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News Brief: MDMA therapy for PTSD.

AJN American Journal of Nursing November 21, 2023 DOI: 10.1097/01.naj.0000997172.65282.23 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Randomized controlled trial Peer reviewed
Sample size 104
Population People with moderate to severe PTSD
Intervention MDMA-assisted therapy
Topics MDMA PTSD
Keywords Psychotherapist
Key findings MDMA-assisted therapy led to 71% of participants no longer meeting PTSD diagnostic criteria, versus 48% in the placebo group.

Abstract

MDMA therapy for PTSD. Those suffering from posttraumatic stress disorder (PTSD) may have a new treatment option—psychedelic therapy. In a confirmatory randomized controlled trial with 104 participants, researchers found that 3,4-methylenedioxymethamphetamine (MDMA)-assisted therapy reduced symptoms and functional impairment in people with moderate to severe PTSD. Their findings add to a growing body of evidence that MDMA, commonly known as Ecstasy or Molly, is a safe and effective treatment for PTSD. Participants who received MDMA had significantly better outcomes than those who received placebo, with 71% no longer meeting criteria for a PTSD diagnosis compared with 48% in the placebo group. MDMA was used in psychotherapy until 1985 when the U.S. Drug Enforcement Administration designated it a Schedule 1 drug, making its distribution and use illegal. That may change soon. According to the Multidisciplinary Association for Psychedelic Studies, with the results of this and preceding studies, “MDMA-assisted therapy for PTSD is on track to be considered for approval by the FDA in 2024.”

Comparable studies

Other randomized controlled trials on MDMA for PTSD, most cited first.

Study Year Design Participants
MDMA-assisted therapy for severe PTSD: a randomized, double-blind, placebo-controlled phase 3 study. Patients with severe PTSD, including those with comorbidities such as dissociation,... 2021 Randomized controlled trial n = 90
The safety and efficacy of {+/-}3,4-methylenedioxymethamphetamine-assisted psychotherapy in subjects with chronic, treatment-resistant posttraumatic stress disorder: the first randomized controlled pilot study. Patients with chronic post-traumatic stress disorder refractory to both psychotherapy... 2010 Randomized controlled trial n = 20
3,4-methylenedioxymethamphetamine (MDMA)-assisted psychotherapy for post-traumatic stress disorder in military veterans, firefighters, and police officers: a randomised, double-blind, dose-response, phase 2 clinical trial. Military veterans and first responders aged 18 or older with chronic PTSD lasting 6... 2018 Randomized, double-blind, dose-response, phase 2 clinical trial n = 26
A randomized, controlled pilot study of MDMA (±3,4-Methylenedioxymethamphetamine)-assisted psychotherapy for treatment of resistant, chronic Post-Traumatic Stress Disorder (PTSD) Patients with treatment-resistant PTSD 2012 Randomized controlled trial n = 12
MDMA-assisted therapy for moderate to severe PTSD: a randomized, placebo-controlled phase 3 trial. Adults with moderate to severe post-traumatic stress disorder 2023 Randomized controlled trial n = 104

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