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开启、调频、退出:一项关于迷幻药使用的前瞻性观察队列研究中退出的预测因素

Turn on, Tune in, and Drop out: Predictors of Attrition in a Prospective Observational Cohort Study on Psychedelic Use.

作者信息

Hübner Sebastian, Haijen Eline, Kaelen Mendel, Carhart-Harris Robin Lester, Kettner Hannes

机构信息

Centre for Psychedelic Research, Imperial College London, London, United Kingdom.

出版信息

J Med Internet Res. 2021 Jul 28;23(7):e25973. doi: 10.2196/25973.

Abstract

BACKGROUND

The resurgence of research and public interest in the positive psychological effects of psychedelics, together with advancements in digital data collection techniques, have brought forth a new type of research design, which involves prospectively gathering large-scale naturalistic data from psychedelic users; that is, before and after the use of a psychedelic compound. A methodological limitation of such studies is their high attrition rate, particularly owing to participants who stop responding after initial study enrollment. Importantly, study dropout can introduce systematic biases that may affect the interpretability of results.

OBJECTIVE

Based on a previously collected sample (baseline n=654), here we investigated potential determinants of study attrition in web-based prospective studies on psychedelic use.

METHODS

Logistic regression models were used to examine demographic, psychological trait and state, and psychedelic-specific predictors of dropout. Predictors were assessed 1 week before, 1 day after, and 2 weeks after psychedelic use, with attrition being defined as noncompletion of the key endpoint 4 weeks post experience.

RESULTS

Predictors of attrition were found among demographic variables including age (β=0.024; P=.007) and educational levels, as well as personality traits, specifically conscientiousness (β=-0.079; P=.02) and extraversion (β=0.082; P=.01). Contrary to prior hypotheses, neither baseline attitudes toward psychedelics nor the intensity of acute challenging experiences were predictive of dropout.

CONCLUSIONS

The baseline predictors of attrition identified here are consistent with those reported in longitudinal studies in other scientific disciplines, suggesting their transdisciplinary relevance. Moreover, the lack of an association between attrition and psychedelic advocacy or negative drug experiences in our sample contextualizes concerns about problematic biases in these and related data.

摘要

背景

对迷幻剂积极心理效应的研究及公众兴趣再度兴起,加之数字数据收集技术的进步,催生了一种新型研究设计,即前瞻性地从迷幻剂使用者那里收集大规模自然主义数据,即在使用迷幻化合物之前和之后收集数据。此类研究的一个方法学局限是其高损耗率,尤其是由于参与者在初始研究入组后停止回应。重要的是,研究失访可能会引入系统偏差,从而可能影响结果的可解释性。

目的

基于先前收集的样本(基线时n = 654),我们在此调查了基于网络的迷幻剂使用前瞻性研究中研究损耗的潜在决定因素。

方法

使用逻辑回归模型来检验人口统计学、心理特质和状态以及迷幻剂特定的失访预测因素。在使用迷幻剂前1周、使用后1天和使用后2周对预测因素进行评估,失访定义为体验后4周未完成关键终点。

结果

在人口统计学变量中发现了失访的预测因素,包括年龄(β = 0.024;P = 0.007)和教育水平,以及人格特质,特别是尽责性(β = -0.079;P = 0.02)和外向性(β = 0.082;P = 0.01)。与先前的假设相反,对迷幻剂的基线态度和急性挑战性体验的强度均不能预测失访。

结论

此处确定的失访基线预测因素与其他科学学科纵向研究中报告的因素一致,表明它们具有跨学科相关性。此外,在我们的样本中,失访与迷幻剂倡导或负面药物体验之间缺乏关联,这为对这些及相关数据中存在问题的偏差的担忧提供了背景。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/18ea/8367105/1e129ae260d0/jmir_v23i7e25973_fig1.jpg

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