Evidence map›Paper›PMID 33143790›Full record

SynthesisPsychological medicine2020

Post-acute psychological effects of classical serotonergic psychedelics: a systematic review and meta-analysis.

Simon B Goldberg, Benjamin Shechet, Christopher R Nicholas, Chi Wing Ng, Geetanjali Deole, Zhuofan Chen, Charles L Raison

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Psychological medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
2.9field-weighted citation impact, top 6% 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.

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

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Magnitude of response in treatment and control groups within psychedelic trials for psychiatric disorders: A meta-analysis.European psychiatry : the journal of the Association of European Psychiatrists · 2026
    Pooled it
  3. Pooled it
  4. Acute and post-acute neurobehavioral responses to lysergic acid diethylamide in healthy subjects: a randomized controlled study.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Trial
  5. Trial
  6. Trial
  7. Review
  8. Ten practical suggestions for setting up a psychedelic study.Journal of psychopharmacology (Oxford, England) · 2026
    Article
  9. Article
  10. Article
  11. Classifying Psychedelic-Related Complications.Current topics in behavioral neurosciences · 2026
    Review
  12. Psychedelic-Related Psychosis: From Model Psychosis to Psychotherapy.Current topics in behavioral neurosciences · 2026
    Review
  13. Article
  14. Article
  15. Article
  16. Use of psychedelic treatments in psychiatric clinical practice: an EPA policy paper.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  17. Article
  18. Article
  19. 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

7 authors at 1 institution in 1 country.

Simon B GoldbergDepartment of Counseling Psychology, University of Wisconsin - Madison, Madison, WI, USA.ORCID 0000-0002-6888-0126
Benjamin ShechetDepartment of Counseling Psychology, University of Wisconsin - Madison, Madison, WI, USA.
Christopher R NicholasDepartment of Family Medicine and Community Health, University of Wisconsin - Madison, Madison, WI, USA.
Chi Wing NgDepartment of Counseling Psychology, University of Wisconsin - Madison, Madison, WI, USA.
Geetanjali DeoleDepartment of Counseling Psychology, University of Wisconsin - Madison, Madison, WI, USA.
Zhuofan ChenDepartment of Counseling Psychology, University of Wisconsin - Madison, Madison, WI, USA.
Charles L RaisonSchool of Human Ecology, University of Wisconsin - Madison, Madison, WI, USA.
University of Wisconsin–Madison · US

Funding

Mindfulness training delivered via mobile health to reduce depression and anxietyK23AT010879 · NCCIH · UNIVERSITY OF WISCONSIN-MADISON · PI GOLDBERG, SIMON B · 2020 to 2024
$786k
NCCIH NIH HHS K23 AT010879
6 · The paper itself

Abstract

backgroundScientific interest in the therapeutic effects of classical psychedelics has increased in the past two decades. The psychological effects of these substances outside the period of acute intoxication have not been fully characterized. This study aimed to: (1) quantify the effects of psilocybin, ayahuasca, and lysergic acid diethylamide (LSD) on psychological outcomes in the post-acute period; (2) test moderators of these effects; and (3) evaluate adverse effects and risk of bias.

methodsWe conducted a systematic review and meta-analysis of experimental studies (single-group pre-post or randomized controlled trials) that involved administration of psilocybin, ayahuasca, or LSD to clinical or non-clinical samples and assessed psychological outcomes ⩾24 h post-administration. Effects were summarized by study design, timepoint, and outcome domain.

resultsA total of 34 studies (24 unique samples, n = 549, mean longest follow-up = 55.34 weeks) were included. Classical psychedelics showed significant within-group pre-post and between-group placebo-controlled effects on a range of outcomes including targeted symptoms within psychiatric samples, negative and positive affect-related measures, social outcomes, and existential/spiritual outcomes, with large between-group effect in these domains (Hedges' gs = 0.84 to 1.08). Moderator tests suggest some effects may be larger in clinical samples. Evidence of effects on big five personality traits and mindfulness was weak. There was no evidence of post-acute adverse effects.

conclusionsHigh risk of bias in several domains, heterogeneity across studies, and indications of publication bias for some models highlight the need for careful, large-scale, placebo-controlled randomized trials.

Indexed as

BanisteriopsisEvidence-Based PracticeHallucinogensHumansLysergic Acid DiethylamideMental DisordersPsilocybinRandomized Controlled Trials as TopicHallucinogensLysergic Acid DiethylamidePsilocybinAnxietyayahuascadepressionLSDmeta-analysispsilocybinpsychedelicspsychological effects

Identifiers

PMID33143790
PMCPMC7855004
OpenAlexW3094915720

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.