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Hannes Kettner

Imperial College London, University of California, San Francisco

63 papers in the library · 3,022 citations · publishing 2018-2026

Papers

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Well-being as a primary endpoint in clinical trials: a call for consensus

npj Mental Health Research August 6, 2026 Elliot Marseille, Hannes Kettner, Tyrone J. Sgambati et al.

Abstract Psychiatric trials typically define success as symptom reduction, yet patients prioritize meaning, vitality, and functioning. This imbalance undervalues experiential benefits, distorting clinical, policy, and FDA decisions. Psychedelic trials illustrate this, where robust well-being gains sometimes accompany modest symptom effects. We argue well-being should be elevated to co-primary...

On the meaning of ‘plasticity’ in neuroscience and mental health research and its relation to the action of psychedelic therapy

May 13, 2026 Robin Carhart-Harris, Richard J. Zeifman, Lorenzo Pasquini et al. preprint

First-line dictionary definitions of ‘plasticity’ describe it as the ability (of a thing) to be shaped or molded; we call this ‘plasticity proper’. In neuroscience, however, ‘neural plasticity’ or ‘neuroplasticity’ is defined as an induced change in brain function or structure. These two plasticities are not the same. Several (but not all) popular biomarkers of neuroplasticity index part of an...

DOI: 10.31234/osf.io/wzh7b_v1 (opens in new tab) Neuroplasticity Action physics Context archaeology Meaning existential +9

Human brain changes after first psilocybin use.

Nature Communications May 5, 2026 T Lyons, M Spriggs, L Kerkelä et al. 19 citations

Psychedelics have robust effects on acute brain function and long-term behavior but whether they also cause enduring functional and anatomical brain changes is largely unknown. In an exploratory, placebo-controlled, within-subjects, electroencephalography (EEG), and magnetic resonance imaging (MRI) study in 28 healthy, entirely psychedelic-naive participants, anatomical and functional brain...

Effects of psychedelic use on authoritarian attitudes revisited.

Journal of Psychopharmacology May 1, 2026 Otto Simonsson, Taylor Lyons, Joseph Marks et al.

Previous research suggests that psychedelics may, under certain conditions, decrease authoritarian attitudes, but larger and more rigorously designed studies are needed to confirm these findings. We aimed to examine the effects of psychedelic use on authoritarian attitudes. Using data from three separate studies with different designs and populations, we investigated the relationship between...

Observing the mind under psychedelics: conceptual metaphors used following four once-weekly macrodoses of psilocybin

Philosophical Psychology April 10, 2026 Eric Rundquist, Diego Nicolás Monasterio López, Juan Jonathan Oyarzo Alvarado et al.

This article presents the results of a Cognitive Linguistic analysis of metaphors used in a series of interviews by a single healthy volunteer following four moderate-to-high dosing sessions with psilocybin. The interviews were conducted by members of a human psychedelic research lab in a deep-sampling fMRI and EEG brain imaging study, allowing the participant to recount experiences under the...

DOI: 10.1080/09515089.2026.2657452 (opens in new tab) Psilocybin Cognition Hallucinogen Conceptual metaphor +3

Baseline Mood and “Relational Triad” Predict Acute Qualities of Psychedelic Experience

Behavioral Sciences February 23, 2026 Joshua Lipson, Hannes Kettner, Robin Carhart-Harris et al.

BACKGROUND: The quality and valence of psychedelic experiences are influenced by a range of psychological and contextual factors. This study examines baseline mood and the "relational triad"-comprising social connectedness, mindfulness, and spirituality-as potential predictors of the quality of naturalistic psychedelic experiences. METHODS: Data were drawn from the Predicting Responses to...

DOI: 10.3390/bs16020310 (opens in new tab) Anxiety Baseline sea Mood Depression economics +1

Ceremonial Psychedelic Experiences and Changes in Mental Health Outcomes in Those with Adverse Childhood Experiences

Psychedelic Medicine December 15, 2025 M. Mehmood, Rebecka Bremler, M. Spriggs et al.

