Evidence map›Paper›PMID 34915762›Full record

Trial reportJournal of psychopharmacology (Oxford, England)2022

Psilocybin microdosing does not affect emotion-related symptoms and processing: A preregistered field and lab-based study.

Josephine Marschall, George Fejer, Pascal Lempe, Luisa Prochazkova, Martin Kuchar, Katerina Hajkova, Michiel van Elk

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of psychopharmacology (Oxford, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 8 pooled it
6.8field-weighted citation impact, top 3% 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

36 citing papers in PubMed, 8 syntheses or guidelines pooled it, 66 citations in OpenAlex.

  1. Pooled it
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  6. Impact of psilocybin on cognitive function: A systematic review.Psychiatry and clinical neurosciences · 2024
    Pooled it
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  9. Trial
  10. Greater subjective effects of a low dose of LSD in participants with depressed mood.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Trial
  11. Article
  12. Review
  13. A contemporary exploration of motivations and practices of psychedelic use among emerging adult cannabis users in the United States: A qualitative analysis.Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors · 2026
    Article
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  19. Psilocybin: From Psychiatric Pariah to Perceived Panacea.The American journal of psychiatry · 2025
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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 3 institutions in 2 countries.

Josephine MarschallDepartment of Psychology, University of Amsterdam, Amsterdam, The Netherlands.
George FejerDepartment of Psychology, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-4904-5504
Pascal LempeDepartment of Psychology, University of Amsterdam, Amsterdam, The Netherlands.
Luisa ProchazkovaDepartment of Psychology, Leiden University, Leiden, The Netherlands.ORCID 0000-0002-7992-3603
Martin KucharForensic Laboratory of Biologically Active Substances, Department of Chemistry of Natural Compounds, University of Chemistry and Technology Prague, Prague, Czech Republic.ORCID 0000-0002-7616-6352
Katerina HajkovaForensic Laboratory of Biologically Active Substances, Department of Chemistry of Natural Compounds, University of Chemistry and Technology Prague, Prague, Czech Republic.
Michiel van ElkDepartment of Psychology, University of Amsterdam, Amsterdam, The Netherlands.ORCID 0000-0002-7631-3551
University of Amsterdam · NLNational Institute of Mental Health · CZLeiden University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMicrodoses of psychedelics (i.e. a sub-hallucinogenic dose taken every third day) can reduce symptoms of depression, anxiety and stress according to anecdotal reports and observational studies. Research with medium to high doses of psilocybin points towards potential underlying mechanisms, including the modulation of emotion and interoceptive processing.

aimsIn this preregistered study, we investigated whether psilocybin microdoses alter self-reported interoceptive awareness and whether repeated microdosing over 3 weeks modulates emotion processing and reduces symptoms of anxiety and depression.

methodsWe used a double-blind, placebo-controlled, within-subject crossover design. Participants completed the Multidimensional Assessment of Interoceptive Awareness Questionnaire 1½ h after self-administering their second dose (or placebo), and the emotional go/no-go task and the shortened Depression Anxiety Stress Scale 1½ h after self-administering their seventh dose.

resultsOur confirmatory analyses revealed that psilocybin microdosing did not affect emotion processing or symptoms of anxiety and depression compared with placebo. Our exploratory analyses revealed that psilocybin microdosing did not affect self-reported interoceptive awareness, that symptoms of depression and stress were significantly reduced in the first block compared with baseline, that participants broke blind in the second block and that there was no effect of expectations. Further research in a substance-naïve population with clinical range anxiety and depressive symptoms is needed to substantiate the potential beneficial effects of microdosing.

Indexed as

AdultAnxietyCross-Over StudiesDepressionDose-Response Relationship, DrugDouble-Blind MethodEmotionsFemaleHallucinogensHumansMaleMiddle AgedPsilocybinSurveys and QuestionnairesYoung AdultHallucinogensPsilocybinanxietydepressionemotion processinginteroceptive awarenessmicrodosingPsilocybinpsychedelicssymptoms

Identifiers

PMID34915762
PMCPMC8801668
OpenAlexW4200583144

What OpenQuestion holds

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LicenceCC BY
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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.