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初步证据表明,服用裸盖菇素后睡眠质量得到改善,且其可能与抗抑郁的治疗作用有关。

Preliminary Evidence of Sleep Improvements Following Psilocybin Administration, and their Involvement in Antidepressant Therapeutic Action.

机构信息

Behavioral Sleep Medicine Research Laboratory, Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, 5510 Nathan Shock Drive, Suite 100, Baltimore, MD, 21224, USA.

Johns Hopkins Precision Medicine Center of Excellence (PMCoE) for Depression, Johns Hopkins Hospital, Baltimore, MD, USA.

出版信息

Curr Psychiatry Rep. 2024 Nov;26(11):659-669. doi: 10.1007/s11920-024-01539-8. Epub 2024 Nov 13.

Abstract

PURPOSE OF THE STUDY

Psilocybin is a rapidly-emerging treatment for depression, yet its impact on sleep is not well understood. We sought to explore the literature on sleep and psilocybin use, and explore the topic using our own primary data.

FINDINGS

Whilst clinical trials demonstrate large depressive symptom improvements, the impact of psilocybin on sleep quality or insomnia symptoms, has not been directly studied. Using our own preliminary-data we demonstrated that both depressive-symptoms and sleep-disturbances decreased significantly following psilocybin use, though sleep improvements were smaller compared to depressive symptoms. More severe sleep-disturbances at baseline were linked to lower probability of depression remission, underscoring a potential interaction between sleep and psilocybin's efficacy. Addressing sleep disturbances could enhance therapeutic outcomes in psilocybin-assisted therapy and could lead to more effective, personalized treatment-strategies. Future research should focus on populations with sleep disorders, and on examining causal-pathways of sleep physiology's impact on psilocybin efficacy.

摘要

研究目的

裸盖菇素是一种迅速兴起的抗抑郁治疗方法,但它对睡眠的影响尚不清楚。我们旨在探索有关睡眠和裸盖菇素使用的文献,并使用我们自己的原始数据探讨该主题。

研究结果

虽然临床试验表明抑郁症状有较大改善,但裸盖菇素对睡眠质量或失眠症状的影响尚未直接研究。使用我们自己的初步数据,我们证明了在使用裸盖菇素后,抑郁症状和睡眠障碍都显著减轻,尽管与抑郁症状相比,睡眠改善较小。基线时更严重的睡眠障碍与抑郁缓解的可能性较低相关,这突显了睡眠与裸盖菇素疗效之间的潜在相互作用。解决睡眠障碍可以提高在裸盖菇素辅助治疗中的治疗效果,并可能导致更有效、个性化的治疗策略。未来的研究应集中在有睡眠障碍的人群,并研究睡眠生理学对裸盖菇素疗效的影响的因果途径。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/11579049/03ebbda0ee70/11920_2024_1539_Fig1_HTML.jpg

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