Self-blinding citizen science to explore psychedelic microdosing.
Balázs Szigeti, Laura Kärtner, Allan Blemings, Fernando E. Rosas, Amanda Feilding, David Nutt, Robin Carhart-Harris, David Erritzøe
Elife March 2, 2021 DOI: 10.7554/elife.62878 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Self-blinding citizen science initiative with placebo control Placebo-controlled Peer reviewed |
|---|---|
| Sample size | 191 |
| Population | Participants who microdose psychedelics |
| Intervention | Microdosing |
| Duration | 4 weeks |
| Topics | Microdosing |
| Keywords | Psychedelics Tiny doses Sub-perceptual doses Citizen science Participatory research Real-world data Self-administration study Mental well-being Mood Cognition Focus Psychological benefits Cognitive enhancement Research findings Study results Data analysis Scientific exploration |
| Citations | 192 |
| Key points | No significant between-group differences were found between microdose and placebo groups on psychological outcomes, suggesting anecdotal benefits are due to the placebo effect. |
Abstract
Microdosing is the practice of regularly using low doses of psychedelic drugs. Anecdotal reports suggest that microdosing enhances well-being and cognition; however, such accounts are potentially biased by the placebo effect. This study used a 'self-blinding' citizen science initiative, where participants were given online instructions on how to incorporate placebo control into their microdosing routine without clinical supervision. The study was completed by 191 participants, making it the largest placebo-controlled trial on psychedelics to-date. All psychological outcomes improved significantly from baseline to after the 4 weeks long dose period for the microdose group; however, the placebo group also improved and no significant between-groups differences were observed. Acute (emotional state, drug intensity, mood, energy, and creativity) and post-acute (anxiety) scales showed small, but significant microdose vs. placebo differences; however, these results can be explained by participants breaking blind. The findings suggest that anecdotal benefits of microdosing can be explained by the placebo effect.
In the evidence
This study is part of the evidence base for a synthesis in the library. Here is how each one recorded it.
-
State of the evidence: Microdosing No effect
All psychological outcomes improved from baseline in both microdose and placebo groups, but no significant between-group differences were observed, suggesting anecdotal benefits reflect the placebo effect.
Synthesized
Comparable studies
Other randomized controlled trials on microdosing, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Use of microdosing to predict pharmacokinetics at the therapeutic dose: Experience with 5 drugs Volunteers | 2006 | Crossover study | |
| Microdosing with psilocybin mushrooms: a double-blind placebo-controlled study Individuals starting to microdose with psilocybin mushrooms (Psilocybe cubensis) | 2022 | Double-blind placebo-controlled experimental design | n = 34 |
| Preliminary Report on the Effects of a Low Dose of LSD on Resting-State Amygdala Functional Connectivity. Healthy young adults, 18 to 35 years old | 2019 | Randomized controlled trial | n = 20 |
| Acute Mood-Elevating Properties of Microdosed Lysergic Acid Diethylamide in Healthy Volunteers: A Home-Administered Randomized Controlled Trial. Healthy male volunteers | 2023 | Randomized controlled trial | n = 80 |
| Psilocybin microdosing does not affect emotion-related symptoms and processing: A preregistered field and lab-based study | 2021 | Randomized controlled trial |
Citations in the library
Cited by 161
- Pharmacological, neural, and psychological mechanisms underlying psychedelics: a critical review Neuroscience & Biobehavioral Reviews September 1, 2022
- Great Expectations: recommendations for improving the methodological rigor of psychedelic clinical trials Psychopharmacology April 1, 2022
- Psychedelics and Other Psychoplastogens for Treating Mental Illness Frontiers in Psychiatry October 4, 2021
- Microdosing with psilocybin mushrooms: a double-blind placebo-controlled study Translational Psychiatry August 2, 2022
- Therapeutic effect of psilocybin in addiction: A systematic review Frontiers in Psychiatry February 9, 2023
and 156 more in the library
Cites 20
- Rapid and sustained symptom reduction following psilocybin treatment for anxiety and depression in patients with life-threatening cancer: a randomized controlled trial Journal of Psychopharmacology November 30, 2016
- REBUS and the Anarchic Brain: Toward a Unified Model of the Brain Action of Psychedelics Pharmacological Reviews June 20, 2019
- Psilocybin occasioned mystical-type experiences: immediate and persisting dose-related effects. Psychopharmacology December 1, 2011
- Quality of Acute Psychedelic Experience Predicts Therapeutic Efficacy of Psilocybin for Treatment-Resistant Depression Frontiers in Pharmacology January 17, 2018
- The Therapeutic Potential of Psychedelic Drugs: Past, Present, and Future. Neuropsychopharmacology April 26, 2017
and 15 more in the library