Background:Adverse childhood experiences (ACEs) are known to contribute to mental health issues and interfere with response to mental health interventions. Psychedelics have been found to improve mental health outcomes; however, the exploration of the effects of psychedelics on mental health in those with higher ACEs remains limited. The present study aimed to examine mental health outcomes and...

Exploring the potential psychological predictors associated with changes in depression, anxiety, and well-being following naturalistic psychedelic use.

Journal of Psychiatric Research November 1, 2025 Felipe Herrmann, Grant Jones, Daniel M Low et al.

Although research shows that psychedelic use may lead to improvement in mental health and well-being, the underlying changes in psychological predictors associated with these improvements remain unclear. 161 participants were recruited in a prospective online survey assessing naturalistic psychedelic use. We used lasso regression to assess how 19 distinct changes in psychological variables...

Validation of the Imperial Psychedelic Predictor Scale - CORRIGENDUM.

Psychological Medicine August 26, 2025 Michael Angyus, Sarah Osborn, Eline Haijen et al.

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DOI: 10.1017/s0033291725101219 (opens in new tab) Full text (opens in new tab) Psychedelics Psychedelic substances Psychedelic experiences Psychedelic research +17

Psychedelic Therapy, Positive Emotional Experiences, and the Central Role of Self-Compassion

Research Square August 22, 2025 Richard J. Zeifman, George Danias, Gabrielle Agin-Liebes et al. 2 citations preprint

Abstract Background: Psychedelics can acutely induce mystical experiences and elevated positive mood, which may contribute to the potential benefits of psychedelic therapy. However, there remains limited understanding of the occurrence and importance of specific positive emotional experiences within psychedelic therapy. Therefore, we examined the effects of psychedelics on positive emotional...

DOI: 10.21203/rs.3.rs-7420529/v1 (opens in new tab) Full text (opens in new tab) Self-compassion Psychotherapist Compassion fatigue Clinical psychology

Improved mental health outcomes and normalised spontaneous EEG activity in veterans reporting a history of traumatic brain injuries following participation in a psilocybin retreat

Frontiers in Psychiatry August 6, 2025 Grace Blest‐hopley, Giuseppe Pasculli, Simon Ruffell et al. 3 citations

Introduction Psilocybin, a serotonergic psychedelic, has shown therapeutic potential in treating mental health disorders by, amongst the many effects, promoting neuroplasticity and reorganising functional connectivity across cortical and subcortical networks involved in emotion and cognition. Veterans with traumatic brain injuries (TBI) often experience chronic neurological and psychological...

Exploring the Therapeutic Effects of Psychedelics Administered to Military Veterans in Naturalistic Retreat Settings

Brain and Behavior July 1, 2025 Megan Calnan, Grace Blest‐hopley, Chris Busch et al. 4 citations

Abstract Background : Military veterans are at risk of various mental health conditions, with profound implications for post‐deployment quality of life. Current treatment options encounter high dropout rates and non‐responsiveness, and overlook the importance of community building in veterans’ holistic recovery. Preliminary research suggests psychedelics offer therapeutic benefits for...

A Scoping Review of Research in Naturalistic Studies with Psychedelics.

Journal of Psychoactive Drugs June 28, 2025 Laura C. Carvalho, Jorge Encantado, Hannes Kettner et al. 6 citations

Psychedelic research has traditionally focused on controlled, clinical settings to evaluate the therapeutic potential of substances such as psilocybin. However, in recent years, there has been growing interest in naturalistic research, which explores psychedelic use in real-world settings. This review aims to critically analyze trends in naturalistic psychedelic research, focusing on sample...

