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Psilocybin辅助心理治疗改善癌症患者多方面的精神症状

Psilocybin-assisted psychotherapy improves psychiatric symptoms across multiple dimensions in patients with cancer

Nature 等信源发布 2024-10-07 18:52

可切换为仅中文


AbstractPsilocybin-assisted psychotherapy (PAP) has shown promise in treating mood and anxiety disorders in patients with cancer. However, patients with cancer often suffer from more than just depression and anxiety, and so far, PAP’s effect on other psychiatric symptoms remains largely unknown. To address this gap, we pooled previously unpublished data from two phase II, randomized, placebo-controlled crossover trials involving 79 participants with cancer-related distress and analyzed PAP’s effect on 9 psychiatric symptom dimensions: anxiety, depression, interpersonal sensitivity, hostility, obsession–compulsion, somatization, phobia, paranoia and psychosis.

摘要psilocybin辅助心理治疗(PAP)在治疗癌症患者的情绪和焦虑症方面显示出前景。然而,癌症患者通常不仅仅患有抑郁和焦虑,到目前为止,PAP对其他精神症状的影响仍然很大程度上未知。为了弥补这一差距,我们汇总了先前未发表的两项II期随机安慰剂对照交叉试验的数据,这些试验涉及79名与癌症相关的痛苦参与者,并分析了PAP对9个精神症状维度的影响:焦虑,抑郁,人际敏感,敌意,强迫症,躯体化,恐惧症,偏执症和精神病。

PAP significantly improved anxiety, depression, interpersonal sensitivity, hostility, obsession–compulsion and somatization without inducing any lasting phobia, paranoia or psychosis. Clinical improvements were consistent between trials. Together, our findings suggest that PAP has the potential to be a comprehensive mental health treatment for patients with cancer..

。临床改善在试验之间是一致的。总之,我们的研究结果表明,PAP有可能成为癌症患者的综合心理健康治疗方法。。

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Fig. 1: Pooled flow diagram of participants across both clinical trials.Fig. 2: Multidimensional effects of PAP.

图1:两项临床试验参与者的汇总流程图。图2:PAP的多维效应。

Data availability

数据可用性

The clinical trial participants of both studies used in this Analysis did not consent to the public sharing of their raw data. However, anonymized individual participant data can be made available provided the following conditions are met: (1) there is a data-sharing agreement and (2) an analysis plan in place.

本分析中使用的两项研究的临床试验参与者不同意公开分享他们的原始数据。但是,如果满足以下条件,可以提供匿名的个人参与者数据:(1)有数据共享协议,(2)有分析计划。

Upon data sharing, data can only be used for the specified purposes. Requests for data can be made by contacting the corresponding author..

数据共享后,数据只能用于指定目的。可以通过联系通讯作者来请求数据。。

Code availability

代码可用性

There was no custom code used in this Analysis.

此分析中没有使用自定义代码。

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Download referencesAcknowledgementsThe parent trials included in this Analysis were supported by grants from the Heffter Research Institute (R.R.G. and S.R.), the RiverStyx Foundation (R.R.G. and S.R.), the Betsy Gordon Foundation (R.R.G.), the Fetzer Institute (R.R.G.) and the New York University–Health and Hospitals Corporation–Clinical and Translational Science Institute grant UL1 TR000038 from the National Center for Advancing Translational Sciences, National Institutes of Health (NIH) (S.R.).

下载参考文献致谢本分析中包括的父母试验得到了海夫特研究所(R.R.G.和S.R.)、里弗斯特克斯基金会(R.R.G.和S.R.)、贝西·戈登基金会(R.R.G.)、费泽研究所(R.R.G.)和纽约大学-健康与医院公司-临床与转化科学研究所(National Center for Advanced Translation Sciences,National Institutes of Health)(S.R.)的资助UL1 TR000038。

Additional funding for the parent trials was provided by Carey and Claudia Turnbull (S.R.), W. Linton (R.R.G. and S.R.), R. Barnhart (S.R.), A. Altschul (S.R.), K. Fitzsimmons (S.R.), the McCormick Family (R.R.G.), G. Goldsmith (R.R.G. and S.R) and E. Malievskaia (R.R.G. and S.R.). Funding for the pooled analysis was provided by the Usona Institute scholarship (P.D.P), the NIH T32DA007250 (G.A.-L.) and the Canadian Institutes of Health Research (grant number 202110MFE-472921-HTB-272687) (R.J.Z.).

