Evidence map›Paper›PMID 36713926›Full record

ArticleFrontiers in psychiatry2022

Altered brain activity and functional connectivity after MDMA-assisted therapy for post-traumatic stress disorder.

S Parker Singleton, Julie B Wang, Michael Mithoefer, Colleen Hanlon, Mark S George, Annie Mithoefer, Oliver Mithoefer, Allison R Coker, Berra Yazar-Klosinski, Amy Emerson and 2 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in psychiatry, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02102802 (Exploring Mechanisms of Action of ±3,4-methylenedioxymethamphetamine), which is not on this map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
6.2field-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.

NCT02102802 completednot on this map

Exploring Mechanisms of Action of ±3,4-methylenedioxymethamphetamine (MDMA)- Assisted Psychotherapy for Posttraumatic Stress Disorder (PTSD)

TypeobservationalSponsorResilient PharmaceuticalsRan2014 to 2015Enrolled10ConditionsPosttraumatic Stress DisorderArmsMidomafetamine, Therapy
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Dissociable effects of LSD and MDMA on striato-cortical connectivity in healthy subjects.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  8. Article
  9. Article
  10. The psychedelic-peptide paradox: a hormetic hypothesis.Comprehensive psychoneuroendocrinology · 2025
    Review
  11. Review
  12. Article
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Psychedelic therapies reconsidered: compounds, clinical indications, and cautious optimism.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
    Review
  19. Article
  20. MDMA for PTSD and beyond: a new paradigm brings hope.Frontiers in human neuroscience · 2024
    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

12 authors at 6 institutions in 1 country.

S Parker SingletonDepartment of Computational Biology, Cornell University, Ithaca, NY, United States.
Julie B WangMAPS Public Benefit Corporation, San Jose, CA, United States.
Michael MithoeferMAPS Public Benefit Corporation, San Jose, CA, United States.
Colleen HanlonWake Forest School of Medicine, Winston-Salem, NC, United States.
Mark S GeorgeDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United States.
Annie MithoeferMAPS Public Benefit Corporation, San Jose, CA, United States.
Oliver MithoeferDepartment of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC, United States.
Allison R CokerMAPS Public Benefit Corporation, San Jose, CA, United States.
Berra Yazar-KlosinskiMultidisciplinary Association for Psychedelic Studies, San Jose, CA, United States.
Amy EmersonMAPS Public Benefit Corporation, San Jose, CA, United States.
Rick DoblinMultidisciplinary Association for Psychedelic Studies, San Jose, CA, United States.
Amy KuceyeskiDepartment of Computational Biology, Cornell University, Ithaca, NY, United States.
Medical University of South Carolina · USPublic Service Electric and Gas (United States) · USCornell University · USMultidisciplinary Association for Psychedelic Studies · USUniversity of California, San Francisco · USWake Forest University · US

Funding

Heritability and cognitive implications of structural-functional connectome couplingRF1MH123232 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI KUCEYESKI, AMY FRANCES · 2021 to 2021
$1.3M
NIMH NIH HHS RF1 MH123232
6 · The paper itself

Abstract

Introduction: 3,4-methylenedioxymethamphetamine-assisted therapy (MDMA-AT) for post-traumatic stress disorder (PTSD) has demonstrated promise in multiple clinical trials. MDMA is hypothesized to facilitate the therapeutic process, in part, by decreasing fear response during fear memory processing while increasing extinction learning. The acute administration of MDMA in healthy controls modifies recruitment of brain regions involved in the hyperactive fear response in PTSD such as the amygdala, hippocampus, and insula. However, to date there have been no neuroimaging studies aimed at directly elucidating the neural impact of MDMA-AT in PTSD patients. Methods: We analyzed brain activity and connectivity via functional MRI during both rest and autobiographical memory (trauma and neutral) response before and two-months after MDMA-AT in nine veterans and first-responders with chronic PTSD of 6 months or more. Results: We hypothesized that MDMA-AT would increase amygdala-hippocampus resting-state functional connectivity, however we only found evidence of a trend in the left amygdala-left hippocampus ( Discussion: Amygdala-insular functional connectivity is reliably implicated in PTSD and anxiety, and both regions are impacted by MDMA administration. These findings compliment previous research indicating that amygdala, hippocampus, and insula functional connectivity is a potential target of MDMA-AT, and highlights other regions of interest related to memory processes. More research is necessary to determine if these findings are specific to MDMA-AT compared to other types of treatment for PTSD. Clinical trial registration: https://clinicaltrials.gov/ct2/show/NCT02102802, identifier NCT02102802.

Indexed as

amygdalaautobiographical memoryfMRIfunctional connectivityhippocampusinsulaMDMAPTSD

Identifiers

PMID36713926
PMCPMC9879604
OpenAlexW4315796633

What OpenQuestion holds

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LicenceCC BY
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.