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Who are you after psychedelics? A systematic review and a meta-analysis of the magnitude of long-term effects of serotonergic psychedelics on cognition/creativity, emotional processing and personality

Ivana Solaja, Kate Haldane, Natasha L. Mason, Brandon Weiss, Xiaomin Xu, Mei Xu, Stevan Nikolin, Tharusha Jayasena, Michael Millard, Jonathan Brett, Adam Bayes, Colleen Loo, Donel Martin

Neuroscience & Biobehavioral Reviews February 3, 2024 DOI: 10.1016/j.neubiorev.2024.105570 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Systematic review and meta-analysis Randomized Peer reviewed
Sample size 304
Population Participants in randomized and non-randomized controlled studies of serotonergic psychedelics
Intervention serotonergic psychedelics
Duration One week minimum follow-up
Topics Serotonin
Keywords Meta-analysis Psycinfo Disgust Cognition Clinical psychology Randomized controlled trial Sadness Personality Medline
Citations 17
Key findings No statistically significant effects were found for most outcomes, but faster reaction times for recognizing disgust and sadness were observed in active treatment groups.

Abstract

This systematic review and a meta-analysis synthesised the results from contemporary, randomized and non-randomized controlled studies to assess lasting (one week minimum) changes on cognition/creativity, emotional processing and personality from serotonergic psychedelics. PubMed, Embase and PsycInfo were searched in July 2022. Risk of bias was assessed using Rob 2.0 and ROBINS-I. Ten studies met the eligibility criteria which involved 304 participants. No statistically significant effects were found for the majority outcome measures across the three constructs. A meta-analysis of emotional recognition outcomes found an overall significant effect for faster reaction times in the active treatment groups for disgust (SMD=-0.63, 95% CI=[-1.01 to -0.25], I2 = 65%) and sadness (SMD=-0.45, 95% CI=[-0.85 to -0.06], I2 = 60%). Future research should include larger samples, better control conditions, standardized doses and longer follow-up periods to confirm these preliminary findings.

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