DOI: 10.1080/02791072.2025.2520221 (opens in new tab) Full text (opens in new tab) Naturalistic research Real-world data Psychedelics: ayahuasca Entheogens +9

Enhanced meaning in life following psychedelic use: converging evidence from controlled and naturalistic studies

Frontiers in Psychology June 6, 2025 William Roseby, Hannes Kettner, Leor Roseman et al. 6 citations

Introduction Psychedelics, such as psilocybin, are increasingly recognized for their propensity to elicit powerful subjective experiences that carry personal meaning. While research has demonstrated the capacity for these compounds to promote psychological wellbeing, it has yet to be shown to what extent they modulate "meaning in life", a specific contributor to mental and physical health....

DOI: 10.3389/fpsyg.2025.1580663 (opens in new tab) Naturalism Meaning existential Cognitive psychology Psychotherapist +3

An international Delphi consensus for reporting of setting in psychedelic clinical trials.

Nature Medicine June 3, 2025 Chloé Pronovost-Morgan, Kyle T. Greenway, Leor Roseman et al. 26 citations

Psychedelic substances exhibit complex interactions with the 'set and setting' of use, that is, the mental state of the user and the environment in which a psychedelic experience takes place. Despite these contextual variables' known importance, psychedelic research has lacked methodological rigor in reporting extra-pharmacological factors. This study aimed to generate consensus-based...

DOI: 10.1038/s41591-025-03685-9 (opens in new tab) Full text (opens in new tab) Psychedelic therapy Therapeutic protocols Clinical guidelines Mental health treatment +1

Dynamic medial parietal and hippocampal deactivations under DMT relate to sympathetic output and altered sense of time, space, and the self

Imaging Neuroscience April 16, 2025 Lorenzo Pasquini, Alexander J. Simon, Courtney L. Gallen et al. 4 citations

Abstract N,N-Dimethyltryptamine (DMT) is a serotonergic psychedelic, known to rapidly induce short-lasting alterations in conscious experience, characterized by a profound and immersive sense of physical transcendence alongside rich and vivid auditory distortions and visual imagery. Multimodal neuroimaging data paired with dynamic analysis techniques offer a valuable approach for identifying...

Prediction of hallucinogen persisting perception disorder and thought disturbance symptoms following psychedelic use.

PNAS Nexus April 1, 2025 Katie Zhou, David de Wied, Robin Carhart-Harris et al. 9 citations

Interest in using psychedelic drugs to treat psychiatric disorders is growing rapidly. While modern controlled clinical trials show a favorable safety and efficacy profile, it remains unclear if the risk of side effects would increase with broader use in more heterogeneous populations. To address this, we investigated the frequency and baseline predictors of delusional ideation, magical...

DOI: 10.1093/pnasnexus/pgae560 (opens in new tab) Full text (opens in new tab) Hppd Adverse effects Delusional ideation Magical thinking +3

Examining differences in the effects and contexts of naturalistic psilocybin use for White participants vs. Participants of Color: A longitudinal online survey study.

Journal of Affective Disorders February 1, 2025 Grant Jones, Matthew X. Lowe, Sandeep M. Nayak et al. 12 citations

Psilocybin (a psychoactive compound found in "magic mushrooms" or "shrooms") has been gaining increased attention in research and popular culture as a number of clinical and observational studies have demonstrated that it may have potential for improving mental wellbeing. Relatedly, there has been a substantial uptick in naturalistic (e.g., real-world, non-clinical) psilocybin use in the United...

DOI: 10.1016/j.jad.2024.10.058 (opens in new tab) Full text (opens in new tab) Psilocybin Psychedelic medicine Hallucinogenic treatment Racial inequities +7

From relaxed beliefs under psychedelics (REBUS) to revised beliefs after psychedelics (REBAS).

Scientific Reports January 29, 2025 Richard J. Zeifman, Meg J. Spriggs, Hannes Kettner et al. 26 citations

The Relaxed Beliefs Under pSychedelics (REBUS) model proposes that serotonergic psychedelics decrease the precision weighting of neurobiologically-encoded beliefs. We conducted a preliminary examination of two psychological assumptions of REBUS: (a) psychedelics foster acute relaxation and post-acute revision of confidence in mental-health-relevant beliefs; which (b) facilitate positive...

