Evidence map›Paper›PMID 32704581›Full record

ArticleChronic stress (Thousand Oaks, Calif.)

Psychedelic Treatment for Trauma-Related Psychological and Cognitive Impairment Among US Special Operations Forces Veterans.

Alan K Davis, Lynnette A Averill, Nathan D Sepeda, Joseph P Barsuglia, Timothy Amoroso

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Chronic stress (Thousand Oaks, Calif.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05554094 (Examining the Safety and Clinical Efficacy of Psilocybin Therapy for Veterans With PTSD), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.8field-weighted citation impact, top 4% of its field
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.

NCT05554094 phase2active not recruitingnot on this map

Examining the Safety and Clinical Efficacy of Psilocybin Therapy for Veterans With PTSD: An Open-Label Proof-of-Concept Trial

TypeinterventionalSponsorOhio State UniversityRan2023 to 2026Enrolled15ConditionsPTSD, Stress Disorders, Traumatic, Stress Disorders, Post-Traumatic, Trauma and Stressor Related DisordersArmsPsilocybin
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 76 citations in OpenAlex.

  1. Review
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  8. Review
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  11. Review
  12. Article
  13. Review
  14. It's time for better tools.Journal of military, veteran and family health · 2023
    Article
  15. Mechanisms of integration in psychedelic-assisted therapy.Journal of military, veteran and family health · 2023
    Review
  16. Article
  17. Review
  18. Article
  19. Possible psychedelic therapeutic mechanism.Science (New York, N.Y.) · 2023
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Alan K DavisCollege of Social Work, The Ohio State University, Columbus, OH, USA.ORCID https://orcid.org/0000-0003-4770-8893
Lynnette A AverillDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.ORCID https://orcid.org/0000-0002-8985-9975
Nathan D SepedaDepartment of Psychiatry and Behavioral Sciences, Johns Hopkins University, Baltimore, MD, USA.
Joseph P BarsugliaTerra Incognita Project, Ben Lomond, CA, USA.
Timothy AmorosoDepartment of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Johns Hopkins University · USYale University · US

Funding

CSRD VA IK2 CX001873
6 · The paper itself

Abstract

backgroundU.S. Special Operations Forces Veterans are at increased risk for a variety of mental health problems and cognitive impairment associated with military service. Current treatments are lacking in effectiveness and adherence. Therefore, this study examined psychedelic treatment with ibogaine and 5-methoxy-N,N-dimethyltryptamine for trauma-related psychological and cognitive impairment among U.S. Special Operations Forces Veterans.

methodWe conducted a survey of Veterans who completed a specific psychedelic clinical program in Mexico between 2017 and 2019. Questions probed retrospective reports of mental health and cognitive functioning during the 30 days before and 30 days after treatment. A total of 65 people completed treatment during this time frame and were eligible for contact. Of these, 51 (78%) completed the survey and were included in data analyses (mean age = 40; male = 96%; married = 55%; Caucasian/White = 92%; Operation Enduring Freedom/Operation Iraqi Freedom Service = 96%).

resultsResults indicated significant and very large reductions in retrospective report of suicidal ideation (p < .001; d = -1.9), cognitive impairment (p < .001; d = -2.8), and symptoms of posttraumatic stress disorder (p < .001; d = -3.6), depression (p < .001; d = -3.7), and anxiety (p < .001; d = -3.1). Results also showed a significant and large increase in retrospective report of psychological flexibility (p < .001; d = 2.9) from before-to-after the psychedelic treatment. Increases in the retrospective report of psychological flexibility were strongly associated with retrospective report of reductions in cognitive impairment, and symptoms of posttraumatic stress disorder, depression, and anxiety (rs range -0.61 to -0.75; p < .001). Additionally, most participants rated the psychedelic experiences as one of the top five personally meaningful (84%), spiritually significant (88%), and psychologically insightful (86%) experiences of their lives.

conclusionU.S. Special Operations Forces Veterans may have unique treatment needs because of the sequela of problems associated with repeated trauma exposure and the nature of the exposure. Psychedelic-assisted therapy with these under-researched psychedelics may hold unique promise for this population. However, controlled studies are needed to determine whether this treatment is efficacious in relieving mental health and cognitive impairment among U.S. Special Operations Forces Veterans.

Indexed as

5-methoxy-N,N-dimethyltryptaminecognitive impairmentibogainespecial operationstraumaveterans

Identifiers

PMID32704581
PMCPMC7359647
OpenAlexW3041518543

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.