Cited by 267Psychedelics and Drug StudiesTreatment of Major DepressionParanormal Experiences and Beliefs

Effects of psilocybin therapy on personality structure

Open access
Erritzoe, D., Roseman, L., Nour, M. M., MacLean, K., Kaelen, M., Nutt, D. J., Carhart‐Harris, R. L.·2018·Acta Psychiatrica Scandinavica

Abstract

Objective: To explore whether psilocybin with psychological support modulates personality parameters in patients suffering from treatment‐resistant depression (TRD). Method: Twenty patients with moderate or severe, unipolar, TRD received oral psilocybin (10 and 25 mg, one week apart) in a supportive setting. Personality was assessed at baseline and at 3‐month follow‐up using the Revised NEO Personality Inventory (NEO‐PI‐R), the subjective psilocybin experience with Altered State of Consciousness (ASC) scale, and depressive symptoms with QIDS‐SR 16. Results: Neuroticism scores significantly decreased while Extraversion increased following psilocybin therapy. These changes were in the direction of the normative NEO‐PI‐R data and were both predicted, in an exploratory analysis, by the degree of insightfulness experienced during the psilocybin session. Openness scores also significantly increased following psilocybin, whereas Conscientiousness showed trend‐level increases, and Agreeableness did not change. Conclusion: Our observation of changes in personality measures after psilocybin therapy was mostly consistent with reports of personality change in relation to conventional antidepressant treatment, although the pronounced increases in Extraversion and Openness might constitute an effect more specific to psychedelic therapy. This needs further exploration in future controlled studies, as do the brain mechanisms of postpsychedelic personality change.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1111/acps.12904

Cites

77 of 77 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • A single PAP session has been found to decrease neuroticism and increase both extroversion and openness when personality was assessed using NEO-PI-R at 3 months of follow-up.

    “A single PAP session has indeed been found to decrease neuroticism and increase both extroversion and openness when personality was assessed using the Revised NEO Personality Inventory (NEO-PI-R) at 3 months of follow-up. 57”

    From The revival of psilocybin between scientific excitement, evidence of efficacy, and real-world challenges (2024) · cites this paper as [57]

    The Results (‘Personality changes from baseline to 3-month follow-up’) report decreased Neuroticism and increased Extraversion and Openness on the NEO-PI-R. However, the Methods (‘Study procedure’) specify two psilocybin dosing sessions one week apart, not a single session. (LLM, conf=0.92)

    Experimental — accuracy not yet measured
  • The possibility of long-lasting personality effects may raise ethical issues.

    “On the other hand, the possibility of long-lasting personality effects may raise ethical issues. 32,57”

    From The revival of psilocybin between scientific excitement, evidence of efficacy, and real-world challenges (2024) · cites this paper as [57]

    The Discussion reports that a psychedelic experience can lead to lasting personality changes, supporting the premise of the sentence. It does not discuss whether those changes raise ethical issues; that implication is not supported by this source. (LLM, conf=0.82)

    Experimental — accuracy not yet measured
  • The use of open-label and crossover designs, as well as a single-dose protocol, was frequently noted.

    “In terms of study design, the use of open-label 25,39,57,78-81 and crossover designs, 31-33,74,80 as well as a single-dose protocol, 31,33,39,72-77 was frequently noted.”

    From The revival of psilocybin between scientific excitement, evidence of efficacy, and real-world challenges (2024) · cites this paper as [57]

    The Methods > Participants section identifies this as an open-label feasibility study, supporting its inclusion among the open-label designs. The Methods > Study procedure section describes two sequential psilocybin dosing sessions, not a crossover design. The single-dose part of the citing sentence does not cite this paper. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • There are clear limitations such as small sample sizes with lack of diversity among participants and potential selection biases.

    “Concerning the recruitment phase, there are clear limitations such as small sample sizes 25,31-33,39,57,60,72-74,77-81 with lack of diversity among participants 32,33,39,57,60,72,75-79 and potential selection biases. 26,31,39,72-74,76”

    From The revival of psilocybin between scientific excitement, evidence of efficacy, and real-world challenges (2024) · cites this paper as [57]

    The Discussion describes the sample as modest, and the Results report 19 complete datasets, with 6 women and 13 men (page unavailable). The Discussion also suggests a potential selection bias: people less open to experience may have been less likely to volunteer. The copy does not establish a broader lack of participant diversity beyond the reported sex distribution. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • Ingestion of a psychedelic drug can induce rapid and persisting changes in personality traits, particularly reductions in neuroticism, in both healthy and clinical populations.

    “It has been repeatedly found that ingestion of a psychedelic drug can induce rapid and persisting changes in personality traits, and particularly reductions in neuroticism, in both healthy and clinical populations (24, 35–41).”

    From Decreases in State and Trait Anxiety Post-psilocybin: A Naturalistic, Observational Study Among Retreat Attendees (2022) · cites this paper as [37]

    The Discussion (page not supplied) reports a significant reduction in Neuroticism three months after psilocybin therapy in patients with treatment-resistant depression. It also describes lasting personality changes in healthy volunteers, but those findings concern Openness, not reduced Neuroticism. The paper therefore does not support the claim that reductions in Neuroticism occur in both populations. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 1

  1. [54]Doblin R. Panhnke's “Good Friday Experiment: a long‐term follow‐up and methodological critique. J Transpersonal Psychol 1991; 23: 1.

Cited by

Sorted by citations

Authors
Erritzoe, D., Roseman, L., Nour, M. M., MacLean, K., Kaelen, M., Nutt, D. J., & Carhart‐Harris, R. L.
Affiliations
  • Centre for Neuropsychopharmacology Division of Brain Sciences Faculty of Medicine Imperial College London London UK
  • Imperial College London (GB)
  • King's College London (GB)
  • Sherman CT USA
Venue
Acta Psychiatrica Scandinavica
Publisher
Wiley
Published
2018-06-19
Volume
138
Issue
5
Pages
368-378
ISSN
  • 0001-690X (ISSN-L)
  • 1600-0447
OpenAlex
W2807534705
Cited by
267
References
77
Citations by year
2026: 21 · 2025: 28 · 2024: 36 · 2023: 52 · 2022: 48 · 2021: 38 · 2020: 28 · 2019: 11 · 2018: 5
FWCI
24.04
Type
journal article
Language
en
Open access
Locations
  • Acta Psychiatrica Scandinavica (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • UCL Discovery (University College London) (submittedVersion)
  • eScholarship (California Digital Library) (submittedVersion, cc-by)
  • Spiral (Imperial College London) (submittedVersion, cc-by)
Funders
  • Wellcome Trust
  • Alexander Mosley Charitable Trust
  • National Institute for Health and Care Research (ACF-2013-21-501, ACF-2016-17-005)
  • Medical Research Council
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
  • Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
  • Social Sciences › Psychology › Social Psychology › Paranormal Experiences and Beliefs
Keywords
psilocybin, treatment-resistant depression, personality change, Big Five personality traits, neuroticism, extraversion, openness to experience, altered states of consciousness, psychedelic therapy, supportive therapy, insightfulness, antidepressant effects
MeSH terms
Neuroticism, Adult, Extraversion, Psychological, Female, Follow-Up Studies, Hallucinogens, Humans, Male, Middle Aged, Personality, Psilocybin, Depressive Disorder, Treatment-Resistant

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review