Self-blinding citizen science to explore psychedelic microdosing
Open accessAbstract
Microdosing is the practice of regularly using low doses of psychedelic drugs. Anecdotal reports suggest that microdosing enhances well-being and cognition; however, such accounts are potentially biased by the placebo effect. This study used a 'self-blinding' citizen science initiative, where participants were given online instructions on how to incorporate placebo control into their microdosing routine without clinical supervision. The study was completed by 191 participants, making it the largest placebo-controlled trial on psychedelics to-date. All psychological outcomes improved significantly from baseline to after the 4 weeks long dose period for the microdose group; however, the placebo group also improved and no significant between-groups differences were observed. Acute (emotional state, drug intensity, mood, energy, and creativity) and post-acute (anxiety) scales showed small, but significant microdose vs. placebo differences; however, these results can be explained by participants breaking blind. The findings suggest that anecdotal benefits of microdosing can be explained by the placebo effect.
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Placebo-controlled studies found no differences in anxiety between microdosing and placebo groups.
“Szigeti et al. (2021) and Marschall et al. (2021) found no differences in anxiety between microdosing and placebo groups.”
From Psychedelic Microdosing, Mindfulness, and Anxiety: A Cross-Sectional Mediation Study (2023) · cites this paper as Szigeti et al. (2021)
The Results (Acute and post-acute outcomes; page unavailable) report significantly lower anxiety at the end of microdose weeks than placebo weeks (p=0.03). The Discussion reports that this difference disappeared after accounting for participants’ guesses about what they had taken. The unqualified claim of no anxiety difference omits the significant initial finding. (LLM, conf=0.87)
Experimental — accuracy not yet measuredTherapeutic benefit of low doses of psychedelics remains to be demonstrated in a well-controlled clinical study.
“therapeutic benefit of low doses of psychedelics remains to be demonstrated in a well-controlled clinical study”
From Psychedelics and Other Psychoplastogens for Treating Mental Illness. (2021) · cites this paper as [244]
Data on human psychedelic microdosing are equivocal.
“the data on human psychedelic microdosing are equivocal”
From Psychedelics and Other Psychoplastogens for Treating Mental Illness. (2021) · cites this paper as [244]
Another prospective study investigating a general population sample could not attribute changes to MD solely.
“and another prospective study investigating a general population sample could not attribute changes to MD solely (18).”
From Trait mindfulness and personality characteristics in a microdosing ADHD sample: a naturalistic prospective survey study (2023) · cites this paper as [18]
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Microdosing Psychedelics: Current Evidence From Controlled Studies
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Molecular targets of psychedelic‐induced plasticity
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The mechanistic divide in psychedelic neuroscience: An unbridgeable gap?
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A lexicon for psychedelic research and treatment
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Set and setting in microdosing: an oft-overlooked principle
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Inter-individual variability in neural response to low doses of LSD
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Safety and Efficacy of Repeated Low-Dose LSD for ADHD Treatment in Adults
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Natural language signatures of psilocybin microdosing
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Macrodosing to microdosing with psychedelics: Clinical, social, and cultural perspectives
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Is microdosing a placebo? A rapid review of low-dose LSD and psilocybin research
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Efficacy and safety of psilocybin for the treatment of substance use disorders: A systematic review
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LSD increases sleep duration the night after microdosing
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Keeping the promise: a critique of the current state of microdosing research
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Psychedelics and schizophrenia: a double-edged sword
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van den Berg, M., Magaraggia, I., Schreiber, R., Hillhouse, T. M., & Porter, J. H. (2022) · Psychopharmacology · doi:10.1007/s00213-022-06106-8 · Cited by 14 · see citing works
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Psychedelics, entactogens and psychoplastogens for depression and related disorders
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Reassessing referral of touch following peripheral deafferentation: The role of contextual bias
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Less is more? A review of psilocybin microdosing
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Psychedelic Microdosing, Mindfulness, and Anxiety: A Cross-Sectional Mediation Study
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“Szigeti et al. (2021) and Marschall et al. (2021) found no differences in anxiety between microdosing and placebo groups.”
BackgroundMicrodosing with classical psychedelics: Research trajectories and practical considerations
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The Modern Psychiatrist’s Guide to Contemporary Practice
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Classic psychedelics and the treatment for alcoholism
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Ibogaine microdosing in a patient with bipolar depression: a case report
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The Pharmacology and Clinical Applications of Psychedelic Medicines Within Midwifery Practice
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“…study investigating adults (excluding individuals with mood, anxiety, substance use, psychotic or dissociative disorders) did not find a change in mindfulness scores after MD (13), and another prospective study investigating a general population sample could not attribute changes to MD solely (18).”
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Between enhancement and risk: A critical review of psychedelic microdosing
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López‐Arnau, R., Camarasa, J., Carbó, M., Nadal‐Gratacós, N., Puigseslloses, P., Espinosa‐Velasco, M., Urquizu, E., Escubedo, E., & Pubill, D. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.990405 · Cited by 6 · see citing works
- Authors
- Szigeti, B., Kartner, L., Blemings, A., Rosas, F., Feilding, A., Nutt, D. J., Carhart-Harris, R. L., & Erritzoe, D.
- Affiliations
- Imperial College London (GB)
- Centre for Psychedelic Research, Imperial College London, London, United Kingdom
- Beckley Foundation (GB)
- Corresponding author
- Szigeti, Balázs
- Venue
- eLife
- Publisher
- eLife Sciences Publications, Ltd
- Published
- 2021-03-02
- Volume
- 10
- ISSN
- 2050-084X (ISSN-L)
- PMC
- PMC7925122
- OpenAlex
- W3134377893
- Cited by
- 192
- References
- 46
- Citations by year
- 2026: 24 · 2025: 31 · 2024: 34 · 2023: 35 · 2022: 45 · 2021: 22
- FWCI
- 23.19
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- eLife (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Sussex Research Online (University of Sussex) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Figshare (submittedVersion, cc-by)
- Spiral (Imperial College London) (submittedVersion, cc-by)
- Funders
- National Institute for Health and Care Research (ACF-2013-21-501, CL-2017-21-004)
- Academy of Medical Sciences (SGL019\1063)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychedelics and Drug Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
- Social Sciences › Psychology › Social Psychology › Paranormal Experiences and Beliefs
- Keywords
- psychedelic microdosing, placebo effect, citizen science, subjective well-being, mood, anxiety, creativity, emotional state
- MeSH terms
- Citizen Science, Adult, Affect, Cognition, Creativity, Dose-Response Relationship, Drug, Emotions, Female, Hallucinogens, Humans, Male, Placebo Effect
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