Carey和Claudia Turnbull(S.R.)、W.Linton(R.R.G.和S.R.)、R.Barnhart(S.R.)、A.Altschul(S.R.)、K.Fitzsimmons(S.R.)、McCormick家族(R.R.G.)、G.Goldsmith(R.R.G.和S.R.)和E.Malievskaia(R.R.G.和S.R.)为父母试验提供了额外资金。Usona研究所奖学金(P.D.P),NIH T32DA007250(G.A.-L.)和加拿大卫生研究院(批准号202110MFE-472921-HTB-272687)(R.J.Z.)提供了汇总分析的资金。

Sponsors did not have roles in the management, analysis or interpretation of the data, nor in the preparation or approval of the manuscript.Author informationAuthor notesDeceased: Roland R. Griffiths.Authors and AffiliationsNYU Langone Center for Psychedelic Medicine, Department of Psychiatry, New York University Grossman School of Medicine, New York, NY, USAPetros D.

赞助商在数据的管理,分析或解释以及手稿的准备或批准方面都没有任何作用。。作者和所属单位纽约大学格罗斯曼医学院精神病学系Yu Langone迷幻医学中心,纽约州纽约市,美国佩特罗斯D。

Petridis, Richard J. Zeifman, Michael P. Bogenschutz & Stephen RossDepartment of Psychiatry, Columbia University, New York, NY, USAJack GrinbandDepartment of Radiology, Columbia University, New York, NY, USAJack GrinbandDepartment of Psychiatry and Behavioral Science, UCSF, San Francisco, CA, USAGabrielle Agin-LiebesDepartment of Psychiatry, Yale University, New Haven, CT, USAGabrielle Agin-LiebesDepartme.

Petridis,Richard J.Zeifman,Michael P.Bogenschutz&Stephen Ross纽约哥伦比亚大学精神病学系,USAJack Grinband纽约哥伦比亚大学放射学系,USAJack Grinband加州旧金山加州大学旧金山分校精神病学与行为科学系,USAgbrielle Agin LiebesDepartment of Psychiatry,耶鲁大学,纽黑文,康涅狄格州,USAgbrielle Agin LiebesDepartment me。

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PubMed Google ScholarContributionsP.D.P. and S.R. conceived of the analysis. R.R.G. and S.R. provided deidentified individual participant data from their respective parent clinical trials. P.D.P. analyzed the data with support from J.G. and M.P.B. P.D.P., J.G., G.A.-L., C.J.K., R.J.Z., M.P.B., R.R.G.

PubMed谷歌学术贡献SP。D、 P.和S.R.构思了该分析。R、 R.G.和S.R.从各自的父母临床试验中提供了身份不明的个体参与者数据。P、 D.P.在J.G.和M.P.B.P.D.P.,J.G.,G.A.-L.,C.J.K.,R.J.Z.,M.P.B.,R.R.G.的支持下分析了数据。

and S.R. interpreted the results of the analysis. P.D.P. wrote the paper. P.D.P., J.G., G.A.-L., C.J.K., R.J.Z, M.P.B., R.R.G. and S.R. critically revised the article.Corresponding authorCorrespondence to.

和S.R.解释了分析结果。P、 民主党写了这篇论文。P、 D.P.,J.G.,G.A.-L.,C.J.K.,R.J.Z,M.P.B.,R.R.G.和S.R.批判性地修改了这篇文章。对应作者对应。

Petros D. Petridis.Ethics declarations

彼得罗斯·佩特里迪斯。道德宣言

Competing interests

相互竞争的利益

R.J.Z. is a post-doctoral fellow in the NYU Langone Psychedelic Medicine Research Training program funded by MindMed. M.P.B. is principal investigator of the NYU Langone Center for Psychedelic Medicine Research Training Program, funded by MindMed. M.P.B. has received research funding from Tilray Canada, the Multidisciplinary Association for Psychedelic Studies (MAPS) PBC, B.More Inc., the Heffter Research Institute, the Turnbull Family Foundation, the Fournier Family Foundation, Dr.

