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研究裸盖菇素对晚期癌症患者的治疗效果:一项全面综述和荟萃分析。

Investigating the therapeutic efficacy of psilocybin in advanced cancer patients: A comprehensive review and meta-analysis.

作者信息

Bader Husam, Farraj Husam, Maghnam Joud, Abu Omar Yazan

机构信息

Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48109, United States.

Department of Internal Medicine, University of New Mexico, Albuquerque, NM 87106, United States.

出版信息

World J Clin Oncol. 2024 Jul 24;15(7):908-919. doi: 10.5306/wjco.v15.i7.908.

Abstract

BACKGROUND

Psilocybin, a naturally occurring psychedelic compound found in certain species of mushrooms, is known for its effects on anxiety and depression. It has recently gained increasing interest for its potential therapeutic effects, particularly in patients with advanced cancer. This systematic review and meta-analysis aim to evaluate the effects of psilocybin on adult patients with advanced cancer.

AIM

To investigate the therapeutic effect of psilocybin in patients with advanced cancer.

METHODS

A comprehensive search of electronic databases was conducted in PubMed, Cochrane Central Register of Controlled Trials, and Google Scholar for articles published up to February 2023. The reference lists of the included studies were also searched to retrieve possible additional studies.

RESULTS

A total of 7 studies met the inclusion criteria for the systematic review, comprising 132 participants. The results revealed significant improvements in quality of life, pain control, and anxiety relief following psilocybin-assisted therapy, specifically results on anxiety relief. Pooled effect sizes indicated statistically significant reductions in symptoms of anxiety at both 4 to 4.5 months [35.15 (95%CI: 32.28-38.01)] and 6 to 6.5 months [33.06 (95%CI: 28.73-37.40)]. Post-administration compared to baseline assessments ( < 0.05). Additionally, patients reported sustained improvements in psychological well-being and existential distress following psilocybin therapy.

CONCLUSION

The findings provided compelling evidence for the potential benefits of psilocybin-assisted therapy in improving quality of life, pain control, and anxiety relief in patients with advanced cancer.

摘要

背景

裸盖菇素是在某些蘑菇品种中发现的一种天然存在的致幻化合物,以其对焦虑和抑郁的作用而闻名。最近,它因其潜在的治疗效果而越来越受到关注,特别是在晚期癌症患者中。本系统评价和荟萃分析旨在评估裸盖菇素对成年晚期癌症患者的影响。

目的

研究裸盖菇素对晚期癌症患者的治疗效果。

方法

在PubMed、Cochrane对照试验中心注册库和谷歌学术上对截至2023年2月发表的文章进行了全面的电子数据库搜索。还搜索了纳入研究的参考文献列表,以检索可能的其他研究。

结果

共有7项研究符合系统评价的纳入标准,包括132名参与者。结果显示,在裸盖菇素辅助治疗后,生活质量、疼痛控制和焦虑缓解有显著改善,特别是焦虑缓解方面的结果。合并效应量表明,在4至4.5个月[35.15(95%置信区间:32.28 - 38.01)]和6至6.5个月[33.06(95%置信区间:28.73 - 37.40)]时,焦虑症状有统计学意义的减轻。给药后与基线评估相比(<0.05)。此外,患者报告在裸盖菇素治疗后心理健康和存在性痛苦持续改善。

结论

研究结果为裸盖菇素辅助治疗在改善晚期癌症患者生活质量、疼痛控制和焦虑缓解方面的潜在益处提供了有力证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/537a/11271737/b87487aa14b4/WJCO-15-908-g001.jpg

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