Cited by 89Psychedelics and Drug StudiesNeurotransmitter Receptor Influence on BehaviorEmpathy and Medical Education

Multifaceted empathy of healthy volunteers after single doses of MDMA: A pooled sample of placebo-controlled studies

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Kuypers, Kim PC, Dolder, Patrick C, Ramaekers, Johannes G, Liechti, Matthias E·2017·Journal of Psychopharmacology

Abstract

Previous placebo-controlled experimental studies have shown that a single dose of MDMA can increase emotional empathy in the multifaceted empathy test (MET) without affecting cognitive empathy. Although sufficiently powered to detect main effects of MDMA, these studies were generally underpowered to also validly assess contributions of additional parameters, such as sex, drug use history, trait empathy and MDMA or oxytocin plasma concentrations. The present study examined the robustness of the MDMA effect on empathy and investigated the moderating role of these additional parameters. Participants ( n = 118) from six placebo-controlled within-subject studies and two laboratories were included in the present pooled analysis. Empathy (MET), MDMA and oxytocin plasma concentrations were assessed after oral administration of MDMA (single dose, 75 or 125 mg). Trait empathy was assessed using the interpersonal reactivity index. We confirmed that MDMA increased emotional empathy at both doses without affecting cognitive empathy. This MDMA-related increase in empathy was most pronounced during presentation of positive emotions as compared with negative emotions. MDMA-induced empathy enhancement was positively related to MDMA blood concentrations measured before the test, but independent of sex, drug use history and trait empathy. Oxytocin concentrations increased after MDMA administration but were not associated with behavioral effects. The MDMA effects on emotional empathy were stable across laboratories and doses. Sex did not play a moderating role in this effect, and oxytocin levels, trait empathy and drug use history were also unrelated. Acute drug exposure was of significant relevance in the MDMA-induced emotional empathy elevation.

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  • MDMA enhances self-compassion and empathy and facilitates deeper self-reflection and interpersonal engagement.

    “Kuypers (157) and Hysek et al. (81) found that MDMA enhances self-compassion and empathy and facilitates deeper self-reflection and interpersonal engagement, which may promote self-efficacy in these patients.”

    From Psychoanalytically informed MDMA-assisted therapy for pathological narcissism: a novel theoretical approach (2025) · cites this paper as [157]

    The Discussion (page unavailable) reports that MDMA enhanced emotional empathy in healthy volunteers, and the Introduction describes increased sociability and closeness to others. The paper does not report enhanced self-compassion or deeper self-reflection. Its measure of compassion concerns feelings for others, not oneself. (LLM, conf=0.87)

    Experimental — accuracy not yet measured
  • After a single dose of MDMA, healthy humans perceived negative emotional pictures as less aversive.

    “For example, it has been reported that negative emotional pictures were perceived as less aversive after a single dose of MDMA in healthy humans (Kuypers, Dolder, Ramaekers, & Liechti, 2017).”

    From Novel pharmacological targets in drug development for the treatment of anxiety and anxiety-related disorders (2019) · cites this paper as Kuypers, Dolder, Ramaekers, & Liechti, 2017

  • A pooled analysis confirmed the MDMA-induced increase in emotional empathy in particular for positive emotions, but did not find an influence of sex or trait empathy.

    “A pooled analyses of these data confirmed the MDMA-induced increase in emotional empathy in particular for positive emotions, but did not find an influence of sex or trait empathy (62).”

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Authors
Kuypers, K. P., Dolder, P. C., Ramaekers, J. G., & Liechti, M. E.
Affiliations
  • Maastricht University (NL)
  • University of Basel (CH)
Corresponding author
Kuypers, Kim PC
Venue
Journal of Psychopharmacology
Published
2017-04-03
Volume
31
Issue
5
Pages
589-598
ISSN
  • 0269-8811 (ISSN-L)
  • 1461-7285
OpenAlex
W2604124685
Cited by
89
References
29
Citations by year
2026: 8 · 2025: 6 · 2024: 9 · 2023: 10 · 2022: 4 · 2021: 15 · 2020: 7 · 2019: 8 · 2018: 13 · 2017: 9
FWCI
12.55
Type
journal article
Language
en
Open access
Locations
  • Journal of Psychopharmacology (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Research Publications (Maastricht University) (publishedVersion, cc-by-nc)
  • edoc (University of Basel) (acceptedVersion)
  • Research Publications (Maastricht University) (submittedVersion, cc-by-nc)
  • edoc (University of Basel)
Funders
  • Schweizerischer Nationalfonds zur Förderung der Wissenschaftlichen Forschung (320030_149493 and 320030_170249)
  • Nederlandse Organisatie voor Wetenschappelijk Onderzoek (400-07-2013)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
  • Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
  • Health Sciences › Medicine › Psychiatry and Mental health › Empathy and Medical Education
Keywords
MDMA, ecstasy, affective empathy, cognitive empathy, oxytocin, trait empathy, Interpersonal Reactivity Index, sex differences, drug use history, positive and negative emotions, acute drug effects
MeSH terms
Adult, Double-Blind Method, Emotions, Empathy, Female, Hallucinogens, Humans, Interpersonal Relations, Male, Oxytocin, Social Behavior, N-Methyl-3,4-methylenedioxyamphetamine, Young Adult, Healthy Volunteers

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