Chernoff Tamara, Kliger Bruno, Venturini Dante Hernán
Médica especialista en Psiquiatría. Miembro del Grupo de Estudio de Psicodélicos. Ciudad Autónoma de Buenos Aires, Argentina.
Médico especialista en Psiquiatría. Miembro del Grupo de Estudio de Psicodélicos. Ciudad Autónoma de Buenos Aires, Argentina. Médico de planta división Toxicología, Hospital Fernández, CABA.
Vertex. 2023 Jul 10;34(160, abr.-jun.):100-112. doi: 10.53680/vertex.v34i160.463.
Traditional psychedelics, such as LSD, psilocybin, or DMT, are psychoactive compounds that exert their effects mainly through agonism over serotonergic receptors. In appropriate doses and contexts, they produce profound changes in the subjective experience, configuring altered states of consciousness that, upon reaching a critical point, involve the appearance of phenomena of mystical, transcendental, or ego dissolution experiences. These events are associated with diverse therapeutic effects in several mental conditions. Psychedelics are safe substances, with minimal risk of serious or long-lasting adverse effects and without addictive potential. Current evidence comes from systematic reviews and meta-analyses based on phase II clinical studies, with small groups of subjects, strict exclusion criteria, and difficulties in applying the double-blind methodology. Worldwide there is a growing number of clinical trials, which seek to promote the approval of psychedelic-assisted therapies as therapeutic tools in the coming years. In this bibliographic review, we will address the phenomenological characteristics of the psychedelic experience, its potential therapeutic uses, and the mechanisms that underlie them.
传统致幻剂,如麦角酸二乙酰胺(LSD)、裸盖菇素或二甲基色胺(DMT),是一类精神活性化合物,其作用主要通过对血清素受体的激动作用来实现。在适当的剂量和环境下,它们会使主观体验产生深刻变化,形成意识改变状态,当达到临界点时,会出现神秘、超验或自我消解体验等现象。这些事件与多种精神疾病的不同治疗效果相关。致幻剂是安全物质,严重或长期不良反应风险极小,且无成瘾潜力。目前的证据来自基于II期临床研究的系统评价和荟萃分析,研究对象数量少、排除标准严格,且难以应用双盲方法。全球范围内临床试验的数量不断增加,这些试验旨在推动致幻剂辅助疗法在未来几年作为治疗工具获得批准。在本综述中,我们将探讨致幻体验的现象学特征、其潜在治疗用途以及背后的机制。