DOI: 10.1038/s41598-023-28111-3 (opens in new tab) Full text (opens in new tab) Psilocybin therapy Cognitive flexibility Psychedelics Mental health

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

Current Psychiatry Reports November 1, 2024 Matthew J Reid, Hannes Kettner, Tessa F. Blanken et al. 4 citations

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...

DOI: 10.1007/s11920-024-01539-8 (opens in new tab) Full text (opens in new tab) Psilocybin therapy Poor sleep Depressive symptoms Adopt +6

The Effect of Psychedelics on Individuals with a Personality Disorder: Results from two Prospective Cohort Studies

Research Square October 15, 2024 Alexandra R. Gordon, Brennan M. Carrithers, Broc A. Pagni et al. 3 citations preprint

Abstract Background: Personality disorders (PDs) are characterized by impairments in psychological functioning for which pharmacologic treatments have demonstrated limited efficacy. Psychedelics may offer a possible PD treatment, given preliminary evidence for their potential long-term positive effects on psychological functioning. However, little is known about safety or potential therapeutic...

Validation of the imperial psychedelic predictor scale.

Psychological Medicine September 27, 2024 Michael Angyus, Sarah Osborn, Eline Haijen et al. 10 citations

Abstract Background Access to psychedelic drugs is liberalizing, yet responses are highly unpredictable. It is therefore imperative that we improve our ability to predict the nature of the acute psychedelic experience to improve safety and optimize potential therapeutic outcomes. This study sought to validate the ‘Imperial Psychedelic Predictor Scale’ (IPPS), a short, widely applicable,...

DOI: 10.1017/s0033291724002204 (opens in new tab) Full text (opens in new tab) Ego dissolution Psychedelic research Psychedelics Psychedelic studies +23

Longitudinal experiences of Canadians receiving compassionate access to psilocybin-assisted psychotherapy.

Scientific Reports July 17, 2024 Sara de la Salle, Hannes Kettner, Julien Thibault Lévesque et al. 21 citations

Recent clinical trials have found that the serotonergic psychedelic psilocybin effectively alleviates anxiodepressive symptoms in patients with life-threatening illnesses when given in a supportive environment. These outcomes prompted Canada to establish legal pathways for therapeutic access to psilocybin, coupled with psychological support. Despite over one-hundred Canadians receiving...

DOI: 10.1038/s41598-024-66817-0 (opens in new tab) Full text (opens in new tab) Magic mushrooms Distress Palliative care Psilocybin-assisted psychotherapy +4

Psychological effects of psychedelics in adolescents.

Front Child Adolesc Psychiatry June 7, 2024 Nadhrah Izmi, Robin Lester Carhart-Harris, Hannes Kettner 23 citations

This study aimed to investigate differences in long-term psychological effects, acute subjective effects, and side effects associated with psychedelic use in adolescents (aged 16–24), compared with adults (aged 25+). Data from two observational online survey cohorts was pooled, involving adolescents (average age 20.4 ± 2.2, N = 435) and adults (average age 36.5 ± 9.7, range = 25–71, N = 654)...

DOI: 10.3389/frcha.2024.1364617 (opens in new tab) Full text (opens in new tab) Mental health Psychedelics Youth treatment Clinical research

Effects of Psychedelics in Older Adults: A Prospective Cohort Study.

American Journal of Geriatric Psychiatry May 19, 2024 Hannes Kettner, Leor Roseman, Adam Gazzaley et al. 18 citations

OBJECTIVE: Affective symptoms such as anxiety, low mood, and loneliness are prevalent and highly debilitating symptoms among older adults (OA). Serotonergic psychedelics are currently investigated as novel interventions for affective disorders, yet little is known regarding their effects in OA. We investigated the mental health effects and psychological mechanisms of guided psychedelic group...

DOI: 10.1016/j.jagp.2024.05.007 (opens in new tab) Full text (opens in new tab) Mental-health Psychedelics Aging-wellness Clinical-research +1