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Nature Mental Health

10 papers in the library · 161 citations · publishing 2023-2026

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On the fixed nature of delusions

Nature Mental Health June 1, 2026 George E. Chapman, Philip R. Corlett, Stephen M Fleming et al.

Delusions are a key feature of psychotic disorders, yet their fixity remains underexplored. Here, the authors propose a refined vocabulary for delusion fixity, review influencing factors, and present a working model. The Review calls for interdisciplinary longitudinal studies that could enhance the understanding of delusion fixity and facilitate the advancement of therapeutic strategies. Fixed,...

A living systematic review, meta-analysis and open-data resource of randomized controlled trials of psilocybin treatment for symptoms of depression

Nature Mental Health May 1, 2026 S. Parker Singleton, Brooke L. Sevchik, Analiese Lahey et al. 2 citations

This study presents a living systematic review and open-data meta-analytic database from 15 randomized controlled trials examining the effects of psilocybin treatment on depressive symptoms. Existing evidence suggests that psilocybin treatment alleviates depressive symptoms. Depression is a major cause of disability worldwide, motivating interest in psilocybin as a potential treatment. Here we...

Cannabis and tobacco co-use predicts psychosis in clinical high risk cohorts

Nature Mental Health May 1, 2026 Daniel Bello, Sophia H. Blyth, Rachel A Rabin et al.

Cannabis and tobacco use are highly prevalent among people with psychosis and are associated with medical comorbidities and poor prognosis. Concurrent use of cannabis and tobacco (‘co-use’) is rising in the general population, but has not been studied in psychosis. Given the devastating consequences of cannabis and tobacco use, it is critical to understand how their co-use affects psychiatric...

Classic psychedelics in obsessive–compulsive disorder: a circuit-based framework

Nature Mental Health April 1, 2026 Saif S. Ali, Robin Carhart-Harris, Karl G. Sieg

Obsessive–compulsive disorder (OCD) is a psychiatric condition with high rates of treatment resistance. Emerging neuroimaging evidence implicates dysfunction in large-scale brain networks, particularly the cortico–striatal–thalamo–cortical (CSTC) circuit, default mode network (DMN) and salience network (SN). Lysergic acid diethylamide (LSD) and psilocybin induce acute dysregulation of the DMN...

AI-generated virtual psychedelics bridge digital and therapeutic frontiers in mental health research

Nature Mental Health February 1, 2026 Giuseppe Riva, Giulia Brizzi, Clara Rastelli et al. 1 citation

Psychedelic-assisted therapy shows promise for mental health treatment but faces regulatory, methodological and safety challenges. In this Comment, we propose using artificial intelligence and virtual reality to simulate similar experiences to those produced by traditional psychedelic compounds for use in psychedelic-assisted therapy modalities.

A systematic review of income and education reporting in psychedelic clinical trials

Nature Mental Health May 1, 2025 Daniel H. Grossman, Kevin R. Madden, Nicky J. Mehtani et al. 10 citations

Socioeconomic status (SES) substantially influences mental health outcomes and treatment access, yet its reporting in psychedelic-assisted therapy trials remains underexplored. Here we systematically reviewed 98 articles (49 primary trials and 49 secondary analyses) published between 2006 and 2024 examining classic psychedelics and MDMA for mental health conditions. Only 12% of primary trials...

Psilocybin-assisted psychotherapy improves psychiatric symptoms across multiple dimensions in patients with cancer

Nature Mental Health October 7, 2024 Petros Petridis, Jack Grinband, Gabrielle Agin-Liebes et al. 10 citations

Psilocybin-assisted psychotherapy (PAP) has shown promise in treating mood and anxiety disorders in patients with cancer. However, patients with cancer often suffer from more than just depression and anxiety, and so far, PAP's effect on other psychiatric symptoms remains largely unknown. To address this gap, we pooled previously unpublished data from two phase II, randomized, placebo-controlled...

Different hierarchical reconfigurations in the brain by psilocybin and escitalopram for depression

Nature Mental Health August 5, 2024 Gustavo Deco, Yonatan Sanz Perl, Samuel Johnson et al. 39 citations

Abstract Effective interventions for neuropsychiatric disorders may work by rebalancing the brain’s functional hierarchical organization. Here we directly investigated the effects of two different serotonergic pharmacological interventions on functional brain hierarchy in major depressive disorder in a two-arm double-blind phase II randomized controlled trial comparing psilocybin therapy (22...

Optimizing real-world benefit and risk of new psychedelic medications: the need for innovative postmarket surveillance

Nature Mental Health May 1, 2024 Joshua C. Black, Andrew A. Monte, Nabarun Dasgupta et al. 5 citations

The encouraging results of late-phase clinical trials investigating psychedelic-assisted psychotherapy suggests that US Food and Drug Administration approval and subsequent expansion of use is imminent in the USA. Without fit-for-purpose postmarket surveillance to proactively monitor utilization by patients and providers, there is a risk that the real-world benefits of psychedelic-assisted...

Randomized trial of ketamine masked by surgical anesthesia in patients with depression

Nature Mental Health October 19, 2023 Theresa R. Lii, Ashleigh E. Smith, Josephine R. Flohr et al. 94 citations

Ketamine may have antidepressant properties, but its acute psychoactive effects complicate successful masking in placebo-controlled trials. Here we present a single-center, parallel-arm, triple-masked, randomized, placebo-controlled trial assessing the antidepressant efficacy of intravenous ketamine masked by surgical anesthesia (ClinicalTrials.gov, NCT03861988). Adult patients (N = 40) with...