Evidence map›Paper›PMID 32073177›Full record

Trial reportJournal of traumatic stress2020

Posttraumatic Growth After MDMA-Assisted Psychotherapy for Posttraumatic Stress Disorder.

Ingmar Gorman, Alexander B Belser, Lisa Jerome, Colin Hennigan, Ben Shechet, Scott Hamilton, Berra Yazar-Klosinski, Amy Emerson, Allison A Feduccia

Expression of concernErratum issuedAbstract readClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Journal of traumatic stress, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It carries an expression of concern. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Ingmar GormanRory Meyers College of Nursing, New York University, New York, New York, USA.
Alexander B BelserSchool of Medicine, Yale University, New Haven, Connecticut, USA.
Lisa JeromeMAPS Public Benefit Corporation, Santa Cruz, California, USA.
Colin HenniganMAPS Public Benefit Corporation, Santa Cruz, California, USA.
Ben ShechetScottsdale Research Institute, Phoenix, Arizona, USA.
Scott HamiltonStanford University School of Medicine, Stanford University, Stanford, California, USA.
Berra Yazar-KlosinskiMultidisciplinary Association for Psychedelic Studies, Santa Cruz, California, USA.
Amy EmersonMAPS Public Benefit Corporation, Santa Cruz, California, USA.
Allison A FeducciaMAPS Public Benefit Corporation, Santa Cruz, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

3,4-Methylenedioxymethamphetamine (MDMA)-assisted psychotherapy for posttraumatic stress disorder (PTSD) has been shown to significantly reduce clinical symptomatology, but posttraumatic growth (PTG), which consists of positive changes in self-perception, interpersonal relationships, or philosophy of life, has not been studied with this treatment. Participant data (n = 60) were pooled from three Phase 2 clinical studies employing triple-blind crossover designs. Participants were required to meet DSM-IV-R criteria for PTSD with a score higher than 50 on the Clinician-Administered PTSD Scale (CAPS-IV) as well as previous inadequate response to pharmacological and/or psychotherapeutic treatment. Data were aggregated into two groups: an active MDMA dose group (75-125 mg of MDMA; n = 45) or placebo/active control (0-40 mg of MDMA; n = 15). Measures included the Posttraumatic Growth Inventory (PTGI) and the CAPS-IV, which were administered at baseline, primary endpoint, treatment exit, and 12-month follow-up. At primary endpoint, the MDMA group demonstrated more PTG, Hedges' g = 1.14, 95% CI [0.49, 1.78], p < .001; and a larger reduction in PTSD symptom severity, Hedges' g = 0.88, 95% CI [-0.28, 1.50], p < .001, relative to the control group. Relative to baseline, at the 12-month follow-up, within-subject PTG was higher, p < .001; PTSD symptom severity scores were lower, p < .001; and two-thirds of participants (67.2%) no longer met criteria for PTSD. MDMA-assisted psychotherapy for PTSD resulted in PTG and clinical symptom reductions of large-magnitude effect sizes. Results suggest that PTG may provide a new mechanism of action warranting further study.

Indexed as

AdultFemaleHumansMaleMiddle AgedN-Methyl-3,4-methylenedioxyamphetamineNon-Randomized Controlled Trials as TopicPosttraumatic Growth, PsychologicalPsychotherapySeverity of Illness IndexStress Disorders, Post-TraumaticN-Methyl-3,4-methylenedioxyamphetamine

Identifiers

PMID32073177
PMCPMC7216948

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.