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Reply to ‘Methodological concerns and interpretative limitations of assessing subjective effects of ketamine’

Jack D. C. Dahan, David Dadiomov, Tijmen Bostoen, Albert Dahan

npj Mental Health Research September 22, 2026 DOI: 10.1038/s44184-026-00241-2 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Commentary Peer reviewed
Topics Esketamine Ketamine
Key points Argues that variation in accompanying psychotherapy and in subjective-effect questionnaires across studies may partly explain the treatment differences observed in the original meta-analysis, and that these are important limitations. Calls for future research using standardized, multidimensional measures of subjective experience.

Abstract

This response addresses methodological concerns raised regarding our meta-analysis of subjective effects and therapeutic outcomes following ketamine and psilocybin treatment. We discuss the potential influence of psychotherapy and differences in subjective-effect questionnaires across studies, acknowledging these as important limitations. We argue that these factors may partly explain observed treatment differences and highlight the need for future studies using standardized, multidimensional measures of subjective experience.

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