R、 J.Z.是由MindMed资助的纽约大学Langone迷幻医学研究培训计划的博士后研究员。M、 P.B.是由MindMed资助的纽约大学朗根迷幻药物研究中心培训计划的首席研究员。M、 P.B.获得了加拿大蒂尔雷(Tilray Canada)、多学科迷幻药研究协会(MAPS)PBC、B.More Inc.、赫夫特研究所、特恩布尔家族基金会、福尼尔家族基金会(Fournier Family Foundation)博士的研究资助。

Bronner’s Family Foundation, Bill Linton and the Riverstyx Foundation. M.P.B. serves on the Advisory Board of Ajna Labs LLC, Journey Colab and Bright Minds Biosciences, Inc. He is named as inventor on patent applications relating to the use of psilocybin for alcohol use disorder but has waived all rights and has no prospect of financial benefit.

布朗纳家族基金会、比尔·林顿和里弗斯特克斯基金会。M、 P.B.是Ajna Labs LLC、Travely Colab和Bright Minds Biosciences,Inc.的顾问委员会成员。他被提名为与使用裸盖菇素治疗酒精使用障碍有关的专利申请的发明人,但放弃了所有权利,也没有经济利益的前景。

S.R. is the Director of NYU Langone Center for Psychedelic Medicine Research Training Program, which is funded by MindMed. S.R. currently receives, or has received in the past 36 months, grant support for clinical research from the National Institute on Drug Abuse (NIDA), National Cancer Institute (NCI), Heffter Research Institute, Usona Institute, Council on Spiritual Practices (CSP), Multidisciplinary Association of Psychedelic Studies (MAPS) and Reset Pharmaceuticals.

S、 R.是纽约大学朗根迷幻医学研究中心培训项目的主任,该项目由MindMed资助。S、 R.目前或在过去36个月内获得了国家药物滥用研究所(NIDA),国家癌症研究所(NCI),赫夫特研究所,乌索纳研究所,精神实践委员会(CSP)的临床研究资助,迷幻药研究多学科协会(MAPS)和Reset Pharmaceuticals。

S.R. is listed as a coinventor in two provisional patent applications (N420838US and N419987US) related to the use of psilocybin to treat psychiatric and existential distress in cancer. These provisional patent applications were filed by New York University Grossman School of Medicine and licensed by Reset Pharmaceuticals.

S、 R.在两项临时专利申请(N420838US和N419987US)中被列为共同发明人,这两项临时专利申请涉及使用裸盖菇素治疗癌症中的精神病和生存困扰。这些临时专利申请由纽约大学格罗斯曼医学院提交,并由Reset Pharmaceuticals许可。

S.R. has waived all rights in relation to these provisional patent applications and has no prospect of financial gain related to any future commercialization effor.

S、 R.放弃了与这些临时专利申请有关的所有权利,并且没有任何未来商业化效果相关的财务收益前景。

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Nature Mental Health thanks Matthias Emanuel Liechti, Joshua Rosenblat and the other, anonymous, reviewer(s) for their contribution to the peer review of this work.

《自然心理健康》感谢马蒂亚斯·伊曼纽尔·利奇蒂、约书亚·罗森布拉特和另一位匿名审稿人为这项工作的同行评审做出的贡献。

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a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.Reprints and permissionsAbout this articleCite this articlePetridis, P.D., Grinband, J., Agin-Liebes, G.

协会或其他合作伙伴)根据与作者或其他权利持有人的出版协议对本文拥有专有权;本文接受稿件版本的作者自行存档仅受此类出版协议和适用法律的条款管辖。转载和许可本文引用本文Petridis,P.D.,Grinband,J.,Agin Liebes,G。

et al. Psilocybin-assisted psychotherapy improves psychiatric symptoms across multiple dimensions in patients with cancer..

等。裸盖菇素辅助心理治疗可改善癌症患者多方面的精神症状。。

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