Therapeutic mechanisms of psilocybin: Changes in amygdala and prefrontal functional connectivity during emotional processing after psilocybin for treatment-resistant depression
OrthoEvidence Journal (OE Journal) - ACE Report
OE Journal. 2022;10(12):39 J Psychopharmacol. 2020 11-Apr;():. 10.1177/0269881119895520What this means for my practice?
Psilocybin may revive emotional responsiveness through greater functional connectivity between the ventromedial prefrontal cortex and bilateral amygdala with the occipital-parietal cortices. Larger, placebo-controlled studies are needed to confirm these findings.
Study Summary
Psilocybin was administered to 19 patients with treatment-resistant depression in a prospective case series. The patients underwent an fMRI scan prior to, and following administration of 10 mg (test day 1) and 25 mg (test day 2) of oral psilocybin. Patients also completed the Beck Depression Inventory and Rumination Response Scale prior to and following psilocybin administration in order to determine any relationships to changes in brain activity and clinical scores of depression or rumination. The study showed decreased ventromedial prefrontal cortex-right amygdala functional connectivity during face processing and was associated with levels of rumination one week following administration. There was also post-treatment increases in functional connectivity between the amygdala and ventromedial prefrontal cortex to occipital-parietal cortices during face processing.
Unlock the Full ACE Report
You have access to 4 more FREE articles this month.
Click below to unlock and view this ACE Reports
Unlock Now
Critical appraisals of the latest, high-impact randomized controlled trials and systematic reviews in orthopaedics
Access to OrthoEvidence podcast content, including collaborations with the Journal of Bone and Joint Surgery, interviews with internationally recognized surgeons, and roundtable discussions on orthopaedic news and topics
Subscription to The Pulse, a twice-weekly evidence-based newsletter designed to help you make better clinical decisions
Exclusive access to original content articles, including in-house systematic reviews, and articles on health research methods and hot orthopaedic topics
Or upgrade today and gain access to all OrthoEvidencecontent for as little as $1.99 per week.
Already have an account? Log in
Are you affiliated with one of our partner associations?
Click here to gain complimentary access as part your association member benefits!