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Ayahuasca and tobacco smoking cessation: results from an online survey in Brazil.

Dimitri Daldegan-Bueno, Lucas Oliveira Maia, Carolina Marcolino Massarentti, Luís Fernando Tófoli

Psychopharmacology February 18, 2022 DOI: 10.1007/s00213-022-06063-2 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Retrospective cross-sectional mixed-method study Qualitative Peer reviewed
Sample size 441
Population People who reported quitting or reducing smoking following ayahuasca consumption
Intervention Ayahuasca
Topics Ayahuasca
Keywords Psychedelic Hallucinogen Smoking cessation Tobacco abstinence Quitting smoking Nicotine addiction Addiction treatment Substance abuse treatment Therapeutic use Alternative medicine Brazil South america
Key findings Mystical experience and frequency of ayahuasca intake were protective factors for smoking cessation, while positive mood during the experience was a risk factor.

Abstract

RationaleSmoking-related disease is a major problem globally. Effective smoking cessation treatments are however limited. Increasing evidence suggests that psychedelics have potential as treatments for substance use disorders and may therefore prove an option in aiding smoking cessation.ObjectivesTo establish which factors predict smoking cessation in people who reported quitting or reducing smoking following ayahuasca consumption.MethodsA retrospective cross-sectional mixed-method study (quantitative and qualitative design) was undertaken using data from an online survey evaluating peoples' experiences before and after drinking ayahuasca. Multivariate logistic regression was performed with smoking condition (cessation or reduction/relapse) as a dependent variable and demographics, smoking, ayahuasca-related variables and the mystical experience (MEQ30) as predicting factors.ResultsA total of 441 responses were grouped according to self-reported smoking status: cessation (n = 305) or reduction/relapse (n = 136) smoking. Logistic regression showed that mystical experience (OR: 1.03; 95% CI [1.00-1.05]) and frequency of ayahuasca intake (OR: 2.16[1.00-4.70]) were protective factors, while positive mood (measured by the MEQ30) during the ayahuasca experience was a risk factor (OR: 0.91[0.85-0.97]). Qualitative thematic analysis identified eight themes (e.g. acquired awareness, spiritual experience, increased motivation) related to the ayahuasca experience and the process of smoking cessation/reduction.ConclusionsOur results suggest that ayahuasca could be used as a potential tool for smoking cessation, and that effects may be mediated by mystical experience. Given the current burden of smoking-related disease and the limited treatment options, studies are needed to investigate the efficacy of psychedelics in smoking cessation.

Comparable studies

Other qualitative studies on ayahuasca, most cited first.

Study Year Design Participants
The antipodes Of the mind Indigenous people, shamans, members of different religious sects using Ayahuasca, and... 2002 Qualitative study
Drug Tourism or Spiritual Healing? Ayahuasca Seekers in Amazonia Westerners participating in an ayahuasca retreat in Amazonia 2005 Qualitative study
Therapeutic Effects of Ritual Ayahuasca Use in the Treatment of Substance Dependence—Qualitative Results Therapists, expert researchers, and individuals who underwent ayahuasca-assisted... 2014 Qualitative study n = 29
Nourishing the Spirit: Exploratory Research on Ayahuasca Experiences along the Continuum of Recovery from Eating Disorders Individuals previously diagnosed with an eating disorder 2017 Qualitative study n = 16
Exploring ayahuasca‐assisted therapy for addiction: A qualitative analysis of preliminary findings among an Indigenous community in Canada Indigenous adults in Canada who participated in ayahuasca-assisted ceremonial retreats 2019 Qualitative study n = 11

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