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Perceived key change phenomena of MDMA-assisted psychotherapy for the treatment of severe PTSD: an interpretative phenomenological analysis of clinical integration sessions.

Macha Godes, Jasper Lucas, Eric Vermetten

Frontiers in Psychiatry 2023 DOI: 10.3389/fpsyt.2023.957824 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Qualitative study Peer reviewed
Sample size 7
Population Participants with severe PTSD
Intervention MDMA-assisted psychotherapy
Topics MDMA PTSD Psychedelic-assisted therapy
Keywords MDMA-Assisted Psychotherapy Interpretative phenomenological analyses Psychedelics Qualitative research
Citations 14
Key findings Analysis of session transcripts from 7 participants with severe PTSD provided real-life statements reflecting perceived mechanisms of change and showed how the proposed working mechanisms of MDMA-assisted psychotherapy integrate into daily life.

Abstract

Post-traumatic stress disorder (PTSD) is a prevalent psychiatric condition that significantly impacts daily functioning in patients but lacks adequate treatment options. 3,4-methylenedioxymethamphetamine (MDMA) as an adjunct to psychotherapy for the treatment of PTSD has been studied increasingly for the last two decades and has shown promising results through quantitative data. However, few qualitative studies have been conducted to investigate patients' experiences who participate in these trials. This study intends to complement and clarify the quantitative findings resulting from a Phase-II clinical trial for assessing the safety and efficacy of MDMA-assisted psychotherapy for PTSD by using a qualitative approach based on available material of 4 recorded and transcripted integrative sessions per participant. An Interpretative Phenomenological Analysis (IPA) was conducted for 7 participants who met criteria for severe PTSD to develop a deeper understanding of the treatment and its efficacy. Analysis results provided real-life statements from participants that reflect perceived mechanisms of change and showed to what extent their proposed working mechanisms integrate into daily life.

Comparable studies

Other qualitative studies on MDMA and psychedelic-assisted therapy, most cited first.

Study Year Design Participants
Perceived Benefits of MDMA-Assisted Psychotherapy beyond Symptom Reduction: Qualitative Follow-Up Study of a Clinical Trial for Individuals with Treatment-Resistant PTSD Veterans, firefighters, and police officers with chronic, treatment-resistant PTSD 2019 Qualitative study using interpretative phenomenological analysis n = 19
MDMA-assisted psychotherapy; Inclusion of transgender and gender diverse people in the frontiers of PTSD treatment trials Transgender and gender diverse adults with a history of receiving trauma-related mental... 2022 Qualitative study n = 17
Expert Opinion on Psychedelic-Assisted Psychotherapy for People with Psychopathological Psychotic Experiences and Psychotic Disorders Experts in psychiatry, clinical psychology, medicine, and psychedelic effects 2024 Qualitative study n = 12
A taxonomy of regulatory and policy matters relevant to psychedelic-assisted therapy in Australia Professionals with expertise in fields relating to psychedelic-assisted therapy 2024 Qualitative study
Australian psychologists' attitudes towards psychedelic‐assisted therapy and training following a world‐first drug down‐scheduling Australian psychologists 2024 Qualitative study n = 20

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