A placebo-controlled study of the effects of ayahuasca, set and setting on mental health of participants in ayahuasca group retreats
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2022;10(13):12 Psychopharmacology (Berl). 2021 23-Feb;():. 10.1007/s00213-021-05817-8What this means for my practice?
Study findings demonstrate that improvements in mental health of participants in naturalistic setting can be driven by both pharmacological and non-pharmacological factors and stress the importance of placebo-controlled designs in psychedelic research. Study limitations include lack of control over ayahuasca administration or set and setting parameters. Additionally, the large proportion of experienced ayahuasca users may have influenced expectancy effects and contributed to the positive mental health changes observed post-ceremony. This experience level of participants combined with a relatively low dose of DMT, may also have contributed to the low psychadelic experience ratings. Future studies should aim to include novel ayahuasca users and a priori measures of expectation in their study designs.
Study Summary
Thirty participants with a range of experience using ayahuasca were randomized to receive 14.1-20.1mg of ayahuasca or placebo in this naturalistic, placebo-controlled, observational study exploring the the role of set and setting on the psychological effects of ayahuasca after participation in a non-clinical ayahuasca ceremony. Empathy, subjective drug effects and symptoms of depression stress and anxiety were assessed using the Multifaceted Empathy Test (MET), the Ego Dissolution Inventory (EDI), the 5-Dimensional Altered States of Consciousness Rating Scale (5D-ASC), the Depression, Anxiety, and Stress Scale 21 (DASS-21), the Brief Symptom Inventory 18 (BSI-18), and the Five Facets Mindfulness Questionnaire (FFMQ-39). Study findings indicate that ayahuasca increased emotional empathy to negative stimuli compared to placebo. Subjective ratings of the psychedelic experience were relatively low in both treatment groups and no significant between-group differences were found. Ratings of stress, depression, and anxiety were lower after the ceremony as compared to base-line, independent of treatment group.
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