Skip to content

Recreational use of psychedelics is associated with elevated personality trait openness: Exploration of associations with brain serotonin markers.

David Erritzøe, James Smith, Patrick M. Fisher, Robin Carhart-Harris, Vibe G. Frøkjær, Gitte M. Knudsen

Journal of Psychopharmacology February 28, 2019 DOI: 10.1177/0269881119827891 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional observational study Peer reviewed
Sample size 45
Population 10 psychedelic-preferring recreational users, 14 MDMA-preferring users, and 21 non-using controls
Measures Revised NEO Personality Inventory (NEO-PI-R), [11C]DASB positron emission tomography, [18F]altanserin positron emission tomography
Topics Serotonin
Keywords Psychedelics Recreational psychedelic experiences Recreational use Personality openness Enhanced personality trait Serotonin markers Brain's serotonin system Brain chemistry Biological underpinning Brain imaging techniques
Citations 95
Key findings Psychedelic-preferring recreational users showed higher openness to experience than MDMA-preferring users and controls, and openness was positively associated with lifetime number of psychedelic exposures. Among drug-preferring participants, frontal serotonin transporter binding, but not serotonin-2A-receptor binding, was positively associated with openness. The authors argue these findings support a link between psychedelic experiences, serotonergic neurotransmission, and openness to experience.

Abstract

Background: Recent studies have suggested therapeutic benefits of psychedelics for a variety of mental health conditions. The understanding of how single psychedelic administrations can induce long-lasting effects are, in large, still lacking. However, recent studies in both healthy and clinical populations suggest a role for personality changes.

Aim: To test support for some of these plausible mechanisms we evaluated (cross-sectional) associations between recreational use of psychedelics and 3,4-methylene-dioxymethamphetamine (MDMA) and (a) personality measures and (b) key markers of cerebral serotonergic signalling (serotonin transporter and serotonin-2A-receptor binding).

Methods: In 10 psychedelic-preferring recreational users, 14 MDMA-preferring users and 21 non-using controls, personality was assessed using the 'big five' instrument Revised NEO Personality Inventory (NEO-PI-R). Frontal serotonin transporter and serotonin-2A-receptor binding potentials were quantified using [11C]DASB and [18F]altanserin positron emission tomography, respectively.

Results: Of the five NEO-PI-R traits, only openness to experience scores differed between the three groups; psychedelic-preferring recreational users showing higher openness to experience scores when compared with both MDMA-preferring users and controls. Openness to experience scores were positively associated with lifetime number of psychedelic exposures, and among all MDMA-preferring user/psychedelic-preferring recreational user individuals, frontal serotonin transporter binding - but not frontal serotonin-2A-receptor binding - was positively associated with openness to experience.

Conclusion: Our findings from this cross-sectional study support increasing evidence of a positive association between psychedelic experiences and openness to experience, and (a) expands this to the context of 'recreational' psychedelics use, and (b) links serotonergic neurotransmission to openness to experience. A modulation of personality induced by psychedelic experiences may have important therapeutic implications via its impact on peoples' value systems, cognitive flexibility, and individual and social behaviour.

Comparable studies

Other cross-sectional and survey studies on serotonin, most cited first.

Study Year Design Participants
Reducedin vivobinding to the serotonin transporter in the cerebral cortex of MDMA (‘ecstasy’) users Male regular ecstasy users and well-matched controls 1999 Cross-sectional association study n = 20
Cerebral1H MRS alterations in recreational 3,4-methylenedioxymethamphetamine (MDMA, ?ecstasy?) users Recreational MDMA users and normal subjects 1999 Cross-sectional study n = 59
Evidence for a common biological basis of the absorption trait, hallucinogen effects, and positive symptoms: Epistasis between 5-HT2a and COMT polymorphisms 95 male and 241 female subjects 2005 Cross-sectional genetic association study n = 336
In Vivo Imaging of Cerebral Serotonin Transporter and Serotonin2A Receptor Binding in 3,4-Methylenedioxymethamphetamine (MDMA or “Ecstasy”) and Hallucinogen Users 2011 Cross-sectional study
Broadening Your Mind to Include Others: The relationship between serotonergic psychedelic experiences and maladaptive narcissism. Adults reporting a recent classical serotonergic psychedelic experience 2020 Cross-sectional survey n = 414

Citations in the library

Explore topics