Biotech Research and Development Institute, University of the West Indies, Mona 99999, Jamaica.
Vilotos Pharmaceuticals Inc., Baltimore, MD 21202, USA.
Molecules. 2022 Apr 14;27(8):2520. doi: 10.3390/molecules27082520.
The word "psychedelic" (psyche (i.e., the mind or soul) and delos (i.e., to show)) has Greek origin and was first coined by psychiatrist Humphry Osmond in 1956, who had been conducting research on lysergic acid diethylamide (LSD) at the time. Psychedelic drugs such as ,-DMT/DMT (,-dimethyltryptamine), 5-MeO-DMT (5-methoxy-,-dimethyltryptamine), LSD (lysergic acid diethylamide), MDMA (3,4-methylenedioxymethamphetamine) and psilocybin have had significant value as an entheogen in spiritual, religious (shamanic) and sociocultural rituals in Central and South American cultures for thousands of years. In the 1960s, the globalization of these drugs and their subsequent spread outside of their indigenous, old-world cultures, led to the subsequent implementation of strict drug control laws in many Western countries. Even today, psychedelics are still classified as Schedule I drugs, resulting in a still lingering negative stigmatization/perception, vilification, and ultimate criminalization of psychedelics. This controversy still lingers and still limits scientific research and full medical acceptance. For many years up until recently, the spiritual, religious and medicinal value of these drugs could not be explored in a scientific context. More recently, a second wave of psychedelic research is now focusing on psychedelics as neuropharmaceuticals to treat alcohol and tobacco addiction, general mood and anxiety disorders and cancer-related depression. There is now a vast array of promising evidence-based data to confirm the years of anecdotal evidence of the medicinal values of psychedelics. Natural therapeutic alternatives such as psychedelic drugs may provide a safe and efficacious alternate to conventional drugs used to treat mood and anxiety disorders. In a Western context in particular, psychedelic drugs as therapeutic agents for mood and anxiety disorders are becoming increasingly of interest amidst increasing rates of such disorders globally, changing social constructions, the implementation of government regulations and increasing investment opportunities, that ultimately allow for the scientific study to generate evidenced-based data. Alternative psychotherapeutic interventions are gaining interest also, because of their low physiological toxicity, relatively low abuse potential, safe psychological effects, and no associated persisting adverse physiological or psychological effects during and after use. On the other hand, conventional psychotic drugs and anti-depressants are becoming less favorable because of their adverse side effects. Psychedelic neuropharmaceutical interventions may with medical oversight be the solution to conventional psychiatric disorders such as depression and anxiety, and an alternative to conventional psychiatric treatment options. This paper will review the therapeutic potential of psychedelic drugs as alternative therapeutic options for mood and anxiety disorders in a controlled, clinical setting, where the chances of adverse psychological episodes occurring are mitigated.
“迷幻药”(psyche 即心灵或灵魂,delos 即展示)一词源于希腊语,由精神病学家汉弗莱·奥斯蒙德(Humphry Osmond)于 1956 年创造,当时他一直在研究麦角酸二乙酰胺(LSD)。迷幻药物,如 -DMT/DMT(-二甲基色胺)、5-MeO-DMT(5-甲氧基-,-二甲基色胺)、LSD(麦角酸二乙酰胺)、MDMA(3,4-亚甲基二氧基甲基苯丙胺)和裸盖菇素,在中美洲和南美洲文化的精神、宗教(萨满教)和社会文化仪式中,作为一种致幻剂已有数千年的重要价值。20 世纪 60 年代,这些药物的全球化及其随后在其本土旧世界文化之外的传播,导致许多西方国家随后实施了严格的药物管制法。即使在今天,迷幻药仍被归类为附表 I 药物,因此仍然存在对迷幻药的挥之不去的负面污名化/观念、诽谤和最终刑事定罪。这种争议仍然存在,并仍然限制了科学研究和全面的医学接受。多年来,直到最近,这些药物的精神、宗教和药用价值都无法在科学背景下进行探索。最近,迷幻药研究的第二波浪潮现在将重点放在迷幻药作为神经药物上,用于治疗酒精和烟草成瘾、一般情绪和焦虑障碍以及与癌症相关的抑郁症。现在有大量有希望的基于证据的数据来证实多年来迷幻药药用价值的传闻证据。天然治疗替代品,如迷幻药,可能为治疗情绪和焦虑障碍提供一种安全有效的替代传统药物。特别是在西方语境中,迷幻药作为治疗情绪和焦虑障碍的治疗剂,在全球范围内此类障碍的发病率不断上升、社会观念不断变化、政府法规的实施以及投资机会的增加的背景下,越来越受到关注,这些因素最终使科学研究能够生成基于证据的数据。替代心理治疗干预措施也越来越受到关注,因为它们的生理毒性较低、相对较低的滥用潜力、安全的心理效应,以及在使用期间和之后不会产生持续的不良生理或心理效应。另一方面,传统的精神病药物和抗抑郁药由于其不良反应而变得不那么受欢迎。迷幻神经药物干预措施在医疗监督下可能是治疗抑郁症和焦虑症等传统精神障碍的方法,也是传统精神科治疗选择的替代方法。本文将在受控的临床环境中审查迷幻药物作为情绪和焦虑障碍替代治疗选择的治疗潜力,在这种环境中,发生不良心理事件的可能性降低。