, J. C. (2023) · Journal of Psychoactive Drugs · doi:10.1080/02791072.2022.2077155 · Cited by 24 · see citing works
Sabucedo, P., Andión, O., Neimeyer, R. A., Soto-Angona, O., Javkin, J., Haro, J. M., Farré, M., & González, D. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1484736 · Cited by 6 · see citing works
- Authors
- Ona, G., Kohek, M., Massaguer, T., Gomariz, A., Jiménez, D. F., Dos Santos, R. G., Hallak, J. E. C., Alcázar-Córcoles, M. Á., & Bouso, J. C.
- Affiliations
- International Center for Ethnobotanical Education, Research, and Services (ICEERS), Barcelona, Spain
- International Center for Ethnobotanical Education, Research, and Service (ES)
- Conselho Nacional de Desenvolvimento Científico e Tecnológico (BR)
- Departamento de Psicología Biológica y de la Salud, Facultad de Psicología, Universidad Autónoma de Madrid, Madrid, Spain
- Corresponding author
- Bouso, José Carlos
- Venue
- Journal of Psychoactive Drugs
- Publisher
- Informa UK Limited
- Published
- 2019-02-07
- Volume
- 51
- Issue
- 2
- Pages
- 135-145
- ISSN
- 0279-1072 (ISSN-L)
- 2159-9777
- OpenAlex
- W2914190175
- Cited by
- 76
- References
- 62
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 5 · 2023: 13 · 2022: 14 · 2021: 15 · 2020: 9 · 2019: 5
- FWCI
- 12.56
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychoactive Drugs (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- ayahuasca, public health, health status, psychosocial well-being, healthy lifestyle, coping strategies, personal values, hallucinogens, psychedelics, ayahuasca ceremonies
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Ceremonial Behavior, Female, Hallucinogens, Health Status, Health Status Indicators, Humans, Life Style, Male, Middle Aged, Public Health, Surveys and Questionnaires, Spain, Time Factors, Banisteriopsis
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