Longitudinal associations between psychedelic use and unusual visual experiences in the United States and the United Kingdom.
Otto Simonsson, Peter S. Hendricks, Cecilia Ud Stenfors, Simon B. Goldberg, Ludwig Honk, Walter Osika
Journal of Psychopharmacology 2024 DOI: 10.1177/02698811231218931 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Longitudinal observational study Cross-sectional Peer reviewed |
|---|---|
| Sample size | 9,732 |
| Population | US and UK adult populations representative by sex, age, and ethnicity |
| Intervention | naturalistic psychedelic use |
| Duration | 2-month study period |
| Topics | LSD Mescaline Psilocybin |
| Keywords | Hppd Risks Psychedelics hallucinogens Entheogens Visual effects Visual phenomena Visual perception sight Vision Adverse effects |
| Key findings | Psychedelic use during the two-month study period was associated with greater increases in unusual visual experiences, especially among first-time users. |
Abstract
Whereas findings from case reports and cross-sectional studies suggest that naturalistic psychedelic use may be associated with unusual visual experiences that occur after the acute pharmacological effects have subsided, such findings need to be replicated in longitudinal studies to better understand potential cause-and-effect relationships. To investigate longitudinal associations between naturalistic psychedelic use and unusual visual experiences. Using a longitudinal observational research design with samples representative of the US and UK adult populations with regard to sex, age, and ethnicity (N = 9732), we investigated the relationship between psychedelic use during the 2-month study period and changes in past-week unusual visual experiences. The follow-up survey was completed by 79% of respondents (n = 7667), with 100 respondents reporting psychedelic use during the 2-month study period (1.3% of those who responded at follow-up). In covariate-adjusted regression models, the results showed that, as hypothesized, psychedelic use during the 2-month study period was associated with greater increases in unusual visual experiences. Notably, there was an interaction between lifetime psychedelic use and psychedelic use during the study period on unusual visual experiences such that those who used psychedelics for the first time reported greater increases in unusual visual experiences. Psychedelic use may elicit unusual visual experiences that occur after the acute pharmacological effects have subsided, especially among those who have not used psychedelics previously. Future longitudinal studies are warranted to further elucidate these relationships.
Comparable studies
Other observational and cohort studies on mescaline, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Psychedelics not linked to mental health problems or suicidal behavior: A population study Randomly selected United States adults | 2015 | Observational cohort | n = 135,095 |
| Long-lasting subjective effects of LSD in normal subjects Healthy participants | 2017 | Observational cohort | n = 16 |
| Psychological and cognitive effects of long-term peyote use among Native Americans. Navajo Native Americans aged 18-45 | 2005 | Observational cohort | n = 176 |
| Mescaline-induced psychopathological, neuropsychological, and neurometabolic effects in normal subjects: experimental psychosis as a tool for psychiatric research. Normal men who were volunteers | 1992 | Observational cohort | n = 12 |
| 2,5-Dimethoxy-4-methyl-amphetamine (STP): A New Hallucinogenic Drug Normal control volunteers | 1967 | Observational study |
Citations in the library
Cited by 6
- Are “mystical experiences” essential for antidepressant actions of ketamine and the classic psychedelics? European Archives of Psychiatry and Clinical Neuroscience February 27, 2024
- Reconsidering evidence for psychedelic-induced psychosis: an overview of reviews, a systematic review, and meta-analysis of human studies. Molecular Psychiatry March 1, 2025
- A Scoping Review of Research in Naturalistic Studies with Psychedelics. Journal of Psychoactive Drugs June 28, 2025
- Down the Rabbit Hole: A Large-Scale Survey of Psychedelic Users’ Patterns of Use and Perceived Effects Journal of Psychoactive Drugs January 29, 2025
- Beyond prohibition: A public health analysis of naturalistic psychedelic use Journal of Psychedelic Studies July 3, 2025
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Cites 15
- Percentage of Heavy Drinking Days Following Psilocybin-Assisted Psychotherapy vs Placebo in the Treatment of Adult Patients With Alcohol Use Disorder JAMA Psychiatry August 24, 2022
- Psychedelics and Mental Health: A Population Study PLoS One August 19, 2013
- Adverse effects of psychedelics: From anecdotes and misinformation to systematic science. Journal of Psychopharmacology February 2, 2022
- The Current Status of Psychedelics in Psychiatry. JAMA Psychiatry February 1, 2021
- Transformative experience and social connectedness mediate the mood-enhancing effects of psychedelic use in naturalistic settings Proceedings of the National Academy of Sciences January 21, 2020
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