Evidence map›Paper›PMID 40259688›Full record

SynthesisPalliative & supportive care2025

Evaluating the effectiveness of psilocybin in alleviating distress among cancer patients: A systematic review.

Maria I Lapid, Sandeep R Pagali, Andrea L Randall, Kristine A Donovan, Carrie A Bronars, Trevor A Gauthier, Jonathan Bock, Samantha D Lim, Elise C Carey, Elizabeth Sokolowski and 6 more

Abstract readSystematic Review
In one paragraph

Synthesis in Palliative & supportive care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. The effect of the Emotional Freedom Technique (EFT) on pain and depression in cancer patients: a randomized controlled trial.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Trial
  2. Review
  3. 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

16 authors.

Maria I LapidDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.ORCID https://orcid.org/0000-0002-1163-5584
Sandeep R PagaliDivision of Community Internal Medicine, Geriatrics and Palliative Care, Mayo Clinic, Rochester, MN, USA.
Andrea L RandallDepartment of Pharmacy, Mayo Clinic, Rochester, MN, USA.
Kristine A DonovanDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Carrie A BronarsDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Trevor A GauthierDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, MN, USA.
Jonathan BockAlix School of Medicine, Mayo Clinic, Rochester, MN, USA.
Samantha D LimOur Lady of Fatima College of Medicine, Valenzuela City, Metro Manila, Philippines.
Elise C CareyDivision of Community Internal Medicine, Geriatrics and Palliative Care, Mayo Clinic, Rochester, MN, USA.
Elizabeth SokolowskiDivision of Community Internal Medicine, Geriatrics and Palliative Care, Mayo Clinic, Rochester, MN, USA.
Angela M UlrichDepartment of Quantitative Health Sciences, Mayo Clinic, Rochester, MN, USA.
Leslie C HassettMayo Clinic Libraries, Mayo Clinic, Rochester, MN, USA.
Simon KungDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Kevin J WhitfordDivision of Community Internal Medicine, Geriatrics and Palliative Care, Mayo Clinic, Rochester, MN, USA.
Kenneth R OlivierDepartment of Radiation Oncology, Mayo Clinic, Rochester, MN, USA.
Stacy D D'AndreDepartment of Medical Oncology Mayo Clinic, Mayo Clinic, Rochester, MN, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesPsychological and existential distress is prevalent among patients with life-threatening cancer, significantly impacting their quality of life. Psilocybin-assisted therapy has shown promise in alleviating these symptoms. This systematic review aims to synthesize the evidence on the efficacy and safety of psilocybin in reducing cancer-related distress.

methodsWe searched MEDLINE, APA PsycINFO, Cochrane database, Embase, and Scopus from inception to February 8, 2024, for randomized controlled trials (RCTs), open-label trials, qualitative studies, and single case reports that evaluated psilocybin for cancer-related distress. Data were extracted on study characteristics, participant demographics, psilocybin and psychotherapy intervention, outcome measures, and results. Two authors independently screened, selected, and extracted data from the studies. Cochrane Risk of Bias for RCTs and Methodological Index for Non-Randomized Studies criteria were used to evaluate study quality. This study was registered with PROSPERO (CRD42024511692).

resultsFourteen studies met the inclusion criteria, comprising three RCTs, five open-label trials, five qualitative studies, and one single case report. Psilocybin therapy consistently showed significant reductions in depression, anxiety, and existential distress, with improvements sustained over several months. Adverse effects were generally mild and transient. SIGNIFICANCE OF

resultsThis systematic review highlights the potential of psilocybin-assisted therapy as an effective treatment for reducing psychological and existential distress in cancer patients. Despite promising findings, further large-scale, well-designed RCTs are needed to confirm these results and address existing research gaps.

Indexed as

NeoplasmsPsilocybinStress, PsychologicalHallucinogensHumansPsychological DistressHallucinogensPsilocybinAnxietydepressionexistential distresspsychedelicpsychotherapy

Identifiers

PMID40259688
PMCPMC13166453

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.