Evidence map›Paper›PMID 39354706›Full record

SynthesisPsychiatry and clinical neurosciences2024

Impact of psilocybin on cognitive function: A systematic review.

Shakila Meshkat, Triana Juliana Tello-Gerez, Fatemeh Gholaminezhad, Benjamin T Dunkley, Amy C Reichelt, David Erritzoe, Eric Vermetten, Yanbo Zhang, Andrew Greenshaw, Lisa Burback and 4 more

Abstract readSystematic Review
In one paragraph

Synthesis in Psychiatry and clinical neurosciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Psilocybin modulates social behaviour in male and female mice in a time-dependent manner.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
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  6. Cognition in Treatment-Resistant Depression: Obstacles and Challenges?Advances in experimental medicine and biology · 2026
    Review
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  9. Review
  10. Article
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  12. Review
  13. Article
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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

14 authors.

Shakila MeshkatInterventional Psychiatry Program, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
Triana Juliana Tello-GerezInterventional Psychiatry Program, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
Fatemeh GholaminezhadInterventional Psychiatry Program, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.
Benjamin T DunkleyNeurosciences and Mental Health, Hospital for Sick Children Research Institute, Toronto, Ontario, Canada.
Amy C ReicheltDepartment of Physiology and Pharmacology, Western University, London, Ontario, Canada.
David ErritzoeCentre for Psychedelic Research, Department of Brain Sciences, Imperial College London, London, UK.
Eric VermettenDepartment of Psychiatry, Leiden University Medical Center, Leiden, Netherlands.
Yanbo ZhangDepartment of Psychiatry, University of Alberta, Edmonton, Alberta, Canada.
Andrew GreenshawDepartment of Psychiatry, University of Alberta, Edmonton, Alberta, Canada.
Lisa BurbackDepartment of Psychiatry, University of Alberta, Edmonton, Alberta, Canada.
Olga WinklerDepartment of Psychiatry, University of Alberta, Edmonton, Alberta, Canada.
Rakesh JetlyThe Institute of Mental Health Research, University of Ottawa, Royal Ottawa Hospital, Ottawa, Ontario, Canada.
Leah M MayoDepartment of Psychiatry, Mathison Centre for Mental Health Research and Education, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada.
Venkat BhatInterventional Psychiatry Program, St. Michael's Hospital, Unity Health Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0002-8768-1173

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Psilocybin is a classic psychedelic with demonstrated preliminary clinical efficacy in a range of psychiatric disorders. Evaluating the impact of psilocybin on cognitive function is essential to unravel its potential benefits and risks. In this systematic review, we assessed psilocybin's effect on cognitive function through a comprehensive search of electronic databases from inception to January 2024, identifying 20 articles involving 2,959 participants. While 85% of studies were conducted in healthy volunteers, most of these studies (85%) used macrodoses, ranging from 45 μg/kg to 30 mg/70 kg. Various cognitive aspects were evaluated and yielded mixed results. Global cognitive function, and processing speed remained mostly unchanged in healthy individuals; However, a limited number of studies reported improvements in certain areas such as sustained attention, working memory, and executive function especially in patients with treatment-resistant depression (TRD). Emotional processing was positively modified, particularly in TRD patients. Psilocybin was observed to enhance emotional empathy without significantly altering cognitive empathy and social cognition. Cognitive flexibility and creative cognition were noted to initially decline but could potentially improve over time. Additionally, with respect to learning and memory skills, psilocybin showed promise in improving specific memory types such as semantic associations and associative learning, while its effects on episodic and verbal memory have been less pronounced compared to other cognitive enhancers. The observed mixed findings underscore the complexity of psilocybin's cognitive influence. Further research is essential to provide a clearer understanding of psilocybin's impact on cognitive domains and to guide the development of safe and effective interventions.

Indexed as

CognitionHallucinogensPsilocybinCognitive DysfunctionDepressive Disorder, Treatment-ResistantExecutive FunctionHumansHallucinogensPsilocybincognitioncognitive functionpsilocybinpsychedelicssystematic review

Identifiers

PMID39354706
PMCPMC11612538

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.