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迷幻疗法在精神科临床实践中的应用:欧洲精神病学协会政策文件

Use of psychedelic treatments in psychiatric clinical practice: an EPA policy paper.

作者信息

Destoop M, Mohr P, Butlen F, Kéri P, Samochowiec J, De Picker L, Fiorillo A, Kuypers K P C, Dom G

机构信息

Collaborative Antwerp Psychiatric Research Institute (CAPRI), University of Antwerp, Antwerp, Belgium.

Multiversum Psychiatric Hospital, Boechout, Belgium.

出版信息

Eur Psychiatry. 2025 Jan 10;68(1):e3. doi: 10.1192/j.eurpsy.2024.1806.

Abstract

BACKGROUND

Recent years show an exponential increased interest ("renaissance") in the use of psychedelics for the treatment of mental disorders and broader. Some of these treatments, such as psilocybin for depression, are in the process of formal regulation by regulatory bodies in the US (FDA) and Europe (EMA), and as such on the brink of real-world implementation. In the slipstream of these developments increasing commercial initiatives are taking shape. The European Psychiatric Association (EPA) acknowledges both the therapeutic potential of psychedelic substances and the challenges for both research and clinical implementation. Steps need to be taken toward a well-balanced policy based upon sound scientific evidence and research, aiming at safe, ethical responsible integration of psychedelic therapy available for all patients who can potentially benefit.

METHODS

In this EPA policy paper, we highlight the potential benefits, and also the challenges of psychedelic treatments, which can be relevant for the future real-world implementation of these treatments.

RESULTS

In addition to an overview of the current evidence and hypotheses of working mechanisms of psychedelic treatment, this policy paper specifically highlights the importance of the psychosocial components of the treatment as well as the ethical and professional aspects playing a role in real-world implementation.

CONCLUSIONS

Four recommendations are formulated for further research and clinical implementation.

摘要

背景

近年来,迷幻药在治疗精神障碍及更广泛领域的应用引发了指数级增长的兴趣(“复兴”)。其中一些治疗方法,如用裸盖菇素治疗抑郁症,正处于美国(食品药品监督管理局,FDA)和欧洲(欧洲药品管理局,EMA)监管机构的正式监管进程中,因此即将在现实世界中得到应用。在这些发展的带动下,越来越多的商业举措正在形成。欧洲精神病学协会(EPA)既认可迷幻物质的治疗潜力,也认识到研究和临床应用所面临的挑战。需要基于可靠的科学证据和研究,采取措施制定一项平衡的政策,旨在将迷幻疗法安全、合乎道德且负责任地整合到所有可能受益的患者中。

方法

在这份EPA政策文件中,我们强调了迷幻治疗的潜在益处以及挑战,这些对于这些治疗方法未来在现实世界中的应用可能具有相关性。

结果

除了概述当前关于迷幻治疗作用机制的证据和假设外,本政策文件特别强调了治疗中社会心理成分的重要性以及在现实世界应用中发挥作用的伦理和专业方面。

结论

针对进一步的研究和临床应用提出了四项建议。

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本文引用的文献

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Neurotherapeutics. 2024 Mar;21(2):e00322. doi: 10.1016/j.neurot.2024.e00322. Epub 2024 Jan 25.
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Psychedelics as Therapeutics-Potential and Challenges.作为治疗手段的迷幻剂——潜力与挑战
JAMA Psychiatry. 2023 Oct 1;80(10):979-980. doi: 10.1001/jamapsychiatry.2023.1968.

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