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用于精神疾病的迷幻药物。

Psychedelic drugs for psychiatric disorders.

作者信息

da Costa Sabrina Correa, Oesterle Tyler, Rummans Teresa A, Richelson Elliot, Gold Mark

机构信息

Department of Psychiatry and Psychology, Mayo Clinic Health System, La Crosse, WI, United States of America.

Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, United States of America.

出版信息

J Neurol Sci. 2022 Sep 15;440:120332. doi: 10.1016/j.jns.2022.120332. Epub 2022 Jul 5.

Abstract

Existing pharmacological treatments for psychiatric disorders have demonstrated limited efficacy, delayed onset of action, and significant burden of side effects. Recent findings from human studies with psychedelics have shown promise, demonstrating rapid and sustained clinical benefits of these compounds for a variety of psychiatric disorders. Classical psychedelics have a rich history and some of these compounds have been used in shamanic and spiritual ceremonies for millennia. The psychoactive effects of these drugs, particularly on human consciousness, have generated great scientific curiosity, and early research on psychedelics suggested their clinical benefits for psychiatric conditions, including alcohol use disorders and anxiety and depressive symptoms in terminal illness and life-threatening conditions. Since the 1990s, after a period of dormancy that followed the criminalization of psychedelic drugs since the Controlled Substance Act of 1970, the continued interest in their unique psychoactive effects along with the pursuit for novel and more effective treatments in psychiatry have led to a renewed interest in research on these compounds. While preliminary findings on psychedelics are encouraging, current evidence is still insufficient to support extensive use of these drugs routinely. Long-term safety and efficacy of these compounds remain unclear, and several clinical trials are underway and may add clarity to these questions. Therefore, this article intends to provide an overview of the evidence to date on psychedelic drugs - particularly psilocybin, MDMA, and LSD - for the treatment of psychiatric disorders.

摘要

现有的精神疾病药物治疗已显示出疗效有限、起效延迟和副作用负担显著等问题。近期针对迷幻剂的人体研究结果显示出了前景,表明这些化合物对多种精神疾病具有快速且持续的临床益处。经典迷幻剂有着丰富的历史,其中一些化合物已在萨满教和宗教仪式中使用了数千年。这些药物的精神活性作用,尤其是对人类意识的影响,引发了极大的科学好奇心,早期对迷幻剂的研究表明它们对精神疾病具有临床益处,包括酒精使用障碍以及绝症和危及生命状况下的焦虑和抑郁症状。自20世纪90年代以来,在1970年《管制物质法》将迷幻药物定罪后经历了一段休眠期,对其独特精神活性作用的持续兴趣以及对精神病学中新颖且更有效治疗方法的追求,导致了对这些化合物研究的重新兴起。虽然关于迷幻剂的初步研究结果令人鼓舞,但目前的证据仍不足以支持常规广泛使用这些药物。这些化合物的长期安全性和疗效仍不明确,多项临床试验正在进行,可能会使这些问题更加明晰。因此,本文旨在概述迄今为止关于迷幻药物——尤其是裸盖菇素、摇头丸和麦角酸二乙酰胺——用于治疗精神疾病的证据。

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