Evidence map›Paper›PMID 33479342›Full record

ArticleScientific reports2021

Positive expectations predict improved mental-health outcomes linked to psychedelic microdosing.

L S Kaertner, M B Steinborn, H Kettner, M J Spriggs, L Roseman, T Buchborn, M Balaet, C Timmermann, D Erritzoe, R L Carhart-Harris

Abstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 5 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

63 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  6. Trial
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  8. Psilocybin-assisted neurofeedback for the improvement of executive functions: a randomized semi-naturalistic-lab feasibility study.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2024
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  11. Greater subjective effects of a low dose of LSD in participants with depressed mood.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
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  17. Causal Inference in Studies with Functional Unmasking: Psychedelics and Beyond.medRxiv : the preprint server for health sciences · 2026
    Article
  18. Article
  19. Article
  20. Salvinorin A andInternational journal of molecular sciences · 2025
    Review

3 more citing papers are in PubMed but not listed here.

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

10 authors.

L S KaertnerCentre for Psychedelic Research, Division of Psychiatry, Imperial College London, London, UK. laura.kartner17@imperial.ac.uk.
M B SteinbornDepartmant of Psychology, Julius-Maximilans-University Würzburg, Würzburg, Germany.
H KettnerCentre for Psychedelic Research, Division of Psychiatry, Imperial College London, London, UK.
M J SpriggsCentre for Psychedelic Research, Division of Psychiatry, Imperial College London, London, UK.
L RosemanCentre for Psychedelic Research, Division of Psychiatry, Imperial College London, London, UK.
T BuchbornCentre for Psychedelic Research, Division of Psychiatry, Imperial College London, London, UK.
M BalaetComputational, Cognitive and Clinical Neuroimaging Laboratory, Imperial College London, London, UK.
C TimmermannCentre for Psychedelic Research, Division of Psychiatry, Imperial College London, London, UK.
D ErritzoeCentre for Psychedelic Research, Division of Psychiatry, Imperial College London, London, UK.
R L Carhart-HarrisCentre for Psychedelic Research, Division of Psychiatry, Imperial College London, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Psychedelic microdosing describes the ingestion of near-threshold perceptible doses of classic psychedelic substances. Anecdotal reports and observational studies suggest that microdosing may promote positive mood and well-being, but recent placebo-controlled studies failed to find compelling evidence for this. The present study collected web-based mental health and related data using a prospective (before, during and after) design. Individuals planning a weekly microdosing regimen completed surveys at strategic timepoints, spanning a core four-week test period. Eighty-one participants completed the primary study endpoint. Results revealed increased self-reported psychological well-being, emotional stability and reductions in state anxiety and depressive symptoms at the four-week primary endpoint, plus increases in psychological resilience, social connectedness, agreeableness, nature relatedness and aspects of psychological flexibility. However, positive expectancy scores at baseline predicted subsequent improvements in well-being, suggestive of a significant placebo response. This study highlights a role for positive expectancy in predicting positive outcomes following psychedelic microdosing and cautions against zealous inferences on its putative therapeutic value.

Indexed as

Dose-Response Relationship, DrugAdultAffectAnxietyEmotionsFemaleHallucinogensHumansLysergic Acid DiethylamideMaleMental HealthMiddle AgedMotivationOutcome Assessment, Health CarePlacebo EffectPsilocybinHallucinogensLysergic Acid DiethylamidePsilocybin

Identifiers

PMID33479342
PMCPMC7820236

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.