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The Afterglow Inventory (AGI): Validation of a new instrument for measuring subacute effects of classic serotonergic psychedelics

Tomislav Majić, Timo Torsten Schmidt, Anna Gröticke, Peter Gasser, Ricarda Evens, William A. Richards, Thomas Riemer

Journal of Psychopharmacology March 31, 2025 DOI: 10.1177/02698811251326937 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Cross-sectional survey Peer reviewed
Sample size 1,480
Population Adults who had consumed a psychedelic or another non-psychedelic substance within the past 4 weeks
Topics LSD Psilocybin Serotonin
Keywords Afterglow Clinical psychology Hallucinogen Audiology
Citations 4
Key findings The Afterglow Inventory (AGI) is a valid 24-item, 5-factor scale that quantifies positive subacute psychedelic afterglow effects and differentiates psychedelic users from controls.

Abstract

Background: Classic psychedelics such as psilocybin and lysergic acid diethylamide are anecdotally associated with the phenomenon of “psychedelic afterglow,” a set of predominantly pleasant, temporary psychological effects reported after the acute effects have subsided. Since post-acute effects are crucial for the therapeutic use of psychedelics, an instrument to systematically assess subacute “afterglow” effects is needed.

Aims: To create and validate a questionnaire to quantify the subacute “afterglow” effects of psychedelics.

Methods: An international online survey was conducted in English and German. Participants who had consumed a psychedelic ( N = 1323) or another non-psychedelic substance (control group, N = 157) within the past 4 weeks were included. An initial list of 97 items was progressively reduced to 24 items.

Results: A 5-factor structure best fit the data and showed high internal consistency. The factors included (1) vitality, (2) transpersonal aspects, (3) inspiration/creativity, (4) interpersonal relationships, and (5) relationship to nature. The final 24-item version of the Afterglow Inventory (AGI) effectively differentiated between the psychedelic group and the control group. The overall AGI score positively correlated with the intensity ( r = 0.165; p < 0.001) and positive valence ( r = 0.251; p < 0.001) of the acute psychedelic effects.

Conclusions: The AGI is a novel scale for quantifying positive subacute (“afterglow”) effects of psychedelics. The use of the AGI could lead to a better understanding of the interplay between acute, subacute, and long-term effects of psychedelics. Insights could also be gained into how different substances, dosages, and extra-pharmacological factors, such as psychotherapy, might influence outcomes.

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
Recreational use of psychedelics is associated with elevated personality trait openness: Exploration of associations with brain serotonin markers. 10 psychedelic-preferring recreational users, 14 MDMA-preferring users, and 21... 2019 Cross-sectional observational study n = 45
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

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