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Navigating the chaos of psychedelic fMRI brain-entropy via multi-metric evaluations of acute psilocybin effects

Drummond E-Wen Mcculloch, Anders S. Olsen, Brice Ozenne, Dea Siggaard Stenbæk, Sophia Armand, M. Madsen, Gitte M. Knudsen, Patrick M. Fisher

medRxiv July 3, 2023 preprint DOI: 10.1101/2023.07.03.23292164 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Observational cohort
Sample size 28
Population Healthy adults
Intervention Psilocybin
Topics Psilocybin
Keywords Sample entropy Artificial intelligence Cognitive psychology Pattern recognition psychology Hallucinogen
Citations 20
Key findings Psilocybin had significant positive associations with some entropy metrics (Shannon entropy of path-length and instantaneous correlation distributions) but not with most metrics, indicating a nuanced effect on brain entropy.

Abstract

A prominent theory of psychedelics is that they increase brain entropy. Twelve studies have evaluated psychedelic effects on fMRI brain entropy quantifications, no findings have been replicated. Here we evaluated these metrics in an independent 28-participant healthy cohort with 121 pre- and post-psilocybin fMRI scans. We assessed relations between brain entropy and plasma psilocin, brain serotonin 2A receptor occupancy, and a subjective drug intensity rating using linear mixed-effects models. We observed significant positive associations for Shannon entropy of path-length, instantaneous correlation distributions, and divergent associations of sample entropy at varying time-scales. We did not observe significant effects for 8 of 13 entropy metrics. Brain entropy quantifications showed limited inter-measure correlations. Our observations support a nuanced acute psychedelic effect on brain entropy, underscoring the need for replication and that these metrics do not reflect a singular construct. Our findings highlight candidate brain entropy metrics that may mediate clinical effects of psychedelics.

Comparable studies

Other observational and cohort studies on psilocybin, most cited first.

Study Year Design Participants
Psilocybin for treatment-resistant depression: fMRI-measured brain mechanisms. Patients with treatment-resistant depression 2017 Observational cohort n = 19
Psychedelic effects of psilocybin correlate with serotonin 2A receptor occupancy and plasma psilocin levels Healthy volunteers 2019 Observational cohort n = 8
Increased spontaneous MEG signal diversity for psychoactive doses of ketamine, LSD and psilocybin Humans 2017 Observational study
Classic psychedelic use is associated with reduced psychological distress and suicidality in the United States adult population. USA adult respondents from the National Survey on Drug Use and Health (2008-2012) 2015 Observational cohort n = 190,000
Prediction of Psilocybin Response in Healthy Volunteers Healthy volunteers 2012 Observational cohort n = 409

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