Seybert Carolina, Schimmers Nina, Silva Lucio, Breeksema Joost J, Veraart Jolien, Bessa Bárbara S, d'Orsi Dora, Schoevers Robert A, Oliveira-Maia Albino J
Champalimaud Research and Clinical Centre, Champalimaud Foundation, Lisbon, Portugal; ISPA-Instituto Universitário Ciências Psicológicas, Sociais e da Vida, Lisbon, Portugal.
Department of Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Lancet Psychiatry. 2025 Jan;12(1):54-66. doi: 10.1016/S2215-0366(24)00333-X. Epub 2024 Dec 9.
Although studies of psychedelic-assisted psychotherapy are accumulating, there is no consensus regarding best practice of the psychotherapeutic component. In this systematic review, we summarised the quality of reporting on psychological interventions in research about psychedelic treatments. The design followed PRISMA guidelines and was preregistered in PROSPERO (CRD42022319221). We searched MEDLINE, PsycINFO, and Embase for original studies on psychedelic-assisted psychotherapy and included 45 studies assessing psilocybin, 3,4-methylenedioxymethamphetamine (MDMA), lysergic acid diethylamide (known as LSD), or ayahuasca, for the treatment of mental disorders. Psychological interventions were done heterogeneously across studies, and completeness of information reported about these interventions was mostly low, according to an adaptation of the Template for Intervention Description and Replication checklist. In studies including MDMA, psychotherapy was more homogeneous and more procedural details were provided. Improved reporting on psychological interventions of psychedelic treatments will support replicability, generalisability, and accurate interpretation of research, while enhancing feasibility and safety of future clinical research and real-world implementation of treatments.
尽管关于迷幻剂辅助心理治疗的研究不断积累,但对于心理治疗部分的最佳实践尚无共识。在这项系统评价中,我们总结了迷幻剂治疗研究中心理干预报告的质量。该设计遵循PRISMA指南,并在PROSPERO(CRD42022319221)中进行了预注册。我们在MEDLINE、PsycINFO和Embase中检索了关于迷幻剂辅助心理治疗的原始研究,纳入了45项评估裸盖菇素、3,4-亚甲基二氧甲基苯丙胺(MDMA)、麦角酸二乙酰胺(即LSD)或死藤水治疗精神障碍的研究。根据干预描述与复制模板清单的改编版,各研究中的心理干预方式各异,且关于这些干预措施所报告信息的完整性大多较低。在包括MDMA的研究中,心理治疗更为统一,且提供了更多程序细节。改善迷幻剂治疗心理干预的报告将有助于研究的可重复性、普遍性及准确解读,同时提高未来临床研究的可行性和安全性,以及治疗在现实世界中的实施效果。